SKYGEN USA Logo

SKYGEN USA

Senior EDI Engineer

Posted 2 Days Ago
Remote
Hiring Remotely in United States
115K-172K Annually
Senior level
Remote
Hiring Remotely in United States
115K-172K Annually
Senior level
Designs, develops, maintains, and supports software applications focused on HIPAA EDI transactions for dental and vision healthcare benefits. Responsibilities include Agile development, production issue triage, technical investigation, secure coding, unit testing, architecture and impact analysis, documentation, and implementing newly legislated EDI standards. The role also serves as a subsystem subject matter expert and uses AI tools responsibly.
The summary above was generated by AI

What are important things that YOU need to know about this role? 

  • Experience: Bring your expertise in C# development, along with experience using AI tools and technologies. Knowledge of the dental and vision insurance industry is a strong advantage.
  • Hours: Full-time, Monday through Friday daytime hours with flexibility built into your schedule.
  • Work Location: This is a 100% remote, permanent work-from-home opportunity, offering the flexibility to do your best work from the comfort of your home.

What will YOU be doing for us?   To design, develop and maintain software applications of varying complexities and on varying tech stacks - in the healthcare space heavily focused on HIPAA EDI transactions.

What will YOU be working on every day? 

  • Actively participate in an Agile scrum team, sizing work efforts and decomposing functionality and iteratively delivering value.
  • Work collaboratively with internal resources to assess and understand technical specifications and business requirements for new systems including data streaming, AI, and regulatory compliance.
  • Develop and maintain current modules, unit tests, applications or processes in production.
  • Triage production issues and affect solutions 
  • Conduct impact analysis for required changes
  • Investigate technologies and research for solutions related to architecture and requirements 
  • Act as a Subject Matter Expert (SME) for various sub systems or client communications when system capabilities must be understood. 
  • Assist in establishing feature estimates and timelines.
  • Perform software design and coding according to SKYGEN accepted secure coding patterns 
  • Work collaboratively with internal team members on investigating and fixing defects 
  • Assist in resolving more complex and escalated operational support as necessary.
  • Develop new processes for currently unsupported or newly legislated HIPAA EDI standards. 
  • Technical Documentation including reverse engineering documentation from existing production code for undocumented legacy processes
  • Responsible use of AI tools, models, and outputs

Additional Responsibilities:

  • Develop new processes for currently unsupported or newly legislated HIPAA EDI standards. 
  • Technical Documentation including reverse engineering documentation from existing production code for undocumented legacy processes
  • Responsible use of AI tools, models, and outputs

What qualifications do YOU need to have to be GOOD candidate?

  • Required Level of Education, Licenses, and/or Certificates
    • Bachelor’s degree in computer science or related field highly preferred or equivalent years of experience or certification.
  • Required Level of Experience
    • Five to Seven years of professional work experience in software engineering.
  • Required Knowledge, Skills, and Abilities
    • Strong knowledge of software design and development techniques
    • Knowledge and proficiency in various technical areas
      • Object Oriented Design and Development
      • Relational Database Concepts
      • Secure Coding Patterns (OWASP)
      • Significant Knowledge and experience with at least a few of these: NET Core, RESTful API, C#, React, Angular, JavaScript, data streaming technologies (Kafka/redpanda), SQL Server, SSIS, Azure Document Intelligence Studio, 
    • Basic knowledge of healthcare industry, specifically EDI transactions for Dental and Vision

What qualifications do YOU need to have to be a GREAT candidate? 

