Manager in PwC's Software and Product Innovation team leading the development of software solutions and managing talented developers. Responsible for project delivery, team development, and embracing innovative technologies.
About the role
- Edifecs Developer responsible for designing and supporting healthcare EDI solutions. Focus on EDI transactions, compliance, and technical support.
Responsibilities
- Design, develop, and maintain EDI mappings using Edifecs SpecBuilder and MapBuilder
- Work on healthcare EDI transactions such as 837 (P/I/D), 835, 270/271, 276/277, 277CA, 834, 820, PACDR
- Develop and manage Guidelines, Profiles, and Protocols
- Configure and support Edifecs EAM / XEngine for batch and real-time processing
- Perform EDI validation, error handling, and troubleshooting
- Work closely with business analysts and healthcare SMEs to understand requirements
- Support production issues, root cause analysis, and defect fixes
- Ensure compliance with HIPAA, X12 5010, and other regulatory standards
- Participate in testing, deployment, and post-production support activities
- Document technical designs and operational procedures
Requirements
- 7+ years of hands-on experience with Edifecs tools
- Strong knowledge of healthcare EDI standards (X12, HIPAA)
- Experience with SpecBuilder, MapBuilder, XEngine
- Hands-on experience in EDI validations, acknowledgments (999, 277CA)
- Experience with batch processing and real-time EDI flows
- Good understanding of healthcare domain concepts (claims, eligibility, payments)
- Strong analytical and problem-solving skills
- Good communication and stakeholder interaction skills
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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