Full Stack Developer - EDI Transactions Analysis
$85.4k - $117k/yr
Senior, Expert
Bachelor's
Remote in USA
RemoteCandidates from California, Colorado, Illinois, Minnesota, New Jersey, New York, Oregon, or Washington are not considered.
IT Operations
No H1B Sponsorship
US Citizenship Required
About the job
Requirements
- A strong understanding of payer and provider workflows is required.
- The ability to interpret loops, segments, and element-level errors is required.
- Familiarity with Edifecs Transaction Management or equivalent tools is required.
- Strong experience in Amazon Web Services cloud environments is required.
- A strong understanding of Electronic Data Interchange X.12 loop, segment, and element interpretation; Strategic National Implementation Process validations at Levels 1–7; companion guide interpretation; and segment- or element-level error analysis is required.
- Experience interpreting Edifecs XEngine validation results and understanding processing rules and transaction profiles is required.
- Experience working with SpecBuilder maps and implementation guides is required.
- The ability to identify issues sourced from Edifecs routes, profiles, or rulesets is required.
- The ability to interpret Edifecs logs and error codes at the functional layer, rather than platform administration level, is required.
- Proficiency identifying root causes of transaction errors, resolving mapping mismatches, troubleshooting payer or state-system rejections, and reviewing parsed Electronic Data Interchange structures stored in Structured Query Language databases is required.
- The ability to understand inbound and outbound workflow architecture is required.
- The ability to communicate technical architecture decisions and trade-offs to non-technical stakeholders is required.
- Experience gathering and translating business reporting requirements into technical data models is required.
- Comfort driving ambiguous architecture decisions to resolution with limited direction is required.
- Experience with Agile methodologies, including Scrum and Kanban, and JIRA is required.
- Strong documentation habits, including creating transaction flow documentation and error trend reports, handling escalations, and updating Standard Operating Procedures and partner reference guides, are required.
- An Edifecs certification is required.
- Eight or more years of Edifecs product experience in Electronic Data Interchange, healthcare, or enterprise application operations is required.
- Eight or more years of Electronic Data Interchange and Health Insurance Portability and Accountability Act experience is required.
- A bachelor's degree in Computer Science, Engineering, or a related technical discipline is required; equivalent practical experience is considered.
- U.S. citizenship is required.
- Candidates must possess or qualify for a Public Trust (MBI).
- Candidates must be based in the United States; candidates from California, Colorado, Illinois, Minnesota, New Jersey, New York, Oregon, or Washington are not considered.
- This is a W-2 position.
Responsibilities
- Own functional Electronic Data Interchange workflows, partner requirements, and data validation rules.
- Ensure accurate transaction processing and support business operations.
- Interpret and troubleshoot transaction sets 270/271, 276/277, 278, 820, 834, 835, 837, and 999/277CA.
- Analyze Strategic National Implementation Process compliance, companion guides, and partner-specific validation rules.
- Document mapping and logical requirements for new partners and integration changes.
- Partner with business stakeholders to resolve issues and assess operational impact.
- Support audit and compliance reviews and maintain data quality guardrails.
- Collaborate with Electronic Data Interchange analysts, DevSecOps engineers, cloud teams, and business teams.
- Work with integration specialists on Applicability Statement 2, Secure File Transfer Protocol, and Hypertext Transfer Protocol Secure flows.
- Validate data sent to and received from non-X.12 partners.
- Identify issues introduced by middleware layers or application programming interfaces.
- Query Structured Query Language for transaction details.
- Validate payloads, timestamps, statuses, and error flags.
- Reconcile mismatches between raw Electronic Data Interchange and stored data.
Desired Qualifications
- Deep hands-on Edifecs experience in Electronic Data Interchange X.12 transaction standards, including X.12 medical claims transactions 837, 834, 835, and 276/277; 270/271 and 278 transactions; 820 transactions; and 999/277CA transactions.
- Knowledge of Health Insurance Portability and Accountability Act compliance requirements in cloud data architecture.
- Experience with healthcare payer or pharmacy benefit manager systems, clearinghouses, or pharmacy operations.
- Amazon Web Services certification is a bonus.
About the company
Syms Strategic Group builds and supports information systems for public agencies and commercial organizations, alongside advice on running complex programs. Its technical teams develop custom applications, move systems to cloud platforms and maintain the databases behind day-to-day services. The firm also helps clients plan budgets, improve processes and organize records, connecting technology work with the administrative tasks needed to keep programs operating. Revenue comes from contracted technical and management services, including ongoing support and improvement of client systems. Founded in 2016, Syms Strategic Group is headquartered in Ashburn, Virginia.
Company Size
11-50
Company Stage
N/A
Total Funding
N/A
Headquarters
Ashburn, VA
Founded
2016
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Simplify's Take
What believers are saying
- Employee training is advertised: SSG's careers page lists continuous training opportunities.
- Client exposure is explicit: the senior process analyst ad includes interviews, workshops and presentations.
- Pay is visible for one role: SSG's cloud principal ad lists a $109,623-$126,790 salary range.
What critics are saying
- Cloud engineers face on-call demands: the principal role includes emergency maintenance and support.
- Remote hiring excludes eight states: the Edifecs operations lead ad lists geographic restrictions.
- Security screening limits eligibility: the solutions architect posting requires U.S. citizenship and Public Trust eligibility.
What makes Syms Strategic Group, LLC (SSG) unique
- Veteran ownership is verified: SSG identifies as an SBA-verified, service-disabled veteran-owned small business.
- Maryland has a buying route: SSG lists a subcontractor place on the state's START 2024 technology agreement.
- Finance work extends beyond development: SSG's Veterans Health Administration portfolio includes product delivery, operations and security compliance.
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