EDI Developer (Healthcare / NEMT)
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
5+ years healthcare EDI development; strong C#/.NET; production experience with EdiFabric; deep understanding of X12, claims lifecycle, remittance processing, payer companion guides; HIPAA compliance; troubleshooting skills.
Key Responsibilities
- designing EDI pipelines
- implementing healthcare integrations
- troubleshooting EDI transactions
Skills & Tools
.NET, C#, EdiFabric, Docker, Docker Compose, Kubernetes, GitHub, GitHub Actions, Protobuf, gRPC
Job Details
- Category: Software Development
- Seniority: Senior Level
- Commitment: Full Time
- Workplace: Remote — United States
- Salary: USD 75,000 – 120,000 / year
- Languages: English
About MediDrive
A healthcare technology company building EDI integrations for non-emergency medical transportation. — Industry: Information Technology