Job Details

We're looking for a Senior EDI Engineer for a remote role.

Skills & Qualifications:

• 4-7 years of experience in IT operations or systems engineering
• 2 years of EDI technical support experience within healthcare payer organization or TPA
• 1 year of experience managing and publishing FHIR APIs
• Strong understanding of FHIR standards, profiles, and best practices
• Experience in developing RESTful APIs, using programming languages like Java, Python or .NET
• Expert in all EDI file formats
• Proficiency in scripting languages and automation tools
• Experience with file transfer protocols and secure data exchange
• Familiarity with claims clearinghouses and staging processes
• Knowledgeable across a broad set of infrastructure platforms
• Demonstrated experience with SFTP connections and AWS lambda functions and folder structures

Key Responsibilities:

• Assess, plan, and execute new business implementation and integration projects concerning EDI transactions, including but not limited to 834, 835, 837, 270/271, 276/277
• Facilitate comprehensive discussions with vendors and internal stakeholders to gather, analyze, and document detailed requirements for EDI and encounter implementations
• Work with customers' technical team to create detailed technical standards-based data interface specifications ensuring customer's technical team can effectively implement the interface to satisfy business objectives
• Understand EDI mapping documents, manage communication with partners and assist in producing operational documents
• Establish and maintain relationships with external/internal partners, clients, and vendors to facilitate seamless EDI transactions
• Perform member eligibility audits comparing incoming plan data (834) to system data to ensure data integrity reporting results back to leadership
• Analyze, design, and develop specifications for enhancements and extensions to electronic data interchange application interfaces
• Manage and publish new FHIR APIs as needed

Education/Certifications:

• Bachelor's degree in relevant technology field

The salary range for this position is $75,000 - $100,000.

TM Floyd & Company is an equal opportunity employer and values diversity. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability.

We offer a generous array of benefits, depending on the length of assignment. We also offer a referral bonus of up to $1,000. Ask us for more details!

TM Floyd & Company participates in E-VERIFY

AAP, EEO