EDI Analyst/Transaction Specialist (Edifecs)

Location: 100% remote within the United States; candidates from California, Colorado, Illinois, Minnesota, New Jersey, New York, Oregon, or Washington will not be considered. U.S. citizenship is required. Must possess or qualify for a Public Trust (MBI) security clearance.

Salary: $85,389–$116,975 per year

Company

hirify.global provides technology and operational support for government and healthcare-related programs.

What you will do

• Own functional EDI workflows, partner requirements, validation rules, and transaction processing.
• Interpret and troubleshoot X12 transactions including 270/271, 276/277, 278, 820, 834, 835, 837, and 999/277CA.
• Analyze SNIP Levels 1–7, companion guides, Edifecs profiles, routes, rulesets, logs, and XEngine validation results.
• Document mappings, logical requirements, transaction flows, error trends, escalations, SOPs, and partner reference guides.
• Investigate middleware, API, AS2, SFTP, HTTPS, and non-X12 integration issues; validate payloads, timestamps, statuses, and error flags.
• Collaborate with business stakeholders, EDI analysts, DevSecOps engineers, cloud teams, and integration specialists on issue resolution and operational impact.

Requirements

• 8+ years of Edifecs product experience in EDI, healthcare, or enterprise application operations, and 8+ years of EDI/HIPAA experience.
• Strong understanding of payer/provider workflows, EDI X12 loops, segments, elements, SNIP validations, companion guides, and element-level error analysis.
• Experience with Edifecs Transaction Management or equivalent tools, XEngine validation results, processing rules, transaction profiles, SpecBuilder maps, implementation guides, routes, profiles, rulesets, logs, and error codes.
• Experience identifying root causes, resolving mapping mismatches, troubleshooting payer or state-system rejections, and reviewing parsed EDI structures in SQL databases.
• Strong experience with AWS cloud environments and understanding of inbound/outbound workflow architecture.
• Experience gathering business reporting requirements and translating them into technical data models.
• Ability to communicate architecture decisions and trade-offs to non-technical stakeholders and resolve ambiguous architecture decisions with limited direction.
• Experience with Agile methodologies, including Scrum and Kanban, and JIRA.
• Bachelor’s degree in Computer Science, Engineering, or a related technical discipline; equivalent practical experience is considered.
• U.S. citizenship and eligibility for a Public Trust (MBI) are required.

Nice to have

• EDIFECS certification.
• Deep hands-on experience with X12 medical claims and healthcare transactions, including 837, 834, 835, 276/277, 270/271, 278, 820, and 999/277CA.
• Knowledge of HIPAA compliance requirements in cloud data architecture.
• Experience with healthcare payer/PBM systems, clearinghouses, or pharmacy operations.
• AWS certification.

Culture & Benefits

• Full-time W-2 employment.
• Fully remote work within the United States, subject to excluded states.
• Military veterans are highly encouraged to apply.
• Selected applicants undergo a government security investigation and may be subject to criminal history, employment and education verification, drug testing, and creditworthiness checks.
• Interviews are conducted on Microsoft Teams with the camera on; no exceptions are permitted.

Hiring process

• Mandatory screening answers must be supported by the resume; inconsistent applications will not be considered.
• Recruiters and third parties will not be considered.
• A LinkedIn profile link must be provided during screening.