<p>Must Have Technical/Functional Skill</p> <ul> <li>Design, develop, and maintain Edifecs based EDI solutions supporting healthcare transactions in payer, provider, and clearinghouse environments. </li><li>Build and manage EDI mappings, transactions, and workflows using Edifecs tools and frameworks. </li><li>Develop, configure, and support HIPAA compliant X12 EDI transactions, ensuring accuracy, reliability, and regulatory adherence. </li><li>Work hands on with Edifecs implementations, including configuration, customization, deployment, and ongoing support. </li><li>Perform EDI mapping development and enhancements, ensuring correct transformation between internal systems and external trading partners. </li><li>Support multiple healthcare EDI transaction types (e.g., claims, eligibility, remittance, enrollment, acknowledgements). </li><li>Ensure strict compliance with HIPAA, healthcare regulatory standards, and data privacy requirements. </li><li>Participate in testing activities, including unit testing, integration testing, regression testing, and UAT support. </li><li>Support EDI migrations, upgrades, trading partner onboarding, and platform transitions. </li><li>Analyze EDI errors, transaction rejections, and data issues; perform root cause analysis and resolution. </li><li>Collaborate with business analysts, healthcare SMEs, and integration teams to understand transaction requirements. </li><li>Support production issues and defect fixes, ensuring timely resolution and minimal business impact. </li><li>Maintain documentation for mappings, transaction flows, and integration specifications. </li><li>Work effectively in an Agile delivery model, executing assigned stories and integration tasks. </li><li>Ensure high delivery quality, accuracy, and reliability for healthcare data exchanges. </li></ul> <p>Roles & Responsibilities</p> <ul> <li>Design and implement EDI mappings and workflows using Edifecs. </li><li>Develop and support Edifecs implementations for healthcare data exchange. </li><li>Configure and maintain X12 transactions, ensuring compliance with HIPAA standards. </li><li>Support healthcare integrations between internal systems, trading partners, and clearinghouses. </li><li>Perform EDI testing, validation, and troubleshooting across development and test environments. </li><li>Assist in EDI migrations, upgrades, and onboarding of new trading partners. </li><li>Analyze transaction failures and processing errors and work with stakeholders to resolve issues. </li><li>Support regression cycles and release activities related to EDI deliverables. </li><li>Collaborate with QA, business, and integration teams to ensure requirements are met. </li><li>Participate in Agile ceremonies and provide estimates and status updates. </li><li>Prepare and maintain technical documentation and mapping specifications. </li><li>Provide operational and post deployment support for production EDI systems. </li></ul> <p>Salary Range $120,000-$140,000 Per year</p> <p>TCS Employee Benefits Summary:</p> <p>Discretionary Annual Incentive.</p> <p>Comprehensive Medical Coverage: Medical & Health, Dental & Vision, Disability Planning & Insurance, Pet Insurance Plans.</p> <p>Family Support: Maternal & Parental Leaves.</p> <p>Insurance Options: Auto & Home Insurance, Identity Theft Protection.</p> <p>Convenience & Professional Growth: Commuter Benefits & Certification & amp; Training Reimbursement.</p> <p>Time Off: Vacation, Time Off, Sick Leave & Holidays.</p> <p>Legal & Financial Assistance: Legal Assistance, 401K Plan, Performance Bonus, College Fund, Student Loan Refinancing.</p> <p>#LI-SP1</p>