Sr. Healthcare Integration Engineer (Remote)

Job Number:

26-00172

Location:

Remote

Onsite Flexibility:

Remote

Job Description

We’re looking for a Senior Healthcare Integration Engineer for a remote role.

Skills & Qualifications:

  • 4–7 years of experience in IT operations or systems engineering
  • 2+ years of experience supporting an application platform
  • 2+ years of EDI technical support experience within healthcare payer organization or TPA
  • 2+ years of experience in AWS infrastructure
  • Demonstrated experience and knowledge with SFTP connections and AWS lambda functions and folder structures plus S3 and Transfer Family
  • Expert in all EDI file formats:
    • 837: Health Care Claim
    • 835: Health Care Claim Payment/Advice
    • 270/271: Eligibility Inquiry and Response
    • 999 and 276/277: Claims Status Inquiry and Response
    • 834: Benefit Enrollment and Maintenance
  • Strong experience writing and troubleshooting complex SQL
  • Proficiency in scripting languages (e.g., Python, PowerShell, Bash) and automation tools
  • Experience with file transfer protocols, and secure data exchange
  • Familiarity with claims clearinghouses (e.g., Waystar) and staging processes
  • Knowledgeable across a broad set of infrastructure platforms (commodity hardware, Windows OS, Linux OS, etc.)
  • Understanding of different file feeds and data exchanges with business customers and/or partners

Key Responsibilities:

  • Assess, plan, and execute new business implementation and integration projects concerning EDI transactions, including but not limited to 834, 835, 837, 270/271, 276/277
  • Manage and monitor daily processing of healthcare claims, eligibility and provider files (e.g., 834, 837, 835, 270/271, and 276/277), ensuring timely intake, validation, and staging for downstream processing
  • Facilitate comprehensive discussions with vendors and internal stakeholders to gather, analyze, and document detailed requirements for EDI and encounter implementations
  • Work with customers’ technical team to create detailed technical standards-based data interface specifications ensuring customer’s technical team can effectively implement the interface to satisfy business objectives
  • Understand EDI mapping documents, manage communication with partners and assist in producing operational documents
  • Manage user access and permissions in alignment with security and compliance requirements
  • Coordinate OS updates, patches, and security hardening to servers following internal IT policies
  • Configure and maintain scheduled jobs, background services, and automated tasks required for internal system operations
  • Serve as the primary technical owner of the claims system, including file ingestion, transformation, delivery pipelines, exports, conversions, encryptions and transfers
  • Develop, maintain, and enhance in-house automation scripts to support claims workflows, eligibility processing, and client-specific integrations
  • Lead technical onboarding for new clients, including AWS SFTP setup, EDI, file format validation, test file processing, and automation configuration
  • Act as the primary point of contact for external vendors (e.g., clearinghouses) to resolve file transmission, data issues or system integration issues

Education/Certifications:

  • Bachelor's degree in relevant technology field

The salary range for this position is $75,000 – $100,000.

TM Floyd & Company is an equal opportunity employer and values diversity. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability.

We offer a generous array of benefits, depending on the length of assignment. We also offer a referral bonus of up to $1,000. Ask us for more details!

TM Floyd & Company participates in E-VERIFY.
AAP, EEO

Job Application