Production Support ( Senior EDI Support Specialist (Healthcare Payer | Facets Ecosystem))

Who we are:

At UST, we help the world’s best organizations grow and succeed through transformation. Bringing together the right talent, tools, and ideas, we work with our client to co-create lasting change. Together, with over 30,000 employees in 30+ countries, we build for boundless impact—touching billions of lives in the process. Visit us at UST.com.

Senior EDI Support Specialist (Healthcare Payer | Facets Ecosystem)

Experience: 8+ Years IT | 5+ Years Healthcare Payer & EDI | 3+ Years Edifecs/TriZetto HIPAA Gateway

Summary:

Seeking a Senior EDI Support Specialist with strong Healthcare Payer experience to provide L2/L3 support for enterprise EDI platforms supporting Claims, Membership, Enrolment, Provider, and Payment functions. The role requires expertise in HIPAA X12 transaction support, production monitoring, incident resolution, trading partner management, and Edifecs/TriZetto HIPAA Gateway environments.

Responsibilities

• Provide L2/L3 support for EDI platforms supporting Claims, Membership, Enrolment, Billing, Provider, and Payment functions.
• Monitor, troubleshoot, and resolve EDI transaction failures, rejects, reconciliation, and file transmission issues.
• Support Edifecs, TriZetto HIPAA Gateway, BizTalk, and Facets-integrated environments.
• Perform RCA, incident resolution, and transaction performance improvements.
• Support trading partner onboarding, certification, testing, and production releases.
• Work with business users, vendors, and external trading partners to resolve operational issues.

Required Skills

• Edifecs Suite, TriZetto HIPAA Gateway, BizTalk Server Facets SQL Server/Oracle Unix/Linux SFTP, Batch Processing, API Integrations XML/XSD, JSON Required Experience Hands-on support, troubleshooting, and optimization of: 834, 837 (Professional/Institutional/Dental), 835 270/271, 276/277, 278, 820 TA1, 999, and 277CA acknowledgements

Nice to Have

• HL7/FHIR ServiceNow MuleSoft, Boomi Groovy, JavaScript, PowerShell, Shell Scripting Blues and large-scale Facets payer environments Preferred: Strong healthcare payer domain knowledge with proven experience supporting large-scale EDI operations, trading partner management, and Facets-integrated ecosystems.
  
  

  What we believe:

  We’re proud to embrace the same values that have shaped UST since the beginning. Since day one, we’ve been building enduring relationships and a culture of integrity. And today, it's those same values that are inspiring us to encourage innovation from everyone, to champion diversity and inclusion and to place people at the centre of everything we do.

  Humility:

  We will listen, learn, be empathetic and help selflessly in our interactions with everyone.

  Humanity:

  Through business, we will better the lives of those less fortunate than ourselves.

  Integrity:

  We honour our commitments and act with responsibility in all our relationships.

  Equal Employment Opportunity Statement

  UST is an Equal Opportunity Employer. We believe that no one should be discriminated against because of their differences, such as age, disability, ethnicity, gender, gender identity and expression, religion, or sexual orientation.

  All employment decisions shall be made without regard to age, race, creed, colour, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law.

  UST reserves the right to periodically redefine your roles and responsibilities based on the requirements of the organization and/or your performance.

  • To support and promote the values of UST.

  • Comply with all Company policies and procedures