Position : Healthcare EDI Claims Analyst with Pega Implementation expertise Location: Remote Duration : Long Term Mode of Interview : Telephonic/Video Job Description: We are seeking a skilled EDI Analyst to join our team. The ideal candidate will have experience with PEGA implementation for claims processing and a strong understanding of APIs, including REST and SOAP. This role involves gathering requirements for request/response payloads and conducting API testing. Knowledge of PEGA claims w
Job Title: Healthcare EDI Engineer Location: Denver, CO Work Mode: Remote Duration: 6-9 Months Job Summary: This position is responsible for designing, architecting, implementing, and testing data integration solutions. This includes managing inbound and outbound data integrations with clients, vendors, and internal systems. In addition will translate requirements into technical deliverables, utilizing a repeatable SDLC to ensure quality and efficiency. The position requires close collabor
Position : Healthcare EDI Eligibility analyst with Informatica B2B Expertise Location: Remote (PA) Duration : Long Term Mode of Interview : Telephonic/Video Job Description: Seeking an experienced Business Analyst with expertise in Electronic Data Interchange (EDI) to drive key project deliverables. The role involves implementing 834 and proprietary eligibility, COB and group files for various health plans. Responsibilities include, but not limited to: Quickly develop a comprehensive understa
Role: Remote Healthcare EDI Engineer Location: Denver, CO (Remote- Only Locals) Primary Skills: Professional Engineer 100% REMOTE Job Description Integrations Software Engineer Job Summary: This position is responsible for designing, architecting, implementing, and testing data integration solutions. This includes managing inbound and outbound data integrations with clients, vendors, and internal systems. In addition will translate requirements into technical deliverables, utilizing a repeatab
Note : GCEAD, L2EAD, consultant can apply for this position who can work on W2. Job Descriptions Below: What we're looking for Must possess a strong proven, hands-on experience and understanding of the Healthcare EDI X12N transactions formats that govern healthcare Electronic Data Interchange (EDI), with in depth knowledge of and experience with HIPAA/EDI X12 5010 healthcare-related X12 transactions including 270-271, 276-277,277CA,277U, 278, 820, 834, 835, 837, 999.Experience with data valid
Job title: .Net EDI Developer with HealthCare Insurance Location: Remote mandatory Skills: EDI, .NET, HealthCare Insurance Responsibilities: - Takes a lead role for analysing, designing, configuring, and modification of inbound and outbound EDI feeds, including X12 EDI such as 834, 835, and 837 transaction sets along with proprietary feeds for specific vendors Develop and maintain Microsoft .NET-based backend systems including scheduled console applications, web applications, MSMQ based messag
Company: iTechUS, Inc. Job Title: EDI analyst- Claims & Eligibility Location : US Remote Job Responsibilities : Healthcare experience would be a BIG PLUS. Claims hands on Exp , with 834 Transactions, Claims and Eligibility. EDI with Claims & Eligibility (834, 837, 835, etc.). Required Skills : Healthcare experience would be a BIG PLUS. Claims hands on Exp , with 834 Transactions, Claims and Eligibility. Must have EDI with Claims & Eligibility (834, 837, 835, etc.). Required Education : At le
Skills: Experience in Developing integrations using healthcare data standards such as HL7, FHIR, and X12.Experience in Developing ITX Type Trees ,Maps for Health Care EDI and System related to mappings.Experience in implementing FHIR APIs.Experience in development with health care integration systems.
