Senior Healthcare Integration Engineer

Dahl Consulting is a healthcare services organization seeking a Senior Healthcare EDI & Integration Engineer. This role is responsible for leading healthcare data integrations, ensuring the reliability, security, and performance of EDI and API-based data flows that support claims, eligibility, enrollment, and reporting.

Responsibilities:

• Lead the assessment, planning, and execution of healthcare EDI implementations, including transactions such as 834, 835, 837, 270/271, and 276/277
• Gather, analyze, and document technical and business requirements in collaboration with internal stakeholders, clients, and vendors
• Develop and maintain standards-based interface specifications and implement data interfaces in accordance with business objectives
• Interpret EDI mapping guides, manage partner communications, and produce operational and technical documentation
• Publish and maintain FHIR APIs to support modern interoperability requirements
• Perform monthly member eligibility audits comparing inbound enrollment files to system data and report findings to leadership
• Serve as primary technical owner of claims and eligibility platforms, including file ingestion, transformation, and delivery pipelines
• Manage user access, security permissions, and system configurations in accordance with compliance and security policies
• Coordinate operating system patching, updates, and security hardening
• Monitor and manage daily processing of eligibility, claims, and provider files to ensure accuracy and timeliness
• Partner with infrastructure teams to ensure system availability, performance, and scalability
• Design, develop, and maintain automation scripts to support claims processing, eligibility workflows, and client-specific integrations
• Identify opportunities to reduce manual effort through automation and process optimization
• Lead technical onboarding for new clients, including SFTP configuration, file validation, test file processing, and automation setup
• Coordinate testing activities in lower environments and maintain test data
• Collaborate with client technical teams to ensure secure data exchange protocols
• Act as the primary technical contact for clearinghouses and technology vendors
• Troubleshoot issues across production and non-production environments
• Work closely with internal claims, operations, finance, and leadership teams to support audits, reporting, and issue resolution
• Monitor system health, alerts, and file transmissions to ensure uninterrupted operations
• Manage inbound and outbound EDI jobs, encryptions, transfers, and conversions
• Troubleshoot EDI, API, and file transfer issues and manage support tickets to resolution
• Maintain and test SFTP connections
• Support SOC, HIPAA, and internal audits by providing technical evidence and documentation
• Ensure compliance with HIPAA, data security standards, and internal IT policies
• Develop and maintain comprehensive technical documentation covering architecture, data flows, and client-specific integrations
• Partner with IT leadership to develop and maintain disaster recovery procedures
• Participate in regular disaster recovery testing and document recovery steps for critical systems

Requirements:

• 4+ years of experience in IT operations, systems engineering, or integration engineering
• 2+ years of hands-on healthcare EDI experience within a payer, TPA, or healthcare services organization
• 2+ years supporting application platforms in a production environment
• Expertise with EDI transactions, including: 837 (Claims), 835 (Remittance Advice), 834 (Enrollment), 270/271 (Eligibility), 276/277 and 999 (Claim Status and Acknowledgments)
• 2+ years of experience working with AWS infrastructure, including S3, Transfer Family, Lambda, and SFTP configurations
• Experience managing and publishing FHIR APIs with a strong understanding of FHIR standards and profiles
• Experience developing or supporting RESTful APIs using languages such as Python, Java, or .NET
• Proficiency in scripting and automation using languages such as Python, PowerShell, or Bash
• Experience with secure file transfer protocols and healthcare data exchange standards
• Familiarity with healthcare clearinghouses and claims staging processes
• Working knowledge of Windows and Linux operating systems
• Strong troubleshooting, analytical, and problem-solving skills
• Excellent written and verbal communication skills, including the ability to explain technical concepts to non-technical stakeholders
• Knowledge of HIPAA regulations and secure handling of protected health information (PHI)
• Ability to manage multiple priorities with limited direction
• Experience supporting healthcare payer or third-party administrator systems
• Experience supporting SOC, HIPAA, or internal IT audits
• Familiarity with claims adjudication workflows and benefits administration platforms
• Experience collaborating closely with external vendors and client technical teams