EDI Technical SME (Remote Opportunity)

About the role

We are seeking a senior Technical EDI Subject Matter Expert to support a large federal government healthcare modernization project for the Department of Veterans Affairs. This fully remote position will integrate the Fraud Waste and Abuse tool with VA healthcare systems, ensuring secure and compliant data exchange.

Key responsibilities

• Assess system readiness, analyze healthcare claims workflows, and define integration strategies linking the VA FWA tool with CCDSO products, CCRS, and other VA systems.
• Build, configure, maintain, and enhance EDI maps and workflows for transaction sets such as 835, 837, and 277CA using mapping and translation tools.
• Implement trading partner setups, communication protocols, and document formats, coordinating with external partners to validate connectivity and compliance.
• Monitor daily EDI operations, troubleshoot production failures, perform root‑cause analysis, and provide timely technical support.
• Collaborate with business analysts, architects, developers, QA teams, and stakeholders on requirements gathering, solution design, testing, and production implementation.
• Validate transaction data, implement error handling, support audits, and ensure adherence to HIPAA, ANSI X12, EDIFACT, and other regulatory requirements.

Required profile

• Bachelor’s degree in Computer Science, Information Systems, Engineering, or related field.
• Eight or more years of healthcare integration experience, specifically with VA systems and high‑volume transaction environments.
• Strong analytical, troubleshooting, and problem‑solving skills with experience resolving production integration failures.
• U.S. citizenship and ability to obtain a Government/Public Trust clearance.

Required skills

• Deep expertise in healthcare EDI standards (ANSI X12 835, 837, 277CA) and HIPAA requirements.
• Experience with EDIFACT or XML‑based formats.
• Proficiency in integration architectures, EDI mapping/translation tools, APIs, SFTP/FTP, AS2, VANs, relational databases, and SQL.
• Familiarity with scripting or programming languages such as Java, Python, or C#.
• Knowledge of version control systems and CI/CD pipelines.

What we offer

• Medical, dental, and vision benefits.
• 401(k) with employer match.
• PTO plus federal holidays.
• Corporate laptop and training opportunities.
• Fully remote work arrangement.