EDI Consultant

What You Will Do:

• Develop, implement, and maintain EDI solutions to integrate various trading partners, ensuring secure, efficient, and error-free data exchange.
• Analyze and map data between internal and external systems, ensuring accurate and seamless data integration.
• Develop EDI file formats and layout specifications, including fixed width, delimited, XML, and proprietary formats.
• Collaborate with the EDI team and other departments to ensure business requirements are captured and translated into technical specifications.
• Troubleshoot and resolve EDI file transfer issues, providing detailed technical analysis and debugging support.
• Manage the configuration of communication protocols such as FTP, SFTP, AS2, and WebDAV.
• Assist in the onboarding of new trading partners, including setup, testing, and certification of new EDI transactions.
• Ensure all EDI processes and solutions meet security standards and comply with relevant privacy laws, including HIPAA.
• Work with cross-functional teams to identify opportunities for process improvement and optimization of EDI workflows.
• Provide ongoing support and maintenance for EDI transactions, ensuring system uptime and data accuracy.
• Ensure documentation of EDI processes, transactions, and solutions is kept up to date for auditing and internal review purposes.
• Abides by all obligations under HIPAA related to Protected Health Information (PHI).
• If a HIPAA violation is discovered, whether individually or by another, you must report the violation to the Compliance Officer and/or Human Resources.
• Attends, completes, and demonstrates competency in all required HIPAA Training offered by the company.
• Flexibility to understand, appreciate, and embrace that this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee.     Duties, obligations, and activities may change, or new ones may be assigned at any time with or without notice.

Required:

• Minimum of 3 years of experience in EDI development, integration, and maintenance.
• Experience working with EDI standards (ANSI X12, EDIFACT) and EDI mapping tools.
• Knowledge of PBM claims adjudication processes.
• Experience in the healthcare or pharmacy benefits industry.
• Familiarity with HIPAA regulations and other relevant data privacy standards.
• Experience with cloud-based data integration and EDI systems.
• Strong technical proficiency in EDI protocols and standards, including ANSI X12, EDIFACT, and HIPAA-compliant transactions.
• Experience with EDI mapping and translation software such as IBM Sterling, Cleo, Azure Data Factory or similar platforms.
• Knowledge of communication protocols including FTP, SFTP, AS2, and WebDAV.
• Proficiency in coding languages such as SQL, Java, SAS or Python, particularly in the context of file manipulation and data transformation.

Education:

• Bachelor’s degree in computer science, Information Systems, or a related technical field, or equivalent experience.

GalaxE, now Endava, is a professional IT services firm that specializes in platform-driven solutions and the use of automation to achieve enterprise business transformation and mission-critical change for some of the largest companies in the world. Using our proprietary solution set, GxFource®, we apply machine learning techniques and predictive analytics tools as part of a broad artificial intelligence strategy that provides effective impact and data-driven business transformation. 

Since its founding, GalaxE has been dedicated to advancing the benefits of technology. Recently, we have joined forces with Endava, to offer our employees global exposure and enhanced opportunities. As we continue that legacy and look to the future, a focus on business enablement through agile, cost-efficient, and effective integration of people, process, and technology anchors our success. We revolutionize change in the costs of doing business that transform companies and their ability to leap beyond the competition.

We value people and are committed to diversity and inclusion where our employees are made to feel comfortable and are encouraged to be authentic.

We are always looking for passionate, entrepreneurial-minded innovators and disrupters; game-changers that take ownership of the work they produce and bring it each and every day. Working with like-minded team members you will get a chance to discover, develop, and use cutting-edge technologies to transform the way we deliver creative business solutions.

Sound like you? Join us and find out for yourself what it means for you, and your career, to be part of the GalaxE team. Let’s build something, together.

*Equal Opportunity Employer/Veterans/Disabled

** Pay is based on several factors including market location and may vary depending on actual job-related knowledge, skills, and experience.

Physical Requirements:

• Prolonged periods of remaining stationary at a desk and working on a computer
• Must be able to lift to 15 lbs., as needed
• Must be able to work on-site (corporate/client offices), as needed (not applicable for 100% remote roles)
• Occasionally required to bend, kneel, crouch, and reach overhead.
• Hand-eye coordination necessary to operate computers and various pieces of office equipment. 
• Specific vision abilities required include close vision, the ability to tolerate fluorescent lighting, and the ability to adjust focus.

Employees must be able to perform the physical requirements of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees requiring accommodations to perform the essential functions of their jobs, absent undue hardship.

For more information, please visit https://info.endava.com/galaxe-has-joined-endava