Remote opportunity at
VetsEZEDI Technical SME (Remote Opportunity)
VetsEZ is hiring a remote EDI Technical SME to support a large federal healthcare modernization initiative for the Department of Veterans Affairs. This full-time position involves…
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About This Role
VetsEZ is hiring a remote EDI Technical SME to support a large federal healthcare modernization initiative for the Department of Veterans Affairs. This full-time position involves connecting the VA Fraud Waste and Abuse tool with Community Care Development, Security, and Operations products, CCRS, and other healthcare networks. The professional in this role will evaluate system readiness, analyze transaction workflows, and set up data exchanges using ANSI X12 standards within an…
Job Description
VetsEZ is hiring a remote EDI Technical SME to support a large federal healthcare modernization initiative for the Department of Veterans Affairs. This full-time position involves connecting the VA Fraud Waste and Abuse tool with Community Care Development, Security, and Operations products, CCRS, and other healthcare networks. The professional in this role will evaluate system readiness, analyze transaction workflows, and set up data exchanges using ANSI X12 standards within an Agile DevSecOps setting.
The ideal candidate possesses extensive healthcare integration experience and a thorough background in managing EDI transaction sets such as 835, 837, and 277CA. Daily duties encompass building and maintaining EDI maps, configuring trading partner protocols, troubleshooting production issues, and ensuring compliance with HIPAA regulations. Applicants must live within the continental United States, hold U.S. citizenship, pass a background investigation, and be able to obtain a Government or Public Trust clearance.
Responsibilities
- Evaluate internal and external system readiness while studying healthcare claims workflows to establish integration strategies connecting VA systems.
- Develop, configure, and maintain EDI maps, workflows, and integrations for transaction sets including 835, 837, and 277CA via mapping and translation software.
- Set up trading partner configurations, communication protocols, and document formats to verify connectivity and compliance.
- Oversee daily EDI functions, diagnose integration failures, perform root-cause analysis, and deliver technical support.
- Partner with business analysts, architects, developers, and QA personnel on requirements, design, testing, and production deployment while keeping documentation updated.
- Validate transaction data, add error handling and quality controls, and back audits to guarantee data integrity and compliance with HIPAA, ANSI X12, and EDIFACT standards.
Requirements
- Bachelor’s degree in computer science, engineering, computer information systems, or a related technical field.
- Eight or more years of healthcare integration experience.
- Expertise in healthcare EDI standards and transaction workflows including ANSI X12 835, 837, and 277CA, HIPAA rules, and familiarity with EDIFACT or XML formats.
- Knowledge of integration architectures, EDI mapping tools, APIs, SFTP/FTP, AS2, VANs, relational databases, and SQL.
- Experience integrating VA healthcare systems like CCRS through production implementation, with familiarity in version control, CI/CD pipelines, and high-volume transaction environments.
- U.S. citizenship and residency within the continental United States.
- Ability to complete a background check and obtain and maintain a Government or Public Trust clearance.
Qualifications
- Experience with scripting or programming languages like Java, Python, or C#.
- Background in integrating fraud, waste, and abuse tools with healthcare claims processing platforms.
- Familiarity with VA Community Care workflows, CCDSO products, and federal healthcare modernization programs.
Core Skills
Benefits
- Medical, dental, and vision insurance
- 401(k) plan with employer match
- Paid time off and federal holidays
- Corporate laptop
- Training opportunities
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
Is this position remote?
Yes, this is a 100% remote opportunity, though candidates must reside within the continental United States and hold U.S. citizenship.
What security clearance is required for this role?
Candidates must be U.S. citizens, successfully complete a background check, and have the ability to obtain and maintain a Government or Public Trust clearance.
What is the employment type?
This is a full-time position.
What salary does this role offer?
The posting does not specify a salary.
Does VetsEZ offer visa sponsorship for this role?
The posting states that VetsEZ is unable to offer sponsorship at this time.
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