05 Nov
|
symsstrategicgroup
|
Grand Rapids
05 Nov
symsstrategicgroup
Grand Rapids
Syms Strategic Group (SSG) is seeking a talented Senior Software Developer (EDI) Location: Remote Department: Veterans Affairs (VA) Type: Full Time Min. Experience: Experienced Security Clearance Level: Public Trust (MBI) Salary Range: $85,389 - $116,975
Essential Duties and Responsibilities
- Own functional EDI workflows, partner requirements, and data validation rules
- Ensure accurate transaction processing and support business operations
- Interpret and troubleshoot transaction sets: 270/271, 276/277, 278, 820, 834, 835, 837, 999/277CA
- Analyze Strategic National Implementation Process (SNIP) compliance, companion guides, and partner-specific validation rules
- Document mapping/logical requirements for new partners and integration changes
- Partner with business stakeholders for issue resolution and operational impact assessments
- Support audit/compliance reviews and maintain data quality guardrails
- Collaborate with EDI Analysts, DevSecOps Engineers, Cloud teams, and business teams
- Work with integration specialists on Applicability Statement 2 (AS2), Secure File Transfer Protocol (SFTP), and Hypertext Transfer Protocol Secure (HTTPS) flows
- Validate data sent to/received from non-X.12 partners
- Identify issues introduced by middleware layers or APIs
- Query Structured Query Language (SQL) for transaction details
- Validate payloads, timestamps, statuses, and error flags
- Reconcile mismatches between raw EDI and stored data
Required Skills and Experience
- A strong understanding of payer/provider workflows
- An ability to interpret loops/segmets/element-level errors
- Familiarity with Edifecs Transaction Management or equivalent tools
- Strong experience in Amazon Web Services (AWS) cloud environments
- Excellent communication and stakeholder engagement skills
- A robust understanding of EDI X.12 Loop/segment/element interpretation, SNIP validations (Levels 1-7), companion guide interpretation, and error analysis at segment or element level
- Experience with interpreting Edifecs XEngine validation results and understanding processing rules and transaction profiles
- Experience working with SpecBuilder maps and implementation guides
- An ability to identify issues sourced from Edifecs routes, profiles, or rulesets
- An ability to interpret Edifecs logs and error codes (functional layer, not platform admin level)
- Proficiency with identifying root causes of transaction errors, resolving mapping mismatches, troubleshooting rejections from payers or state systems, and reviewing parsed EDI structures stored in SQL databases
- An ability to understand inbound/outbound workflow architecture
- A strong ability to communicate technical architecture decisions and trade-offs to non-technical stakeholders
- Experience gathering and translating business reporting requirements into technical data models
- Comfort driving ambiguous architecture decisions to resolution with limited direction
- Experience with Agile methodologies (Scrum and Kanban)
and JIRA
- Strong documentation habits with creating transaction flow documentation, error trend reports, escalations, and updating Standard Operating Procedures (SOPs) and partner reference guides
Professional Certifications
- EDIFECS certification
Years of Professional Experience
- 8+ years of experience of Edifecs product experience in EDI, healthcare, or enterprise application operations
- 8+ years of EDI/Health Insurance Portability and Accountability Act (HIPAA)
Desired experience
- Deep hands‑on EDIFECS experience in Electronic Data Interchange X.12 (EDI) Transactions Standards involving key X12 workflows involving the following transactions: X.12 medical claims (837, 834, 835, 276/277, etc)
- 270/271 and 278 transactions
- 820 transactions
- 999/277CA transactions
- Knowledge of HIPAA compliance requirements in cloud data architecture
- Experience with healthcare payer/PBM systems, clearinghouses, or pharmacy operations
- AWS certification in a bonus
Formal Education
- Bachelor’s degree in Computer Science, Engineering, or a related technical discipline; equivalent practical experience considered
Citizenship Requirement
- U.S. Citizenship required for this specific opportunity
Security Clearance Requirements
- Must possess or qualify for a Public Trust (MBI)
CRITICAL NOTES
- SSG will not make assumptions regarding your qualifications.
- Your answers to the mandatory screening questions must be supported by the information on your resume.
- Applications with inconsistencies will not be considered.
- Recruiters or Third parties wil
📌 Senior Software Developer (Grand Rapids)
🏢 symsstrategicgroup
📍 Grand Rapids