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Senior EDI Engineer - Remote

Posted 6 weeks ago
Software Development
Full Time
USA
$85,000 - $95,000 USD/year

Overview

Point C is seeking an experienced Senior EDI Engineer to lead the design, implementation, and optimization of complex healthcare EDI solutions. This role will take ownership of high-impact projects, mentor junior team members, and collaborate directly with clients, trading partners, and internal stakeholders to ensure seamless, secure, and compliant healthcare data exchange.

In Short

  • Lead implementation and configuration of EDI solutions for healthcare transactions (837, 834, 835, 278)
  • Design and maintain eligibility feed processes and trading partner connections
  • Interpret and apply X12 documentation and standards to ensure compliance
  • Architect and oversee EDI mapping, transformation, and automation solutions
  • Develop advanced tools and workflows using JavaScript, C#, and SQL Server
  • Mentor junior developers, review code, and provide technical guidance
  • Troubleshoot complex transmission, mapping, and integration issues
  • Drive process improvements for scalability, security, and performance

Requirements

  • 5+ years of experience with healthcare EDI and X12 transaction sets, including insurance workflows, claims processing, and eligibility systems
  • Strong development skills in JavaScript, C#, and SQL, with expertise in EDI mapping, transformation, and integration best practices
  • Experience with version control systems (Git), CI/CD processes, and leading EDI implementation projects from design to go-live
  • Solid knowledge of HIPAA compliance and healthcare data security standards
  • Experience with ETL tools, APIs, and EDI translation software (preferred)
  • Familiarity with additional programming languages such as Python or PowerShell (preferred)
  • Background in regulated industries and enterprise-scale systems (preferred)
  • Bachelor’s degree in Computer Science, IT, or related field, or equivalent experience (preferred)

Benefits

  • Comprehensive medical, dental, vision, and life insurance coverage
  • 401(k) retirement plan with employer match
  • Health Savings Account (HSA) & Flexible Spending Accounts (FSAs)
  • Paid time off (PTO) and disability leave
  • Employee Assistance Program (EAP)

P.C

Point C

Point C is a national third-party administrator (TPA) that specializes in delivering customized self-funded benefit programs with a strong local market presence. The company is dedicated to going beyond conventional solutions, focusing on innovative strategies for cost containment in health plans, including network and payment integrity, pharmacy benefits, and care management. Point C emphasizes a partnership approach with clients, aiming to provide exceptional service and support. The company values diversity and inclusion, fostering an environment where innovation thrives through the contributions of all employees.

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