EDI/Edifecs Specialist

Our Deloitte AI & Engineering team to transform technology platforms, drive innovation, and help make a significant impact on our clients' success. You'll work alongside talented professionals reimagining and reengineering operations and processes that are critical to businesses. Your contributions can help clients improve financial performance, accelerate new digital ventures, and fuel growth through innovation.

Work You'll Do

As a US Delivery Center Senior Solutions Specialist on the team, you will:

• Manage, enhance, and troubleshoot Edifecs translation maps and guidelines as per HIPAA/organizational needs.
• Support EDI file automation, analyze mapping failures, remediate issues, and ensure SLA compliance.
• Collaborate with business, eligibility, claims, and technical teams to roll out new interfaces, partner onboarding, and compliance upgrades.
• Prepare and maintain technical documentation, test cases, and support procedures.
• Collaborate with business, eligibility, claims, and finance workgroups to translate business requirements into technical EDI solutions.
• Lead or mentor junior EDI/Edifecs analysts.

The Team

Deloitte's Government & Public Services (GPS) practice - our people, ideas, technology and outcomes - is designed for impact. Serving federal, state, & local government clients as well as public higher education institutions, our team of professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise.

Our Industry Solutions clients seek verticalized solutions that transform how they sell products, deliver services, generate growth, and fulfill mission-critical operations. The Industry Solutions offering delivers integrated business expertise with repeatable scaled technology solutions that are specifically engineered for each sector's IndustryAdvantageTM.

This opportunity sits within our Deloitte US Delivery Center model, which is dedicated to driving impactful business services. It leverages Deloitte's scale and talent, as well as a center delivery model to provide high-quality, cost-effective service with standardized processes and procedures to service businesses across Deloitte.

The Deloitte US Delivery Center has a small-business feel with a big-business impact. With the resources of Deloitte and a community feel, the delivery center model provides high-quality services to our clients. USDC professionals work out of one of our specific delivery center locations, and each location presents dynamic career opportunities for professionals to focus on their work with nominal travel requirements.

Qualifications

Required:

• Bachelor's degree
• Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future
• 5 years' experience with EDI Editing-Billing & Spec. Billing
• 2 years' experience with healthcare EDI transaction sets, including but not limited to 270, 271, 837 (I, P, & D), 834, 835, 820, 999.
• 2 years' experience in EDI/Edifecs specialist in the design, development, and support of enterprise integration solutions, with a strong focus on healthcare and high-volume EDI transactions. The ideal candidate will have hands-on expertise in Edifecs integrations, deep knowledge of EDI X12 and UN/EDIFACT.
• 3 years' experience with developing and maintaining Unix shell scripts supporting EDI file automation.
• 3 years' experience with HIPPA and understanding how it bills
• 3 years' experience with IBM Transformation Extender
• 2 years of hands-on skills with Edifecs tools, including:
• • Edifecs Specbuilder for maps, guidelines, and severity files.
  • Updating, managing, and troubleshooting Edifecs profiles, routes, and translation workflows.
  • Promotion/deployment of HIPAA code lists, maps, and guideline updates
  • 2 years' experience in EDI/Edifecs specialist in the design, development, and support of enterprise integration solutions, with a strong focus on healthcare and high-volume EDI transactions. The ideal candidate will have hands-on expertise in Edifecs integrations, deep knowledge of EDI X12 and UN/EDIFACT.
• Delivery Center Location & Travel Requirements:
• • Hybrid Work Model: Operate under a hybrid system requiring residence within a commutable distance to one of the US Delivery Center locations (Gilbert, Lake Mary, or Mechanicsburg)
  • Co-location Expectation: Spend up to 30% of working time co-located at an assigned office for orchestrated opportunities, including projects, practice sessions, training, and Moments That Matter at a Deloitte Delivery Center location, Geo-Hub location, approved site, or project location
  • Travel Requirement: Maximum of 10% overnight travel for client or project purposes
  • Relocation Requirement: If relocation is necessary, complete the move within 12 weeks from the start date to reside within a commutable distance

Preferred:

• Agile/Scrum project experience and certifications are a plus.
• Familiarity with Java/Unix scripting and automation.
• Experience with the full integration lifecycle: requirements gathering, technical design, mapping, testing, migration, go-live, and production support.

Information for applicants with a need for accommodation: https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html