Senior EDI Developer

Senior EDI Developer

Remote US, United States

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About Us

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.

Job Description

Senior EDI Developer

Role Summary

We are seeking a Senior EDI Developer to serve as a lead technical contributor supporting multi-state Medicaid implementations within a healthcare EDI environment. This role requires deep expertise in EDIFECS / IBM ITX and related technologies including Linux, databases, reporting tools, and ETL platforms.

The Senior EDI Developer will design, configure, support, and enhance COTS-based healthcare solutions while ensuring compliance with industry standards such as CAQH CORE and CMMI practices. This role operates with minimal supervision and collaborates closely with cross-functional stakeholders to deliver secure, scalable, and high-quality EDI solutions.

Key Responsibilities

• Design, develop, configure, document, test, and debug new and existing EDI systems and applications.

• Support and maintain EDIFECS/ IBM ITX -based healthcare clearinghouse platforms.

• Perform CAQH CORE validation and compliance activities.

• Configure and validate firewall rules.

• Apply recurring ECL releases (quarterly and annual) across multiple environments.

• Translate business requirements into system definitions and technical solutions.

• Create detailed technical specifications based on conceptual designs and stated requirements.

• Participate in the full Software Development Life Cycle (SDLC) aligned with CMMI Level 3 practices.

• Analyze system configuration and end-to-end transactional mappings to identify and resolve issues.

• Maintain configuration and version control using Azure DevOps.

• Support and maintain ETL platforms across multiple Medicaid state implementations.

• Review and respond to critical and non-critical system alerts.

• Configure and map ANSI X12N 5010 transaction sets.

• Participate in CMMI audits and quality reviews.

• Ensure compliance with organizational policies, security standards, and regulatory requirements.

• Required Qualifications

• 7+ years of total work experience

• Bachelor’s degree in computer science, Information Systems, Engineering, or a related field (or equivalent professional experience).

• Demonstrated experience with EDIFECS / IBM ITX in a healthcare EDI environment.

• Strong knowledge of ANSI X12N 5010 transaction sets.

• Experience working with Linux, relational databases, reporting tools, and ETL platforms.

• Experience using Azure DevOps for configuration and version control.

• Working knowledge of CAQH CORE certification requirements.

• Familiarity with CMMI standard practices.

• Strong analytical, troubleshooting, and problem-solving skills.

• Preferred Qualifications

• Experience supporting multi-state Medicaid implementations.

• Experience in healthcare clearinghouse environments.

• Experience supporting version upgrades and production releases.

• Familiarity with firewall rule configuration and validation.

• Core Competencies

• Advanced EDI configuration and mapping expertise.

• Strong understanding of software architecture and implementation methodologies.

• Ability to analyse system gaps and recommend improvements.

• Experience collaborating with business and technical stakeholders.

• Commitment to quality, compliance, and continuous improvement.

• Leadership & Impact

• Contributes to project planning and execution.

• Influences outcomes through technical expertise.

• Supports team effectiveness by sharing knowledge and best practices.

• Impacts service delivery through high-quality technical solutions.

• Pay Transparency

• Salary ranges vary based on location, experience, and performance. In addition to base pay, this position may be eligible for a bonus or incentive. Benefits include health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated salary range for this role is 96,250 - 125,000

• About the Team

• Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.