Professional EDI Developer and analyst with 3+ years of experience at AHCCCS, Blue Cross Blue Shield, and Amazon. Proven expertise in designing and implementing healthcare and e-commerce EDI solutions, integrating diverse systems, and ensuring compliance with industry standards. Adept at leveraging tools like Edifecs, GIT, and AWS for efficient mapping, translation, and secure data exchange. Skilled in collaborating across teams, troubleshooting, and optimizing EDI processes to enhance operational efficiency. Seeking a mid-level role to contribute technical acumen and industry knowledge to drive continued success in EDI development.
Overview
3
3
years of professional experience
Work History
EDI Applications Developer
Arizona Health Care Cost Containment System, AHCCCS
Phoenix, AZ
03.2024 - Current
developed and put into operation EDI systems that ensured smooth data interchange between commercial partners by utilizing standards like 937 935, 275, and 999.
led the charge in optimizing workflows for data transformation and transmission by designing and customizing EDI maps and translation procedures using Tibco Foresight.
proficient at utilizing IBM ITX (IBM Transformation Extender) to configure and debug EDI transactions while maintaining compliance with client specifications and industry standards.
Collaborated with cross-functional teams to analyze, design, and implement EDI solutions, facilitating efficient communication and data integration across the organization.
Carried out extensive testing and validation of EDI mappings and settings to guarantee data exchanges' accuracy and dependability while abiding by legal and business regulations.
Participated in industry meetings and EDI standards committees to stay current on best practices, emerging technology, and trends in electronic data exchange.
created and kept up-to-date thorough documentation for EDI mappings, configurations, and processes to facilitate effective knowledge transfer and new team member onboarding.
Responsible for the testing of EDI transactions in a medical setting, making sure that it complied with industry standards including HL7 and X12 as well as HIPAA laws.
developed and carried out thorough test cases and plans for EDI mappings, guaranteeing the reliability, accuracy, and completeness of healthcare data exchanges.
EDI workflows have been evaluated from start to finish, encompassing data transformation, transmission, and validation, in order to find and fix problems with data integrity and interoperability.
Closely worked with stakeholders, developers, and business analysts to clarify requirements, create test plans, and ensure that technical and functional criteria were being met.
automated test execution, streamlined procedures, and increased testing efficiency while upholding strict quality and accuracy standards by using testing tools and frameworks.
Participated in the TIBCO Foresight Validator's go live and was in charge of numerous test case scenarios and completed numerous transactions.
EDI Developer/Analyst
BCBSKS - Kansas City, MO
Kansas City, MO
12.2022 - 02.2024
Designed, developed, and maintained EDI solutions for healthcare transactions, ensuring adherence to industry standards and compliance with HIPAA regulations
Implemented and supported healthcare transaction sets, including 837, 835, 270/271, and other EDI standards to facilitate seamless data exchange between healthcare providers and payers
Created and managed EDI maps for accurate translation of data between internal systems and industry-standard EDI formats, using tools such as BizTalk and IBM Sterling B2B Integrator
Collaborated with healthcare providers and insurance companies to establish and maintain EDI connections, managing communication and coordinating testing efforts for smooth partner onboarding
Ensured ongoing compliance with healthcare EDI standards, staying updated on industry changes and proactively adapting systems to meet evolving regulatory requirements
Developed robust error handling mechanisms to identify and resolve issues during EDI transactions, reducing error rates by 20% through proactive troubleshooting
Implemented stringent security measures to safeguard sensitive healthcare information during EDI transactions, ensuring compliance with privacy regulations and data protection policies
Created comprehensive documentation for EDI processes, including specifications and mapping guides
Conducted training sessions for internal teams on EDI best practices and troubleshooting techniques
Integrated EDI solutions with Electronic Health Record (EHR) systems, claims processing platforms, and other healthcare applications to streamline data flow and enhance interoperability
Integrated legacy systems with newly developed services utilizing various protocols such as FTP, SFTP, HTTPS
Monitored and optimized the performance of EDI systems, identifying and resolving bottlenecks to improve efficiency
Implemented enhancements resulting in a 15% reduction in processing time
Conducted thorough testing, including unit testing and end-to-end testing, collaborating with QA teams to ensure the reliability and accuracy of EDI processes
Stayed informed about updates to EDI standards and technologies, implementing upgrades and enhancements to support evolving business requirements and improve overall system capabilities
Proficient in EDI standards (X12, EDIFACT) and protocols (AS2, SFTP)
Experienced in using integration tools such as BizTalk, IBM Sterling B2B Integrator, and MuleSoft
Strong programming skills in languages like Java, Python, or C#
Knowledgeable in healthcare-related standards and regulations, including HIPAA
Familiarity with relational databases (SQL Server, Oracle) for data manipulation and reporting
Excellence in problem-solving and analytical skills in troubleshooting and resolving complex EDI issues.
