Data Engineer, EDI

Job not on LinkedIn

🔥 9 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $60k - $70k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🚰 Data Engineer

👻 Ghost score 0%

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Personify Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2023

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Personify Health is the first personalized health platform company, designed to empower individuals and organizations to achieve better health outcomes through tailored solutions and services. They offer a comprehensive range of solutions including wellbeing navigation, care management, and health plan administration, catering to employers, health systems, health plans, and brokers. Their goal is to simplify healthcare experiences and enhance engagement, ultimately helping businesses optimize their investment in employee health and wellbeing.

📋 Description

• Validate HIPAA X12 transaction sets — 837 (I/P/D), 835, 834, 270/271, and 276/277 — to confirm claims, eligibility, and remittance data moves correctly between systems • Diagnose transaction-level errors in loops, segments, elements, and qualifiers • Partner with development teams to fix mapping or programming issues • Investigate and resolve trading partner and vendor transaction problems in production • Create test plans, test cases, and Companion Guide documentation • Lead UAT, SIT, and end-to-end testing for vendor onboarding, system enhancements, and HIPAA version upgrades (4010/5010) • Build and maintain mock 837I/837P claim test data • Coordinate between trading partners, clients, and internal technical and non-technical teams • Gather requirements and close the loop on issue resolution • Log incidents and enhancement requests in JIRA • Maintain project documentation in Confluence • Validate ICD-9/ICD-10 and HCPCS coding during claims and EDI testing • Participate in Agile sprint planning and sprint review

🎯 Requirements

• 3+ years of experience with healthcare EDI transactions and HIPAA 4010/5010 standards • Bachelor's degree in Information Systems, Business, Life Sciences, or equivalent experience • Hands-on experience testing and troubleshooting X12 transaction sets (837, 835, 834, 270/271, 276/277) • Experience working directly with EDI trading partners, payers, or vendors on connectivity and transaction issues • Experience writing test plans, test cases, and technical/Companion Guide documentation • Working knowledge of relational databases (SQL Server, Oracle, or similar) • Familiarity with EDI testing/translation tools (e.g., Edifecs, ClarEDI, or similar) • Understanding of claims, eligibility, enrollment, and remittance/adjudication processes • Working knowledge of JIRA and Confluence • Familiarity with Agile/Scrum ceremonies and workflows

🏖️ Benefits

• Competitive base salary • Benefits effective day one • Comprehensive medical and dental through Personify Health's own health solutions • Unlimited PTO • Mental health support • Retirement planning • Financial protection • Professional development • Clear career progression • Learning budgets • Mission-driven culture where diverse perspectives drive real impact • Wellness programs • Other employee perks