EDI Technical Lead

We are seeking an experienced EDI Technical Lead to support and enhance a business-critical healthcare integration environment.

This is a hands-on technical leadership opportunity for someone with deep experience in healthcare EDI, HIPAA X12 transactions, and integration development . The ideal candidate is comfortable designing and troubleshooting complex integrations, supporting production systems, and providing technical guidance to other engineers.

We're looking for someone who understands how healthcare data moves between payers, providers, clearinghouses, and enterprise applications—and can help make those integrations more reliable, scalable, and efficient.

Key Responsibilities

• Lead the design, development, implementation, and support of healthcare EDI integrations.
• Develop, configure, map, validate, and troubleshoot HIPAA X12 transactions , including 837, 835, 270/271, 276/277, and 834.
• Work with Edifecs and healthcare integration technologies to support transaction processing, mapping, validation, and transformation.
• Investigate rejected transactions, failed transmissions, mapping issues, and production integration incidents.
• Support trading partner onboarding, testing, implementation, and ongoing integration maintenance.
• Collaborate with development teams on FHIR, HL7, REST APIs , and healthcare interoperability initiatives.
• Provide technical leadership through solution design, code reviews, troubleshooting, mentoring, and engineering best practices.
• Improve integration performance, monitoring, error handling, reliability, and production support processes.
• Coordinate with internal teams, external vendors, payers, providers, and clearinghouses to resolve complex integration issues.
• Maintain technical documentation, mapping specifications, operational procedures, and implementation standards.

Required Qualifications

• Strong hands-on experience developing and supporting healthcare EDI integrations .
• Demonstrated expertise with HIPAA X12 transaction standards , particularly claims, remittance, eligibility, and enrollment transactions.
• Experience with EDI mapping, transformation, validation, and transaction troubleshooting .
• Experience with Edifecs or comparable healthcare EDI platforms .
• Understanding of healthcare payer/provider workflows, trading partner relationships, and transaction processing.
• Experience developing or supporting integrations using SQL, APIs, and related data technologies.
• Ability to troubleshoot complex production integration issues independently.
• Experience providing technical leadership, mentoring developers, or leading integration projects.
• Strong communication, analytical, and problem-solving skills.

Preferred Qualifications

• Hands-on experience with Edifecs tools such as SpecBuilder, MapBuilder, or XEngine.
• Experience with FHIR, HL7, and RESTful APIs .
• Exposure to Docker, Kubernetes , and containerized applications.
• Experience with cloud-hosted integration environments.
• Familiarity with HIPAA compliance, healthcare data security, and protected health information.
• Experience modernizing legacy healthcare integration platforms.
• Background supporting high-volume, mission-critical transaction processing.