Job Descriptions

Edifecs · Healthcare EDI · Core Administration Platform
Roles: Lead Edifecs Analyst (Onsite, 12–15 years) and Senior Edifecs Analyst (Offshore – Hyderabad, 8–12 years)

Lead Edifecs Analyst – Healthcare EDI & Core Admin Platform (Onsite)
Location: Onsite – United States
Experience: 12–15 years
Tech Stack: Edifecs (SpecBuilder, XEngine, Transaction/EDI Gateway, Encounter Management), J2EE, MongoDB, PostgreSQL, Oracle, X12 EDI (270/271, 834, 835/837, 275, 276/277), AI-Assisted Development
Role Overview
We are looking for a Lead Edifecs Analyst to serve as the primary client-facing technical authority on our large healthcare core administration platform's EDI integration layer. This is a leadership role: you will own solution design and requirements translation directly with client business, compliance, and technical stakeholders, and you will lead and mentor the offshore Edifecs analyst team that builds and supports the day-to-day configurations. Deep, current, hands-on Edifecs expertise is essential; this is not a purely managerial role,



you are expected to personally understand and validate the technical build.
Key Responsibilities
Serve as the primary client-facing technical lead for Edifecs-based EDI integration across the core administration platform (claims, eligibility, enrollment, encounters, remittance)
Own end-to-end design of Edifecs trading partner configurations, transaction maps, and validation rules for X12 transactions (270/271, 834, 835/837, 275, 276/277)
Lead requirements-gathering and solution-design sessions directly with client business, compliance, and technical stakeholders
Translate complex regulatory, payer, and trading-partner requirements into Edifecs specifications, and validate that the completed build meets those requirements before go-live
Provide technical leadership and mentorship to the offshore Edifecs analyst team, reviewing designs, code, and configurations for quality and compliance
Own escalation and resolution

📌 Lead Edifecs Analyst (Hyderabad)
🏢 Simplify AlphaTM
📍 Hyderabad