Senior Edifecs Developer

Position Description:

The best version of us starts with You!

We CGI is seeking an experienced Edifecs professional to support the design configuration and implementation of health plan enrollment and eligibility processes with prior experience on the Edifecs Enrollment Management Solution (ENR) preferred.
The ideal candidate will have hands-on experience with Edifecs tools and frameworks such as EAM Spec Builder and enrollment transaction processing (e.g. 834) and will work closely with business integration and QA teams to deliver accurate compliant and scalable enrollment solutions. This role requires a solid understanding of healthcare payer operations strong analytical and troubleshooting skills and the ability to translate business enrollment requirements into effective Edifecs-based implementations.

This position can be located in Hartford CT Raleigh NC Lafayette LA Austin TX or Dallas TX in a Hybrid model.

Your future duties and responsibilities:

QUALITIES:
.Analytical Skills: Ability to understand healthcare enrollment and EDI requirements analyze complex data flows and design simple effective Edifecs-based solutions.
.Communication: Strong verbal and written communication skills to clearly convey technical concepts to peers stakeholders and management.
.Creativity: Innovative mindset to approach integration challenges apply best practices and leverage experience across domains to improve solutions.
.Customer-Service Orientation: Consultant mentality with the ability to work directly with clients address questions and resolve issues effectively.
.Attention to Detail: Strong focus on accuracy as EDI and enrollment applications require precise configuration and flawless data exchange.
.Problem-Solving: Proven ability to troubleshoot issues make sound decisions and drive resolutions that keep projects moving forward.
.Teamwork: Ability to collaborate effectively within a distributed agile (SAFe) team including developers analysts QA and architects.
.Technical Aptitude: Strong technical foundation with the ability to apply design patterns learn new tools quickly and continuously improve system design.

RESPONSIBILITIES:
.Design develop configure and support EDI solutions using the Edifecs platform (XEngine SpecBuilder XEServer TPM etc.).
.Implement and support HIPAA X12 transaction sets including/271 276/277 and 278.
.Collaborate with business analysts solution architects and clients to gather and translate healthcare and EDI integration requirements.
.Configure maintain and support trading partner relationships to ensure accurate and timely data exchange.
.Analyze troubleshoot and resolve EDI transaction errors across development test and production environments.
.Perform EDI map development validation testing and compliance checks using Edifecs tools.
.Ensure solutions comply with HIPAA X12 and industry standards.
.Monitor EDI processes provide Level 3 production support and prioritize issues based on business impact.
.Integrate EDI solutions with downstream systems using REST/SOAP APIs MQ SFTP and other middleware technologies.
.Create and maintain technical documentation including mappings partner configurations and system changes.
.Participate in production deployments release planning and post-deployment support.
.Build and support real-time monitoring metrics and alerts across applications.
.Contribute to DevOps and automation initiatives to improve deployment and operational efficiency.

Required qualifications to be successful in this role:

At least 8 years of relevant experience with strong hands-on expertise in Edifecs and healthcare EDI solutions.

Must Have
.Strong hands-on experience with Edifecs tools including XEngine SpecBuilder TPM and XEServer.
.In-depth knowledge of HIPAA EDI transactions (/271 276/277 278).
.Experience with EDI mapping validation testing and compliance.
.Familiarity with integration technologies such as APIs MQ SFTP and web services.
.Working knowledge of relational databases (MS SQL PostgreSQL).
.Strong troubleshooting production support and performance tuning skills.

Preferred to have
.Experience with Edifecs Enrollment Management Solution (ENR).
.Healthcare payer/provider domain experience.
.Understanding of enrollment eligibility claims benefits and billing workflows.
.Cloud deployment experience (AWS preferred).
.Familiarity with DevOps and CI/CD tools such as Git Jenkins and related automation frameworks.

Education:Bachelors degree in computer science or related field.

#LI-ARK1

CGI is required by law in some jurisdictions to include a reasonable estimate of the compensation range for this role. The determination of this range includes various factors not limited to skill set level experience relevant training and licensure and certifications. To support the ability to reward for merit-based performance CGI typically does not hire individuals at or near the top of the range for their role. Compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range for this role in the U.S. is $80600.00 - $172400

CGIs benefits are offered to eligible professionals on their first day of employment to include:

Competitive compensation
Comprehensive insurance options
Matching contributions through the 401(k) plan and the share purchase plan
Paid time off for vacation holidays and sick time
Paid parental leave
Learning opportunities and tuition assistance
Wellness and Well-being programs

Skills:

• Data Mapping
• MS SQL Server
• API Technlogies
• EDI Gateway
• Postgre SQL
• SQL Server

What you can expect from us:

Together as owners lets turn meaningful insights into action.

Life at CGI is rooted in ownership teamwork respect and belonging. Here youll reach your full potential because

You are invited to be an owner from day 1 as we work together to bring our Dream to life. Thats why we call ourselves CGI Partners rather than employees. We benefit from our collective success and actively shape our companys strategy and direction.

Your work creates value. Youll develop innovative solutions and build relationships with teammates and clients while accessing global capabilities to scale your ideas embrace new opportunities and benefit from expansive industry and technology expertise.

Youll shape your career by joining a company built to grow and last. Youll be supported by leaders who care about your health and well-being and provide you with opportunities to deepen your skills and broaden your horizons.

Come join our teamone of the largest IT and business consulting services firms in the world.

Qualified applicants will receive consideration for employment without regard to their race ethnicity ancestry color sex religion creed age national origin citizenship status disability pregnancy medical condition military and veteran status marital status sexual orientation or perceived sexual orientation gender gender identity and gender expression familial status or responsibilities reproductive health decisions political affiliation genetic information height weight or any other legally protected status or characteristics to the extent required by applicable federal state and/or local laws where we do business.

CGI provides reasonable accommodations to qualified individuals with disabilities. If you need an accommodation to apply for a job in the U.S. please email the CGI U.S. Employment Compliance mailbox at . You will need to reference the Position ID of the position in which you are interested. Your message will be routed to the appropriate recruiter who will assist you. Please note this email address is only to be used for those individuals who need an accommodation to apply for a job. Emails for any other reason or those that do not include a Position ID will not be returned.

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All CGI offers of employment in the U.S. are contingent upon the ability to successfully complete a background investigation. Background investigation components can vary dependent upon specific assignment and/or level of US government security clearance held. Dependent upon role and/or federal government security clearance requirements and in accordance with applicable laws some background investigations may include a credit check. CGI will consider for employment qualified applicants with arrests and conviction records in accordance with all local regulations and ordinances.

CGI will not discharge or in any other manner discriminate against employees or applicants because they have inquired about discussed or disclosed their own pay or the pay of another employee or applicant. However employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information unless the disclosure is (a) in response to a formal complaint or charge (b) in furtherance of an investigation proceeding hearing or action including an investigation conducted by the employer or (c) consistent with CGIs legal duty to furnish information.