Point C is a National third-party administrator (TPA) with local market presence that delivers customized self-funded benefit programs. Our commitment and partnership means thinking beyond the typical solutions in the market – to do more for clients – and take them beyond the standard “Point A to Point B.” We have researched the most effective cost containment strategies and are driving down the cost of plans with innovative solutions such as, network and payment integrity, pharmacy benefits and care management. There are many companies with a mission. We are a mission with a company.
Point C is seeking an experienced Senior EDI Engineer to lead the design, implementation, and optimization of complex healthcare EDI solutions. This role will take ownership of high-impact projects, mentor junior team members, and collaborate directly with clients, trading partners, and internal stakeholders to ensure seamless, secure, and compliant healthcare data exchange.
Primary Responsibilities
Lead implementation and configuration of EDI solutions for healthcare transactions (837, 834, 835, 278)
Design and maintain eligibility feed processes and trading partner connections
Interpret and apply X12 documentation and standards to ensure compliance
Architect and oversee EDI mapping, transformation, and automation solutions
Develop advanced tools and workflows using JavaScript, C#, and SQL Server
Mentor junior developers, review code, and provide technical guidance
Troubleshoot complex transmission, mapping, and integration issues
Drive process improvements for scalability, security, and performance
Qualifications
5+ years of experience with healthcare EDI and X12 transaction sets, including insurance workflows, claims processing, and eligibility systems
Strong development skills in JavaScript, C#, and SQL, with expertise in EDI mapping, transformation, and integration best practices
Experience with version control systems (Git), CI/CD processes, and leading EDI implementation projects from design to go-live
Solid knowledge of HIPAA compliance and healthcare data security standards
Experience with ETL tools, APIs, and EDI translation software (preferred)
Familiarity with additional programming languages such as Python or PowerShell (preferred)
Background in regulated industries and enterprise-scale systems (preferred)
Bachelor’s degree in Computer Science, IT, or related field, or equivalent experience (preferred)
Individual compensation will be commensurate with the candidate's experience and qualifications. Certain roles may be eligible for additional compensation, including bonuses, and merit increases. Additionally, certain roles have the opportunity to receive sales commissions that are based on the terms of the sales commission plan applicable to the role.
- Comprehensive medical, dental, vision, and life insurance coverage
- 401(k) retirement plan with employer match
- Health Savings Account (HSA) & Flexible Spending Accounts (FSAs)
- Paid time off (PTO) and disability leave
- Employee Assistance Program (EAP)
Equal Employment Opportunity: At Point C Health, we know we are better together. We value, respect, and protect the uniqueness each of us brings. Innovation flourishes by including all voices and makes our business—and our society—stronger. Point C Health is an equal opportunity employer and we are committed to providing equal opportunity in all of our employment practices, including selection, hiring, performance management, promotion, transfer, compensation, benefits, education, training, social, and recreational activities to all persons regardless of race, religious creed, color, national origin, ancestry, physical disability, mental disability, genetic information, pregnancy, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, and military and veteran status, or any other protected status protected by local, state or federal law.
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