EDI Developer (Healthcare / NEMT)

Salary Range: $75,000.00 To $120,000.00 Annually The EDI Developer will be responsible for designing, building, maintaining, and supporting healthcare EDI integrations across multiple transaction types. This role requires strong .NET expertise , hands-on experience with EdiFabric , and a deep understanding of healthcare claims workflows , payer companion guides, and real-world EDI behavior. Experience with Non-Emergency Medical Transportation (NEMT) is a significant advantage, as many integrations involve transportation-specific billing logic, modifiers, and state Medicaid requirements. Key Responsibilities Design, implement, and maintain healthcare EDI pipelines using .NET and EdiFabric Parse, validate, generate, and troubleshoot EDI transactions, including: 834 – Eligibility / Enrollment 837 (P / I / D) – Healthcare Claims 835 – Remittance Advice 270/271, 999, 277CA Interpret and implement payer-specific companion guides Manage end-to-end claims workflows: Intake, validation, and submission Acknowledgments (999, 277CA) Remittance processing and posting (835) Error handling, corrections, and resubmissions Build and maintain robust logging, auditing, and reconciliation processes Collaborate with product, operations, and external partners (health plans and transportation providers) Ensure HIPAA-compliant data handling and monitoring Contribute to and operate within a microservices-based architecture Required Qualifications 5+ years of healthcare EDI development experience Strong proficiency in C# / .NET Hands-on production experience with EdiFabric Deep understanding of healthcare EDI standards and workflows: X12 structure, loops, segments, and qualifiers Claims lifecycle and remittance processing Proven experience implementing payer companion guides Strong troubleshooting skills for real-world EDI issues (payer rejections, inconsistencies, edge cases) Solid understanding of HIPAA and secure data handling practices Strongly Preferred / Nice to Have NEMT industry experience (major plus) Experience with Medicaid and managed care plans Hands-on experience with: Docker Docker Compose Kubernetes Familiarity with: GitHub GitHub Actions (CI/CD pipelines) Exposure to microservices architectures Familiarity with Protobuf / gRPC Experience deploying and operating backend services in cloud environments What We’re Looking For We are not looking for a generic backend developer with light EDI exposure. This role requires someone who: Understands how healthcare claims actually flow end-to-end Can read and implement companion guides without hand-holding Has dealt with inconsistent payer behavior in production Is comfortable owning EDI workflows from ingestion through reconciliation Why MediDrive Work on real, high-volume healthcare and Medicaid integrations Senior-level ownership and autonomy Modern, containerized architecture Remote-friendly environment Opportunity to shape the EDI foundation of a growing NEMT platform