EDI Analyst
AMAZONt,India - Hyderabad, India
Hyderabad, India
07.2021 - 07.2022
Led the design and development of EDI solutions, ensuring seamless integration with internal systems and external trading partners
Implemented and managed various EDI transaction sets, including Purchase Orders (850), Invoices (810), and Advanced Shipping Notices (856)
Established and maintained relationships with trading partners, managing EDI communications and facilitating smooth onboarding processes
Utilized tools like Edifecs MapBuilder for efficient mapping and translation, ensuring accurate data exchange and compliance with standards
Implemented robust error-handling mechanisms, reducing transaction errors by 20%, and conducted timely troubleshooting and resolution
Implemented security measures to safeguard sensitive data during EDI transactions, aligning with industry standards and data protection policies
Developed EDI solutions for various trading partners using industry standards such as X12, EDIFACT, and XML
Created comprehensive documentation for EDI processes, including specifications and mapping guides
Conducted training sessions for internal teams on EDI best practices
Integrated EDI solutions with Amazon.in's business systems, including ERP and supply chain applications, to optimize data flow
Conducted thorough testing, including unit testing and end-to-end testing, ensuring the reliability and accuracy of EDI processes
Stayed updated on the latest EDI technologies and industry standards, implementing upgrades and enhancements as needed for continuous improvement
Tools and Technologies: AS2 and SFTP for the secure exchange of data during EDI transactions
Edifecs MapBuilder, Transaction Process Management (TPM) systems, GIT
AWS-EKS and AWS-ECS, Edifecs MapBuilder
Transaction Process Management (TPM) systems for end-to-end visibility and control of EDI transactions
Kubernetes (EKS), AS2, SFTP, and HTTP/S
Programming languages: Java and Python.
EDI Developer(Intern)
AMAZON,India - Hyderabad, India
Hyderabad, India
01.2021 - 06.2021
Gained exposure to Electronic Data Interchange (EDI) solutions used at Amazon, understanding the role of EDI in facilitating seamless communication between trading partners
Assisted in the exploration and understanding of various EDI transaction sets utilized by Amazon, including purchase orders (850), invoices (810), and advanced shipping notices (856)
Participated in EDI mapping and translation activities, utilizing tools like AWS Step Functions and X12 to understand the process of transforming data between internal systems and external partners
Engaged in interactions with trading partners to understand the onboarding process and communication protocols, contributing to the establishment of effective EDI connections
Assisted in ensuring compliance with EDI standards, including X12, to meet industry requirements and support smooth business transactions
Contributed to the documentation of EDI processes, including creating specifications and mapping guides, to enhance team knowledge and facilitate efficient onboarding for future developers
Collaborated with the team in implementing error-handling mechanisms to identify and resolve issues during EDI transactions, gaining practical experience in troubleshooting
Developed an understanding of security measures in EDI transactions, focusing on the importance of safeguarding sensitive data and aligning with data protection policies
Worked closely with the EDI development team, providing support in various tasks, attending team meetings, and contributing to collaborative problem-solving sessions
Observed the integration of EDI solutions with Amazon business systems, gaining insights into how EDI enhances data flow and interoperability across different departments
Participated in testing activities, including unit testing and assisting in end-to-end testing, to understand how quality assurance is ensured in the context of EDI processes
Gained exposure to relevant technologies used in EDI development, such as AWS services, X12 standards, and integration tools
Actively pursued learning opportunities to enhance technical skills related to EDI development, including programming languages (e.g., Java, Python) and EDI-specific tools
Tools and technologies: GIT, ANSI X12, EDIFACT, MySQL, SQL Server, SAP Integrated Business Planning (IBP), ORACLE, Edifecs X Engine, BizTalk Server, EDI Notepad
Proficient in EDI standards such as ANSI X12 and EDIFACT
Expertise in implementing and supporting various EDI transaction sets
In-depth knowledge of communication protocols such as AS2, SFTP, and HTTP/S
Advanced proficiency in using Edifecs to design, develop, and implement EDI solutions
Extensive experience in implementing and supporting various EDI transaction sets within Edifecs
Mastery of Edifecs SpecBuilder for creating and managing specifications
Expertise in developing and implementing rules within Edifecs
In-depth knowledge of Edifecs Transaction Manager
Extensive experience in designing, developing, and implementing EDI solutions using the Tibco Foresight suite, including Foresight Developer, Business Process Collaborator, and Transaction Insight
Proficient in using Edifecs MapBuilder for designing and maintaining EDI maps
Proven ability to troubleshoot and resolve errors within Edifecs
Ability to develop and execute comprehensive test plans and test cases for EDI transactions, ensuring data accuracy, integrity, and compliance with industry standards and business rules
Expertise in utilizing XEngine EAM for seamless integration of EDI processes
Experience in implementing and managing Transaction Process Management (TPM)
Proficient in version control using GIT
Strong proficiency in JavaScript for scripting and enhancing functionality
In-depth knowledge of SQL Server and Oracle databases
Hands-on experience with Amazon Web Services (AWS) components
Proficient in working with Apache Kafka for real-time data streaming
Knowledge of AWS Cloud Services
Proficiency in container orchestration tools such as Kubernetes and ECS
Experience implementing CI/CD pipelines
Collaborative development using GIT
Timeline
EDI Applications Developer
Arizona Health Care Cost Containment System, AHCCCS
Clinical Trial & Regulatory Coordinator at BIOMEDICAL RESEARCH AND EDUCATION FOUNDATION OF SO. ARIZONA, – SOUTHERN ARIZONA VA HEALTH CARE SYSTEM (SAVAHCS)Clinical Trial & Regulatory Coordinator at BIOMEDICAL RESEARCH AND EDUCATION FOUNDATION OF SO. ARIZONA, – SOUTHERN ARIZONA VA HEALTH CARE SYSTEM (SAVAHCS)