We are seeking a highly skilled IT Technical Architectwith expertise in SAP FICO to lead and support our client area application systems. This role offers the opportunity to work on complex global projects while collaborating with diverse teams to drive innovative solutions. Responsibilities Provide in-depth technical expertise and direction in the development and support of application systems and programming requirements. Prepare application system specifications and develop, test, and impleme
Sr. Business Analyst - Fulltime Position Location - Rosemont, IL (2 days a week onsite)Healthcare client Exp with Facets a plus Good experience with SQL is a must. Visa sponsorship is not available for this role. Locals to Chicago only. Our client that is looking to add a Senior Business Analyst leads the analysis and optimization of claims processes within the health insurance industry. The role involves defining business requirements and specifications including for Facets system configuration
Note to Vendors Must be ready to hit the ground running, can work unsupervised and independently, work with urgency.Does not need to build cloud infrastructure.Project: New compliance standard for being able to track food that has been purchased.Must send ASN through EDI. this is the new change that has to be made onboard suppliers to make that change for Kroger processes.Is travel required Minimal, less than 10%.EDI specific 3-5 years product management role.Project or program management will w
Senior EDI Developer Edifecs Fernch Camp, CA (remote must live in CA) $65-$70/hour W2 General Purpose: This position isresponsible for complex data processing, creating procedures and systems, providing detailed technical analytics for complex automated process improvement procedures, and designing critical and complex core system modifications for the company. The position interfaces between the business and technical teams and understands all aspects of technical application development; el
For our Detroit based client we require integration developer to work remote. Role: Integration Developer Job Responsibilities: Expertise in implementing modern integration technologies, such as FHIR and web services, addressing challenges related authentication, security, and error handling. Must have experience in implementing FHIR APIs. Experience with Sterling Transformation Extender: Type Designer , Map Designer , Resource Registry Editor, Database Interface Designer, Integration Flow D
Role: Senior Trizetto Qnxt(QConnect) Developer/Lead Location: Remote Client: Infosys/ Molina Healthcare Required Qualifications: Bachelor s degree or foreign equivalent required from an accredited institution. Will also consider three years of progressive experience in the specialty in lieu of every year of education.At least 4 years of Information Technology experience.At least 2 years of development experience on SQL ServerExperience working directly in a Healthcare payer or healthcare provide
Duties & Responsibilities: Participate in the design and delivery of our integration projects across multiple business domainsContribute to key phase of the development lifecycleDesigns and develops high quality APIs/IntegrationsDevelops unit tests and provides code coverage to accurately test business logic and functionalitySupport existing integration architecture and codeSolves or recommends solutions for complex issues and problemsDocuments designs, issues, and solutions as neededCollaborate
Title :- Sr MuleSoft Developer Location (Remote role) Duties & Responsibilities: Participate in the design and delivery of our integration projects across multiple business domainsContribute to key phase of the development lifecycleDesigns and develops high quality APIs/IntegrationsDevelops unit tests and provides code coverage to accurately test business logic and functionalitySupport existing integration architecture and codeSolves or recommends solutions for complex issues and problemsDocumen
Role Title: EDI Integration Developer Location: Remote Required Skills: 3+ years of experience in healthcare Domain HIPPA EDI transactions,HL7 ,FHIR with ANSI X12 message structure.3+ years of experience in Developing ITX Type Trees ,Maps for Health Care EDI and System related to mapping specification .3+ years of experience in Developing integrations using healthcare data standards such as HL7, FHIR, and X12Hands-on experience with communication protocols & integrationsShould be Proficient in
Job Description: We are seeking a skilled integration professional to join our team. The ideal candidate will have strong experience in EDI systems (especially X12 formats) combined with MuleSoft development for enterprise integration. The candidate will work across multiple business domains to design, develop, and support robust API-based solutions. Key Responsibilities: Participate in the design and delivery of integration projects across various business domainsContribute to all key phases of
We are looking for a Technical EDI Consultant with specialized expertise in Infor LX (formerly BPCS) to join our dynamic team as W2 employee. This is a fantastic opportunity for experienced professionals to work remotely, offering flexibility and the chance to contribute to meaningful projects. If you have a strong background in EDI implementations and extensive hands-on experience with Infor LX/BPCS, we encourage you to apply! We're looking for a contractor who can deliver seamless integration
Piper Companies is seeking an experienced Senior EDI Analyst to join a healthcare organization for a 12+ month contract. This role is REMOTE, but candidates must reside in California . The Senior EDI Analyst is a technical expert who leads and mentors the EDI team, manages complex data processes, and oversees system design and development. *Candidates must currently reside in California* Requirements: Provide technical leadership and manage projects using PMI methods. Lead EDI development and
