Offer summary

Qualifications:

Bachelor's degree in Computer Science, Information Systems, or related field; Master's preferred., At least 10 years of experience in EDI and integration development, with 7+ years in IBM ITX healthcare environments., Strong knowledge of healthcare EDI standards such as X12, HIPAA, HL7., Experience designing scalable, high-performance integration solutions and leading enterprise architecture initiatives..

Key responsibilities:

Lead the design and implementation of IBM ITX-based healthcare integration solutions.

Optimize data transformation maps for high-volume healthcare EDI transactions.

Act as SME for healthcare payer ITX solutions, ensuring compliance and best practices.

Collaborate with teams to develop scalable and maintainable integration architectures.

Job description

ITX Specialist
Remote Position
12+Month Contract

As an ITX Specialist you will be responsible for the end-to-end design of scalable, maintainable, and high-performance integration solutions supporting healthcare payer operations. The ideal candidate has significant domain expertise in healthcare EDI standards (X12, HIPAA, HL7) and a passion for delivering future-ready architectures that meet enterprise interoperability and compliance needs.

Responsibilities:

Lead the scalable design and implementation of IBM ITX-based integration solutions across healthcare payer systems.
Architect and optimize transformation maps and data flows for high-volume healthcare EDI transactions such as 837, 835, 834, 270/271, 276/277, 278, 820, and NCPDP.
Ensure solution architectures are modular, extensible, and aligned with enterprise integration patterns and scalability goals.
Act as the SME for the ITX Pack for Healthcare Payer, offering best practices on compliance, transformation rules, and partner onboarding.
Collaborate across business and technical teams to translate complex integration needs into resilient and scalable ITX solutions.
Develop architectural and interface documentation supporting deployment, maintenance, and knowledge transfer.
Guide and mentor teams on solution design patterns, performance tuning, and reuse strategies.
Work with DevOps and release management teams to integrate ITX solutions into CI/CD pipelines and scalable infrastructure.
Conduct impact analysis and proactive performance testing to ensure long-term scalability and reliability.

ExperienceSkills Required:

Bachelor’s degree in Computer Science, Information Systems, or related field (Master’s preferred).
10+ years of experience in EDI/integration development, with at least 7 years of hands-on IBM ITX expertise in healthcare payer environments.
Proven experience in designing scalable data transformation solutions using IBM ITX with complex type trees and mapping.
Strong command of HIPAA X12 transaction sets and healthcare business processes (837, 835, 834, 270/271, 276/277, 278, 820, and NCPDP).
Demonstrated ability to lead enterprise-wide, scalable architecture initiatives and performance-tuned deployments.
Familiarity with enterprise integration platforms such as IBM B2Bi, Sterling Integrator, or equivalent.
Ensure compliance with CAQH CORE Operating Rules for Eligibility & Benefits (270/271), Claim Status (276/277), and Payment & Remittance (835).
Conduct gap analysis and remediation planning for CORE rule adoption.
Monitor and interpret updates to CAQH CORE rules and translate them into actionable system or process changes.
Competence in scripting for automation (e.g., Shell, JavaScript, Python) and working with cloud or containerized environments.
Excellent communication skills, with the ability to present architecture decisions to both technical and business stakeholders.

Preferred Requirements

Understanding of emerging interoperability standards like FHIR, HL7 v2/v3.
Experience in scalable architecture for Medicaid/Medicare solutions.
Familiarity with microservices, container orchestration (Kubernetes), and cloud-native patterns.
Working experience on EDIFECS, PLSQL and Java.

Required profile