"Alerted.org

Senior Edifecs Developer

**Category:** Software Development/ Engineering

**Main location:** United States, North Carolina, Raleigh

**Position ID:** J1225-1837

**Employment Type:** Full Time

By playing this video you consent to Google/YouTube processing your data and using cookies –Learn more (xweb.asp?clid=21001&page=cookiespolicy#integrationofyoutube) .

Position Description:

The best version of us starts with You!

We CGI is seeking an experienced Edifecs professional to support the design, configuration, and implementation of health plan enrollment and eligibility processes, with prior experience on the Edifecs Enrollment Management Solution (ENR) preferred.

The ideal candidate will have hands-on experience with Edifecs tools and frameworks such as EAM, Spec Builder, and enrollment transaction processing (e.g., 834), and will work closely with business, integration, and QA teams to deliver accurate, compliant, and scalable enrollment solutions. This role requires a solid understanding of healthcare payer operations, strong analytical and troubleshooting skills, and the ability to translate business enrollment requirements into effective Edifecs-based implementations.

This position can be located in Hartford, CT, Raleigh, NC, Lafayette, LA, Austin TX or Dallas, TX in a Hybrid model.

Your future duties and responsibilities:

QUALITIES:

. Analytical Skills: Ability to understand healthcare enrollment and EDI requirements, analyze complex data flows, and design simple, effective Edifecs-based solutions.

. Communication: Strong verbal and written communication skills to clearly convey technical concepts to peers, stakeholders, and management.

. Creativity: Innovative mindset to approach integration challenges, apply best practices, and leverage experience across domains to improve solutions.

. Customer-Service Orientation: Consultant mentality with the ability to work directly with clients, address questions, and resolve issues effectively.

. Attention to Detail: Strong focus on accuracy, as EDI and enrollment applications require precise configuration and flawless data exchange.

. Problem-Solving: Proven ability to troubleshoot issues, make sound decisions, and drive resolutions that keep projects moving forward.

. Teamwork: Ability to collaborate effectively within a distributed agile (SAFe) team including developers, analysts, QA, and architects.

. Technical Aptitude: Strong technical foundation with the ability to apply design patterns, learn new tools quickly, and continuously improve system design.

RESPONSIBILITIES:

. Design, develop, configure, and support EDI solutions using the Edifecs platform (XEngine, SpecBuilder, XEServer, TPM, etc.).

. Implement and support HIPAA X12 transaction sets including 834, 837, 835, 270/271, 276/277, and 278.

. Collaborate with business analysts, solution architects, and clients to gather and translate healthcare and EDI integration requirements.

. Configure, maintain, and support trading partner relationships to ensure accurate and timely data exchange.

. Analyze, troubleshoot, and resolve EDI transaction errors across development, test, and production environments.

. Perform EDI map development, validation, testing, and compliance checks using Edifecs tools.

. Ensure solutions comply with HIPAA, X12, and industry standards.

. Monitor EDI processes, provide Level 3 production support, and prioritize issues based on business impact.

. Integrate EDI solutions with downstream systems using REST/SOAP APIs, MQ, SFTP, and other middleware technologies.

. Create and maintain technical documentation including mappings, partner configurations, and system changes.

. Participate in production deployments, release planning, and post-deployment support.

. Build and support real-time monitoring, metrics, and alerts across applications.

. Contribute to DevOps and automation initiatives to improve deployment and operational efficiency.

Required qualifications to be successful in this role:

At least 8+ years of relevant experience with strong hands-on expertise in Edifecs and healthcare EDI solutions.

Must Have

. Strong hands-on experience with Edifecs tools including XEngine, SpecBuilder, TPM, and XEServer.

. In-depth knowledge of HIPAA EDI transactions (834, 837, 835, 270/271, 276/277, 278).

. Experience with EDI mapping, validation, testing, and compliance.

. Familiarity with integration technologies such as APIs, MQ, SFTP, and web services.

. Working knowledge of relational databases (MS SQL, PostgreSQL).

. Strong troubleshooting, production support, and performance tuning skills.

Preferred to have

. Experience with Edifecs Enrollment Management Solution (ENR).

. Healthcare payer/provider domain experience.

. Understanding of enrollment, eligibility, claims, benefits, and billing workflows.

. Cloud deployment experience (AWS preferred).

. Familiarity with DevOps and CI/CD tools such as Git, Jenkins, and related automation frameworks.

Education: Bachelor's degree in computer science or related field.

\#LI-ARK1

CGI is required by law in some jurisdictions to include a reasonable estimate of the compensation range for this role. The determination of this range includes various factors not limited to skill set, level, experience, relevant training, and licensure and certifications. To support the ability to reward for merit-based performance, CGI typically does not hire individuals at or near the top of the range for their role. Compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range for this role in the U.S. is $80,600.00 - $172,400

CGI’s benefits are offered to eligible professionals on their first day of employment to include:

•Competitive compensation

•Comprehensive insurance options

•Matching contributions through the 401(k) plan and the share purchase plan

•Paid time off for vacation, holidays, and sick time

•Paid parental leave

•Learning opportunities and tuition assistance

•Wellness and Well-being programs

Skills:

+ Data Mapping

+ MS SQL Server

+ API Technlogies

+ EDI Gateway

+ Postgre SQL

+ SQL Server

What you can expect from us:

Together, as owners, let’s turn meaningful insights into action.

Life at CGI is rooted in ownership, teamwork, respect and belonging. Here, you’ll reach your full potential because…

You are invited to be an owner from day 1 as we work together to bring our Dream to life. That’s why we call ourselves CGI Partners rather than employees. We benefit from our collective success and actively shape our company’s strategy and direction.

Your work creates value. You’ll develop innovative solutions and build relationships with teammates and clients while accessing global capabilities to scale your ideas, embrace new opportunities, and benefit from expansive industry and technology expertise.

You’ll shape your career by joining a company built to grow and last. You’ll be supported by leaders who care about your health and well-being and provide you with opportunities to deepen your skills and broaden your horizons.

Come join our team—one of the largest IT and business consulting services firms in the world.

Qualified applicants will receive consideration for employment without regard to their race, ethnicity, ancestry, color, sex, religion, creed, age, national origin, citizenship status, disability, pregnancy, medical condition, military and veteran status, marital status, sexual orientation or perceived sexual orientation, gender, gender identity, and gender expression, familial status or responsibilities, reproductive health decisions, political affiliation, genetic information, height, weight, or any other legally protected status or characteristics to the extent required by applicable federal, state, and/or local laws where we do business.

CGI provides reasonable accommodations to qualified individuals with disabilities. If you need an accommodation to apply for a job in the U.S., please email the CGI U.S. Employment Compliance mailbox at [email protected] . You will need to reference the Position ID of the position in which you are interested. Your message will be routed to the appropriate recruiter who will assist you. **Please note, this email address is only to be used for those individuals who need an accommodation to apply for a job. Emails for any other reason or those that do not include a Position ID will not be returned.**

We make it easy to translate military experience and skills! Clickhere (https://cgi-veterans.jobs/) to be directed to our site that is dedicated to veterans and transitioning service members.

All CGI offers of employment in the U.S. are contingent upon the ability to successfully complete a background investigation. Background investigation components can vary dependent upon specific assignment and/or level of US government security clearance held. Dependent upon role and/or federal government security clearance requirements, and in accordance with applicable laws, some background investigations may include a credit check. CGI will consider for employment qualified applicants with arrests and conviction records in accordance with all local regulations and ordinances.

CGI will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with CGI’s legal duty to furnish information.