Home

EDI Architect | REMOTE at Remote, Remote, USA
Email: [email protected]
Hello,

ROLE: EDI Architect 

Remote 

Job Description 

We are seeking an experienced EDI Architect with
extensive expertise in healthcare EDI implementations to join our team. The EDI
Architect will be responsible for designing, implementing, and optimizing EDI
solutions to streamline healthcare transactions, including claims, enrollment,
eligibility, and other essential processes, while ensuring compliance with
industry standards and regulations. Key Responsibilities: EDI Solution
Design: Lead the design, architecture, and implementation of healthcare EDI
solutions (837, 834, 277/276, 835, 270/271, etc.) for providers, payers, and
third party systems. Healthcare Standards Compliance: Ensure EDI processes
meet HIPAA, HITECH, ANSI X12, and other healthcare regulations and industry
standards. EDI Integration: Develop integration strategies to connect EDI
solutions with existing healthcare applications (e.g., claims management,
eligibility verification, payments). End to End EDI Architecture: Architect
scalable, secure EDI solutions to support high volume healthcare transactions,
ensuring data accuracy, confidentiality, and integrity. Data Mapping &
Transformation: Define EDI message specifications, map data, and work with
integration tools like IBM Sterling B2B, MuleSoft, DataPower, and other
middleware platforms for message transformation. EDI Workflow Optimization:
Analyze existing workflows and recommend improvements to optimize EDI
processes, reduce manual interventions, and enhance transaction speed and
accuracy. EDI Testing & Validation: Lead end to end EDI testing, ensuring
compliance with healthcare standards and business requirements, and validating
message exchanges. EDI Monitoring & Support: Provide ongoing support for
EDI transactions, monitor success, troubleshoot issues, and resolve
discrepancies or errors. Cross Functional Collaboration: Collaborate with
business and IT teams (e.g., claims processing, enrollment) to define
requirements and implement EDI solutions that align with organizational goals.
Documentation & Reporting: Maintain comprehensive documentation for EDI
architecture, transaction specifications, and integrations. Provide regular
performance updates and status reports to leadership. What Were Looking For:
Experience: 8+ years as an EDI Architect or in a similar role, specifically
with healthcare EDI implementations. EDI Standards: Strong expertise in ANSI
X12 and HIPAA compliant healthcare transactions (837, 834, 835, 277, 270/271,
276/277, etc.). EDI Platforms & Tools: Proficiency with EDI solutions and
integration platforms like IBM Sterling, MuleSoft, DataPower, Dell Boomi, or
Informatica. Healthcare Knowledge: Deep understanding of healthcare workflows
such as claims processing, patient enrollment, eligibility verification, and
payment systems. EDI Mapping & Transformation: Hands on experience with
data mapping, transformation, and message routing for EDI transactions.
System Integration: Expertise in integrating EDI systems with backend
healthcare systems, CRM, claims management software, and electronic health
records (EHR). Compliance & Security: In depth knowledge of HIPAA,
HITECH, and security standards related to data privacy, encryption, and secure
data exchanges. Problem Solving: Strong troubleshooting skills to resolve
complex EDI issues, data inconsistencies, and implement solutions quickly.
Communication Skills: Excellent interpersonal and communication skills, with
the ability to explain complex technical concepts to both technical and non
technical stakeholders. SQL Proficiency: Strong proficiency in SQL for
querying databases, data analysis, and supporting integration efforts. Azure
Knowledge (Preferred): Familiarity with Azure cloud services and integration
with EDI solutions, including Azure Logic Apps, Azure Service Bus, and related
tools. Technologies & Tools: EDI Tools: IBM Sterling B2B, MuleSoft,
DataPower, Dell Boomi, Informatica. Protocols: ANSI X12, HIPAA. Middleware:
API Integr

Thanks & Regards,

Irfan Shaik

P : 972-440-0069

Agile Enterprise
Solutions Inc.

2591 Dallas Parkway,Suite 300, Frisco,TX 75034.

Email: 

[email protected] 

 Website:

www.aesinc.us.com

--

Keywords: information technology California Texas
EDI Architect | REMOTE
[email protected]
[email protected]
View All
06:41 PM 13-Jan-25


To remove this job post send "job_kill 2073837" as subject from [email protected] to [email protected]. Do not write anything extra in the subject line as this is a automatic system which will not work otherwise.


Your reply to [email protected] -
To       

Subject   
Message -

Your email id:

Captcha Image:
Captcha Code:


Pages not loading, taking too much time to load, server timeout or unavailable, or any other issues please contact admin at [email protected]


Time Taken: 0

Location: ,