Note: The job is a remote job and is open to candidates in USA. Avēsis is a leading provider of supplemental benefits, seeking a Healthcare EiPaaS Developer to oversee the EiPaaS application and its environment. This role is responsible for ensuring accurate processing of electronic files and maintaining workflows, while serving as an operational subject matter expert.
Responsibilities
- Manage end-to-end processing of HIPAA-compliant healthcare EDI transaction sets, including 834 enrollment files and familiarity with 837 claims and 270/271 eligibility transactions
- Interpret and implement EDI files in accordance with ANSI ASC X12 standards
- Build, configure, and maintain templates for new 834 electronic files as business needs evolve
- Validate data mappings and transformation logic to ensure accuracy, compliance, and data integrity
- Support onboarding of new partners and file configurations
- Maintain working knowledge of ANSI ASC X12 EDI standards and transaction set structures
- Manage and monitor secure file transfers using FTP/SFTP protocols
- Ensure secure transmission, receipt validation, and acknowledgment processing where applicable
- Troubleshoot connectivity, transmission failures, and formatting discrepancies
- Monitor all EiPaaS/Bridgegate workflows, not limited to 834 transactions
- Design and implement comprehensive logging, alerting, and monitoring processes to capture EDI transaction logs, metadata, and automated alerts for data processing anomalies
- Review system-generated logs to identify errors, processing gaps, or performance degradation
- Establish proactive monitoring controls to minimize operational disruption
- Serve as the primary point of contact for all EiPaaS related issues
- Investigate and resolve workflow errors, mapping issues, and data discrepancies
- Perform root cause analysis and implement corrective and preventive actions
- Escalating platform-level or infrastructure concerns to IT or vendors when necessary
- Maintain detailed documentation for templates, workflows, transaction logic, and monitoring controls
- Establish and maintain standard operating procedures
- Ensure compliance with internal controls, audit standards, and data governance policies
- Participate in testing and validation of workflow enhancements before deployment
Skills
- Associate's Degree in Business, Information Systems, Healthcare Administration, Operations Management, or related field (or equivalent work experience)
- 2+ years of experience in operations, EDI processing, healthcare enrollment, or systems workflow management
- 1-2 years of direct experience working with 834 electronic files and understanding of EDI file structures
- Experience using Bridgegate or a comparable integration or data workflow platform
- Demonstrated experience monitoring automated workflows and resolving production issues
- Strong analytical and troubleshooting skills with attention to detail
- Ability to interpret data mappings and validate file outputs
- Proficiency with Excel and basic data analysis tools
- Strong written and verbal communication skills
- As this role is a remote role, you are required to maintain internet service that allows you to complete your essential job duties without issue. Rates of 50 Mbps download and 10 Mbps upload while hardwired and not on a VPN are sufficient
- Bachelor's degree in Information Systems, Healthcare IT, Business Analytics, or related discipline
- 3–5+ years of experience supporting EDI transactions, healthcare eligibility files, or system integrations
- Advanced experience configuring templates and workflows within Bridgegate
- Experience onboarding new trading partners and implementing new 834 file configurations
- Working knowledge of additional EDI transaction sets (e.g., 820, 835, 837)
- Familiarity with SQL, data mapping logic, or API integrations
- Experience in a regulated healthcare or insurance environment
- Experience participating in audits, compliance reviews, or internal control processes
- Demonstrated process improvement experience within an operational environment
Benefits
- Benefits, bonuses, and commission
- Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period
- Life and disability insurance
- A great 401(k) with company match
- Tuition assistance, paid parental leave and backup family care
- Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent
- Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best
- Employee Resource Groups that advocate for inclusion and diversity in all that we do
- Social responsibility in all aspects of our work. We volunteer within our local communities, create educational alliances with colleges, drive a variety of initiatives in sustainability
Company Overview