Senior EDI Developer – Healthcare Payer | Facets Ecosystem
Experience: 6–9 Years
Locations: Chennai | Bangalore | Hyderabad | Trivandrum
Domain: Healthcare Payer / Health Insurance
Role Overview
We are seeking an experienced Senior EDI Developer with robust expertise in Healthcare Payer systems and EDI integrations, preferably within a TriZetto Facets ecosystem.
The ideal candidate will have hands-on experience in HIPAA X12 transactions, EDI mapping, trading partner integrations, and high-volume transaction processing, along with expertise in Edifecs / TriZetto HIPAA Gateway or equivalent EDI platforms.
Key Responsibilities
• Design, develop, maintain, and optimize EDI solutions using Edifecs, TriZetto HIPAA Gateway, BizTalk, or equivalent platforms.
• Develop and maintain EDI mappings, validations, routing logic, and trading partner integrations.
• Implement and support HIPAA X12 transactions across Claims, Membership, Enrollment, Provider, and Payment domains.
• Perform EDI map optimization and support high-volume transaction processing.
• Support trading partner onboarding, testing, certification,



and production deployments.
• Collaborate with Facets, business, QA, and integration teams to deliver EDI enhancements.
• Troubleshoot EDI processing issues and provide production support.
• Ensure HIPAA compliance and accuracy of EDI transactions and acknowledgements.

Required Technical Skills
• Edifecs Suite: XEngine, SpecBuilder, Trading Partner Management, Validation & Compliance
• TriZetto HIPAA Gateway
• BizTalk Server
• TriZetto Facets
• SQL Server / Oracle
• Unix / Linux
• SFTP & Batch Processing
• API Integrations
• XML / XSD
• JSON

Required EDI Transaction Experience
Hands-on experience with:
• 834 – Enrollment
• 837P / 837I / 837D – Skilled / Institutional / Dental Claims
• 835 – Healthcare Payment/Remittance
• 270 / 271 – Eligibility & Perk Inquiry/Response
• 276 / 277 – Claim Status Inquiry/Response
• 278 – Healthcare Services Review
• 820 – Payme

📌 Senior Edi Developer Bengaluru
🏢 Volto Consulting
📍 Bengaluru