Job Description

Who we are:

Artmac Soft is a technology consulting and service-oriented IT company dedicated to providing innovative technology solutions and services to Customers.

Job Description:

Job Title : EDI Solutions Architect - Healthcare

Job Type : C2C

Experience : 10-20 Years

Location : Remote

Responsibilities:

• 8+ years of experience as an EDI Architect or similar role with a focus on healthcare implementations.
• Expertise in ANSI X12 standards and HIPAA-compliant transactions (e.g., 837, 834, 835).
• Proficiency in EDI tools like IBM Sterling B2B, MuleSoft, DataPower, Dell Boomi, or Informatica.
• Strong understanding of healthcare workflows such as claims processing and patient enrollment.
• Hands-on experience with data mapping, transformation, and integration with backend healthcare systems.
• Knowledge of HIPAA, HITECH, and security standards for data privacy and secure exchanges.
• Excellent problem-solving and troubleshooting skills.
• Proficient in SQL for database queries and data analysis.
• Familiarity with Azure cloud services (Azure Logic Apps, Azure Service Bus).
• Knowledge of healthcare EHR systems and CRM integration.
• EDI Tools: IBM Sterling B2B, MuleSoft, DataPower, Dell Boomi, Informatica.
• Protocols: ANSI X12, HIPAA.
• Middleware: API Integration platforms.
• EDI Solution Design: Lead the design and implementation of healthcare EDI solutions, including transactions like 837, 834, 835, 270/271, 276/277, etc.
• Compliance: Ensure EDI processes meet HIPAA, HITECH, and ANSI X12 standards.
• Integration: Develop integration strategies to connect EDI solutions with claims management, eligibility verification, and payment systems.
• Architecture: Design scalable, secure EDI solutions for high-volume healthcare transactions with a focus on data accuracy and security.
• Data Mapping: Define EDI message specifications, map data, and use middleware tools (IBM Sterling, MuleSoft, DataPower, etc.) for transformation.
• Optimization: Analyze and improve workflows to reduce manual interventions and enhance transaction efficiency.
• Testing & Validation: Lead end-to-end EDI testing to ensure compliance and accurate message exchanges.
• Support: Monitor and troubleshoot EDI transactions, resolving discrepancies or errors.
• Collaboration: Work with IT and business teams to implement EDI solutions that align with organizational goals.
• Documentation: Maintain comprehensive EDI architecture and transaction specifications, and provide regular performance reports.

Qualification:

• Bachelor's degree or equivalent combination of education and experience.

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