Senior Healthcare Integration Engineer

Job#: 3037627

Role Overview

We are seeking a professional with strong communication skills and deep experience in healthcare EDI, claims platform administration, scripting, automation, AWS infrastructure, and SQL. This role involves migrating to a new claims system, deploying it into AWS, and supporting production environments. The ideal candidate is self-sufficient, an excellent communicator, and capable of collaborating with internal teams, external customers, stakeholders, and vendors.

Location: Fully Remote, EST or Central hours.

Pay rate: $60-70/hr (depending on years of experience).

Key Responsibilities

• Assess, plan, and execute new business implementation and integration projects for EDI transactions (834, 835, 837, 270/271, 276/277).
• Manage and monitor the daily processing of healthcare claims, eligibility, and provider files, ensuring timely intake and validation.
• Serve as the primary technical owner of the claims system, including file ingestion, transformation, delivery pipelines, and transfers.
• Develop, maintain, and enhance in-house automation scripts to support claims workflows and eligibility processing.
• Lead technical onboarding for new clients, including AWS SFTP setup, EDI validation, and test file processing.
• Act as the primary point of contact for external vendors to resolve file transmission, data, or system integration issues.
• Support audit readiness by providing technical evidence related to claims systems, file processing, and automation workflows.
• Develop and maintain technical documentation for architecture, data flows, and system details.

Required Qualifications

• 4-7 years of experience in IT operations or systems engineering.
• 2+ years of recent experience in healthcare EDI, with the ability to read, configure, implement, and test file structures (834, 835, 837).
• 2+ years of experience in AWS infrastructure, including hands-on work with Lambda, SFTP, S3, and Transfer Family.
• 2+ years of experience supporting an application platform, including administration, troubleshooting, monitoring, and access management.
• Strong experience writing and running advanced SQL queries, particularly with MS SQL.
• Proficiency in scripting languages (e.g., Python, PowerShell, Bash) for automation.
• Excellent communication skills for collaborating with technical and non-technical staff, customers, and vendors.

Preferred Qualifications

• ETL experience using AWS tools such as Data Brew or Glue.
• Python scripting experience.
• Experience developing RESTful APIs.
• Familiarity with claims clearinghouses (e.g., Waystar).
• Experience managing and publishing FHIR APIs.
• A Bachelor's degree in a relevant technology field is preferred.

About Everforth Apex

Everforth Apex is a world-class IT services company that serves thousands of clients across the globe. When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package.

Everforth Apex Systems is an equal opportunity employer.