  • Preferred Full-Stack Knowledge, Skills, and Abilities
    • Extensive Knowledge of health care HIPAA standards and EDI Processing
      • 270/271
      • 276/277
      • 277CA
      • 278
      • 834
      • 835
      • 837(D,P,I)
      • 999
    • Knowledge of data streaming technologies (Kafka/redpanda)
    • General Azure Cloud concepts
    • Knowledge and proficiency in:
      • API Gateway Pattern; Azure API Management Services
      • Microservices Architectural Pattern
      • Event-driven Architectural Pattern
      • CI/CD, pipelines, Vault
      • Azure Dev Ops, GitHub
    • Use of AI:
      • GitHub Copilot
      • Cursor AI 
      • An understanding of the right model for the job

The salary range and midpoint is listed below for your reference. Please keep in mind that your education and experience along with your knowledge, skills and abilities are taken into consideration when determining placement within the range.

Compensation Range: $114,838 - $172,258

Compensation Midpoint: $143,548

 

 

About UsSKYGEN is the trusted partner for specialty benefits payers and government agencies responsible for the delivery and administration of dental and vision benefits. Through cutting-edge technology and service solutions, SKYGEN empowers clients to become the most efficient, effective healthcare organizations in the country.

 
Equal Opportunity Employer, including Protected Veterans and Individuals with Disabilities.

Similar Jobs

5 Days Ago
In-Office or Remote
Senior level
Senior level
Healthtech
Owns healthcare claims data intake, including X12 EDI parsing, partner onboarding, mapping, validation, and error handling. Designs governed claims, member, provider, and payment data models; builds Microsoft Fabric and Azure pipelines; tunes complex SQL; and establishes reconciliation, quality, lineage, security, and documentation standards. The role also applies AI tools to mapping, document extraction, and anomaly detection while protecting PHI and setting data engineering standards.
Top Skills: Ai ToolsAzure Data FactoryAzure Data LakeAzure SynapseDelta LakeHipaa X12 5010Microsoft FabricParquetPythonSQLX12 Edi
One Month Ago
Remote
GA, USA
96K-125K Annually
Senior level
96K-125K Annually
Senior level
Information Technology
The Senior EDI Developer will support Medicaid implementations, design EDI solutions, and ensure compliance with healthcare standards, requiring 7+ years of experience.
Top Skills: Azure DevopsEdifecsEtl PlatformsLinuxRelational DatabasesReporting Tools
27 Minutes Ago
Remote or Hybrid
US
128K-193K Annually
Expert/Leader
128K-193K Annually
Expert/Leader
Information Technology
Designs and delivers Snowflake data architectures on AWS, including dbt-based data engineering and AI-enabled solutions. Leads RAG, vector search, embedding, semantic search, and analytics initiatives from proof of concept through production. Directs project teams, oversees solution quality and budgets, supports proposals and business cases, and serves as a trusted technical advisor to clients. Requires strong data engineering, governance, documentation, communication, and stakeholder-management skills, with travel as needed.
Top Skills: AWSDbtEmbedding PipelinesGenerative AiPrompt OrchestrationRetrieval-Augmented GenerationSemantic SearchSnowflakeSQLVector Search

What you need to know about the San Francisco Tech Scene

San Francisco and the surrounding Bay Area attracts more startup funding than any other region in the world. Home to Stanford University and UC Berkeley, leading VC firms and several of the world’s most valuable companies, the Bay Area is the place to go for anyone looking to make it big in the tech industry. That said, San Francisco has a lot to offer beyond technology thanks to a thriving art and music scene, excellent food and a short drive to several of the country’s most beautiful recreational areas.

Key Facts About San Francisco Tech

  • Number of Tech Workers: 365,500; 13.9% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Google, Apple, Salesforce, Meta
  • Key Industries: Artificial intelligence, cloud computing, fintech, consumer technology, software
  • Funding Landscape: $50.5 billion in venture capital funding in 2024 (Pitchbook)
  • Notable Investors: Sequoia Capital, Andreessen Horowitz, Bessemer Venture Partners, Greylock Partners, Khosla Ventures, Kleiner Perkins
  • Research Centers and Universities: Stanford University; University of California, Berkeley; University of San Francisco; Santa Clara University; Ames Research Center; Center for AI Safety; California Institute for Regenerative Medicine

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account