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Senior Healthcare EDI Developer (C# / .NET / EdiFabric) – Remote

  • Posted:
  • Proposals: 28
  • Remote
  • #4495114
  • Expired
Aurel H.Dhirendra K.Hamza A.Abdullah M.Yasir Ali M. + 23 others have already sent a proposal.
  • 6

Description

Experience Level: Expert


We are looking for a Senior Healthcare EDI Developer to help build and support healthcare EDI integrations for a fast-growing healthcare transportation platform.

This role is heavily focused on real-world healthcare claims workflows, payer integrations, companion guides, and production troubleshooting. We are NOT looking for a generic backend developer with light EDI exposure.

The ideal candidate understands healthcare EDI end to end and can work independently with minimal hand-holding.

Responsibilities

Design, build, and maintain healthcare EDI pipelines using C# and .NET

Work with healthcare transactions including:
837 Claims
835 Remittance
834 Enrollment
270/271 Eligibility
999 and 277CA acknowledgments

Read and implement payer companion guides

Handle real-world payer behavior, claim rejections, validation issues, and reconciliation workflows

Build and maintain logging, auditing, and tracking systems for EDI transactions

Generate, validate, encrypt, and transfer EDI files through SFTP workflows

Work with APIs, scheduled jobs, and batch processing systems

Support containerized deployments using Docker and Kubernetes

Collaborate closely with EDI analysts and operations teams

Extend and maintain EDI database schemas for claims tracking and reconciliation

Manage payer-specific implementations and custom business rules

Requirements

5+ years of healthcare EDI development experience

Strong experience with:
C#
.NET
EdiFabric
SQL

Hands-on experience with:
837
835
270/271
999
277CA
HIPAA/X12 standards

Strong understanding of:
Claims lifecycle
Eligibility workflows
Companion guides
Payer-specific validation logic
Reconciliation and remittance processing

Experience with:
Docker
Kubernetes
GitHub Actions or CI/CD pipelines
SFTP workflows
Microservices architecture

Nice to Have

NEMT experience

Medicaid or managed care experience

Experience with GCP, BigQuery, or Tableau

Experience building scalable EDI platforms from scratch

What We Need

Someone comfortable owning the EDI platform

Someone who can work independently and make architecture decisions

Someone who understands both technical and operational sides of healthcare EDI

Someone who can stabilize messy workflows and build scalable long-term solutions

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Clarification Board Ask a Question

  • Julio R.

    To start properly, could you share the current EDI workflow and the most urgent payer/transaction issue you want solved first? For example, are we starting with 837 claims, 835 remittance, 270/271 eligibility, acknowledgments, payer companion guide implementation, rejection handling, or reconciliation?

  • Eight Veer Ltd

    Could you confirm whether the fixed budget is intended to cover an initial review of the current EDI setup with agreed priority fixes, or ongoing ownership and support of the full EDI platform?

  • CYTNHIA W.

    Hi, one thing I’d like to understand is which transaction flows are currently the most unstable or operationally painful today, and whether your current EDI infrastructure is already built on EdiFabric or still evolving from legacy/custom workflows?