Senior EDI Support Specialist (Greater Seattle Area)

Location: Seattle, WA (Day 1 On-Site)

Experience: 8+ Years IT | 5+ Years Healthcare Payer & EDI | 3+ Years Edifecs/TriZetto HIPAA Gateway Mandatory Skills Healthcare Payer Domain 5+ YearsEDI Development 5+ Years Edifecs Suite (XEngine, SpecBuilder, TPM, Validation & Compliance) 3+ YearsTriZetto HIPAA Gateway 3+ YearsFacets RequiredHIPAA X12 Transactions Strong Hands-on Experience Trading Partner Integrations RequiredEDI Mapping & Validation RequiredSQL Server or Oracle Required Unix/Linux RequiredSFTP & Batch Processing RequiredAPI Integrations Required834 Enrollment Transactions837 Claims Transactions (P/I/D) Must Have835 Claims Payment Must Have270/271 Eligibility Must Have276/277 Claim Status Must Have278 Prior Authorization Must Have820 Premium Payment Must HaveTA1 / 999 / 277CA Acknowledgements Must HaveSQL Server or Oracle Must HaveUnix/Linux Must HaveSFTP & Batch Processing Must HaveXML/XSD & JSON Must Have

Required Skills: Edifecs Suite, TriZetto HIPAA Gateway, BizTalk Server Facets SQL Server/Oracle Unix/Linux SFTP, Batch Processing, API Integrations XML/XSD, JSONHands-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 Service Now MuleSoft, Boomi Groovy, JavaScript, PowerShell, Shell Scripting Blues and large-scale Facets payer environments

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.

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.

Preferred: Strong healthcare payer domain knowledge with proven experience supporting large-scale EDI operations, trading partner management, and Facets-integrated ecosystems.