EDI Solutions Architect - Healthcare Job at Artmac Soft LLC, Texas

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  • Artmac Soft LLC
  • Texas

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.

Job Tags

Remote job,

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