NEWPosted 4 hours ago

Job ID: JOB_ID_9347

About the Role:

We are seeking a highly experienced EDI Expert with 10+ years of experience to modernize a live healthcare claims system (ACAPS). This is a high-impact role where you will own the end-to-end EDI lifecycle and act as a subject matter expert in a .NET rewrite. You will be responsible for handling trading partners, providers, and clearinghouses, and solving complex data integration issues.

Key Responsibilities:

  • Own the end-to-end EDI lifecycle.
  • Act as a Subject Matter Expert (SME) in a .NET rewrite project.
  • Manage relationships with trading partners, providers, and clearinghouses.
  • Troubleshoot and resolve data integration issues.
  • Ensure compliance with HIPAA regulations.
  • Collaborate with development teams to implement EDI solutions.
  • Analyze and map data for various EDI transactions.
  • Utilize IBM WebSphere for integration solutions.

Required Skills and Experience:

  • 10+ years of experience in Electronic Data Interchange (EDI).
  • Strong understanding of X12 standards (835/837/210).
  • Proficiency in HIPAA regulations related to healthcare claims processing.
  • Expertise in SQL for data analysis and manipulation.
  • Experience with IBM WebSphere.
  • Knowledge of SFTP/HTTPS protocols for secure data transfer.
  • Experience with .NET rewrite projects is a plus.
  • Familiarity with ACAPS (Automated Claims Administration Processing System) is a plus.
  • Excellent problem-solving and analytical skills.
  • Strong communication and collaboration abilities.

Location and Employment Details:

  • Location: Indianapolis, IN
  • Employment Type: Hybrid (3 days onsite per week)
  • Work Authorization: W2 Only
  • Interview Process: In-person interview required
  • Local candidates are preferred.

About the Company:

This role is with a leading healthcare organization focused on modernizing its claims processing systems. They are committed to leveraging technology to improve efficiency and accuracy in healthcare transactions.


Special Requirements

In-person interview required. Local candidates preferred. W2 Only.


Compensation & Location

Salary: $70,000 – $120,000 per year (Estimated)

Location: Indianapolis, IN


Recruiter / Company – Contact Information

Email: aram@cbs-corp.com


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