EDI Technical SME (Remote Opportunity)
VetsEZ · Tampa, FL
About this role
## Overview We are currently looking for a **Technical EDI SME** for a **100% remote** position supporting a large federal government healthcare modernization project. This role will support the **Department of Veterans Affairs (VA)** by integrating the **Fraud Waste and Abuse (FWA)** tool with **Community Care Development, Security, and Operations (CCDSO)** products and other VA healthcare systems, including **CCRS**. The Technical EDI SME will assess system readiness, analyze healthcare transaction workflows, and define and implement integration strategies using **ANSI X12** and other EDI-based data exchanges. You will operate in a collaborative **Agile DevSecOps** environment with business stakeholders, architects, developers, testing teams, external trading partners, and VA leadership to support reliable, secure, and compliant healthcare data exchange. > **Location requirement:** Candidate must reside within the **continental US**. ## Responsibilities - Assess internal and external system readiness, analyze healthcare claims workflows, and define integration strategies connecting the VA **FWA** tool with **CCDSO**, **CCRS**, and other VA healthcare systems. - Build, configure, maintain, and enhance **EDI maps, workflows, and integrations** for transaction sets including **835, 837, and 277CA** using mapping tools, translation software, and integration platforms. - Implement trading partner setups, communication protocols, and document formats; coordinate with external partners to validate connectivity, transaction formats, and compliance. - Monitor daily EDI operations, troubleshoot production integration failures, perform root-cause analysis, and provide timely technical support to resolve data discrepancies. - Collaborate with business analysts, architects, developers, QA teams, and stakeholders on requirements gathering, solution design, testing, and production implementation. - Maintain documentation for EDI processes, trading partner requirements, and system configurations. - Validate transaction data, implement error handling and quality checks, and support audits and compliance reviews to ensure data integrity and adherence to **HIPAA**, **ANSI X12**, **EDIFACT**, and organizational requirements. - Take on additional tasks and responsibilities as needed to support team objectives. ## Requirements - **Bachelor’s degree** in computer science, computer information systems, engineering, or related technical discipline, with **8+ years** of healthcare integration experience. - Deep expertise in healthcare **EDI standards** and transaction workflows, including **ANSI X12** transactions (**835, 837, 277CA**), **HIPAA** requirements, and familiarity with **EDIFACT** or **XML-based** formats. - Strong understanding of integration architectures and EDI tools, including **EDI mapping/translation tools**, **APIs**, **SFTP/FTP**, **AS2**, **VANs**, relational databases, and **SQL**. - Experience integrating **VA healthcare systems** (including **CCRS**) and delivering solutions from concept through production implementation. - Knowledge of **version control** systems and **CI/CD pipelines**, with prior experience supporting high-volume transaction environments. - Strong analytical, troubleshooting, and problem-solving skills, including resolving production integration failures and prioritizing issues affecting data integrity and operational continuity. - Strong interpersonal, communication, collaboration, and technical leadership skil
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