Senior Backend Developer (Healthcare EDI) - Dot NET and Azure

Senior Backend Developer Healthcare EDI (.NET / Azure)

Location

Remote / Hybrid (as applicable)

Experience Level

Senior (7–10 years total experience)

Role Overview

Senior Backend Developer with deep Healthcare EDI expertise

You will work from predefined architectural specifications and collaborate closely with architects, DevOps, and product stakeholders to deliver production-grade healthcare integrations at scale.

Key Responsibilities

Eligibility & EDI Workflow Development

• Design and implement

  270 eligibility request generation

  and

  271 response processing

  workflows using Azure Functions
• Handle

  real-time and batch eligibility verification

  scenarios
• Implement robust

  EDI validation

  , payer-specific logic, and benefit coordination rules
• Debug and resolve EDI transaction failures using

  999 and TA1 acknowledgments

Azure Backend Engineering

• Build and maintain

  Azure Functions

  (HTTP triggers, timer triggers, Durable Functions for orchestration)
• Develop

  Azure Service Bus

  –based asynchronous processing pipelines, including:
• Queues and topics
  
• Retry logic
  
• Dead-letter queue handling
  
• Design and optimize

  Azure SQL Database

  schemas, queries, and stored procedures
• Use

  Azure Storage

  (Blob and Table) for file staging, auditing, and logging

Integration & API Development

• Integrate with

  Stedi Healthcare API

  for JSON X12 transformations
• Implement secure

  RESTful API integrations

  , including authentication, rate limiting, and error handling
• Orchestrate

  SFTP-based file transfers

  using Files.com, including polling, integrity checks, and secure transfer workflows
• Build webhook-driven and event-based async processing patterns
  

Security & Compliance

• Implement HIPAA-compliant

  PHI handling

  practices:
• Encryption at rest and in transit
  
• Access controls and managed identities
  
• Audit logging and monitoring
  
• Apply a

  security-first mindset

  to all healthcare data workflows

Quality, Collaboration & Delivery

• Write comprehensive

  unit tests and integration tests

• Participate in

  code reviews

  , technical documentation, and design discussions
• Collaborate with

  architecture and DevOps teams

  on CI/CD and deployment strategies
• Deliver clean, maintainable, and well-instrumented production code
  

Required Skills & Qualifications

Healthcare EDI (Mandatory)

• 3+ years of hands-on experience with X12 EDI 270/271 transactions

• Strong understanding of:
  
• Eligibility request/response patterns
  
• Payer-specific rules and nuances
  
• Benefit coordination
  
• Experience handling:
  
• AAA segments and rejection codes
  
• EDI error handling and retries
  
• Familiarity with

  834 enrollment files

  and member demographic correlation

Azure Development (Mandatory)

• 5+ years

  of professional software development experience

• 2+ years

  building production systems on Azure using:
• Azure Functions
  
• Azure Service Bus
  
• Azure SQL Database
  
• Azure Storage
  
• Experience with:
  
• Azure Key Vault
  
• Managed Identities
  
• Application Insights & Azure Monitor
  

Programming Languages

• C# (.NET 8+)

  – primary language

• T-SQL

  – complex queries, stored procedures, performance tuning

• Python

  (desirable) – data transformation and file parsing

• PowerShell / Bash

  – automation and deployment scripting

Integration & Architecture

• RESTful API integration best practices
  
• JSON schema validation and transformation
  
• Asynchronous and event-driven backend design
  

Desired / Nice-to-Have Skills

• Infrastructure as Code using

  Bicep or ARM templates

• CI/CD pipelines using

  Azure DevOps or GitHub Actions

• Redis Cache

  for rate limiting or session management
• Prior experience with

  Stedi Healthcare API

  or other EDI clearinghouse platforms
• Test-driven development using

  xUnit, NUnit, Moq

What Makes You a Strong Fit

• Ability to contribute to

  production code within 2 weeks

  of onboarding
• Proven experience debugging real-world

  EDI eligibility failures

• Strong understanding of

  member ID correlation challenges

  across payers and TPAs
• Experience building

  high-throughput async systems

  processing 10,000+ transactions per day
• Writes clean, maintainable, well-logged, and resilient backend code
  
• Thrives in fast-paced environments with clear architecture and autonomous execution
  

Experience Requirements

• 7–10 years

  total software development experience

• Minimum 3 years

  in healthcare EDI or clearinghouse operations

• Minimum 2 years

  delivering Azure PaaS–based production systems
• Demonstrated success building

  HIPAA-compliant healthcare platforms

Technical Environment

• Cloud Platform:

  Microsoft Azure (Functions, Service Bus, SQL Database, Container Apps)

• Primary Language:

  C# (.NET 8)

• EDI Partner:

  Stedi Healthcare API

• File Exchange:

  Files.com SFTP (static IP requirements)

• Monitoring:

  Application Insights, Azure Monitor

• Version Control:

  Git (Azure DevOps or GitHub)