Senior EDI Support Specialist

Job Title: Senior EDI Support Specialist

Location: Aliso Viejo, CA

Duration: 6 Months

Job Type: Temporary Assignment

Work Type: Remote

Pay Rate: $48.5-$48.5/HR

Overview:

TekWissen is a global workforce management provider headquartered in Ann Arbor, Michigan that offers strategic talent solutions to our clients world-wide. Our client provider of digital technology and transformation, information technology and services

Job Summary:

• Seeking a Senior EDI Support Specialist with strong Healthcare Payer experience to provide L2/L3 support for enterprise EDI platforms supporting Claims, Membership, Enrolment, Provider, and Payment functions.
• The role requires expertise in HIPAA X12 transaction support, production monitoring, incident resolution, trading partner management, and Edifecs/TriZetto HIPAA Gateway environments.

Experience:

• 8+ Years IT | 5+ Years Healthcare Payer & EDI | 3+ Years Edifecs/TriZetto HIPAA Gateway

Responsibilities

• Provide L2/L3 support for EDI platforms supporting Claims, Membership, Enrolment, Billing, Provider, and Payment functions.
• Monitor, troubleshoot, and resolve EDI transaction failures, rejects, reconciliation, and file transmission issues.
• Support Edifecs, TriZetto HIPAA Gateway, BizTalk, and Facets-integrated environments.
• Perform RCA, incident resolution, and transaction performance improvements.
• Support trading partner onboarding, certification, testing, and production releases.
• Work with business users, vendors, and external trading partners to resolve operational issues.

Required Skills

• Edifecs Suite, TriZetto HIPAA Gateway, BizTalk Server
• Facets
• SQL Server/Oracle
• Unix/Linux
• SFTP, Batch Processing, API Integrations
• XML/XSD, JSON

Required Experience

• Hands-on support, troubleshooting, and optimization of:
• 834, 837 (Professional/Institutional/Dental), 835
• 270/271, 276/277, 278, 820
• TA1, 999, and 277CA acknowledgements

Nice to Have

• HL7/FHIR
• ServiceNow
• MuleSoft, Boomi
• Groovy, JavaScript, PowerShell, Shell Scripting
• Blues and large-scale Facets payer environments

Preferred:

• Strong healthcare payer domain knowledge with proven experience supporting large-scale EDI operations, trading partner management, and Facets-integrated ecosystems.
• Ensure on time delivery and support to meet client requirements on product/project specifications. Manage team activities and ensure readiness of the support echo system for customers.

1. Understand and analyse business and technical specifications and requirements as well as the impact to product/application/system
2. Create innovative solutions to meet the support needs of our customers
3. Plan and implement User Success team's defined and evolving processes
4. Drive all technical and functional issues towards closure
5. Co-ordinate with product engineers for application bug and enhancement requirements
6. Responsible for building and maintaining up-to-date product documentation/knowledge base
7. Respond to user inquires through various communication channels including phone, email, chat, etc. Answer questions regarding how to use the product and tool features to accomplish their specific tasks or milestones.
8. Lead the associates and own the quality and timeliness of their work.

TekWissen® Group is an equal opportunity employer supporting workforce diversity.