CT
EDI Developer (Healthcare / NEMT)
full-time
About this role
The EDI Developer will be responsible for designing, building, maintaining, and supporting healthcare EDI integrations across multiple transaction types. This role requires strong .NET expertise, hands-on experience with EdiFabric, and a deep understanding of healthcare claims workflows, payer companion guides, and real-world EDI behavior.
Experience with Non-Emergency Medical Transportation (NEMT) is a significant advantage, as many integrations involve transportation-specific billing logic, modifiers, and state Medicaid requirements.
Key Responsibilities
- Design, implement, and maintain healthcare EDI pipelines using .NET and EdiFabric
- Parse, validate, generate, and troubleshoot EDI transactions, including:
- 834 – Eligibility / Enrollment
- 837 (P / I / D) – Healthcare Claims
- 835 – Remittance Advice
- 270/271, 999, 277CA
- Interpret and implement payer-specific companion guides
- Manage end-to-end claims workflows:
- Intake, validation, and submission
- Acknowledgments (999, 277CA)
- Remittance processing and posting (835)
- Error handling, corrections, and resubmissions
- Build and maintain robust logging, auditing, and reconciliation processes
- Collaborate with product, operations, and external partners (health plans and transportation providers)
- Ensure HIPAA-compliant data handling and monitoring
- Contribute to and operate within a microservices-based architecture
Required Qualifications
- 5+ years of healthcare EDI development experience
- Strong proficiency in C# / .NET
- Hands-on production experience with EdiFabric
- Deep understanding of healthcare EDI standards and workflows:
- X12 structure, loops, segments, and qualifiers
- Claims lifecycle and remittance processing
- Proven experience implementing payer companion guides
- Strong troubleshooting skills for real-world EDI issues (payer rejections, inconsistencies, edge cases)
- Solid understanding of HIPAA and secure data handling practices
Strongly Preferred / Nice to Have
- NEMT industry experience (major plus)
- Experience with Medicaid and managed care plans
- Hands-on experience with:
- Docker
- Docker Compose
- Kubernetes
- Familiarity with:
- GitHub
- GitHub Actions (CI/CD pipelines)
- Exposure to microservices architectures
- Familiarity with Protobuf / gRPC
- Experience deploying and operating backend services in cloud environments
What We’re Looking For
We are not looking for a generic backend developer with light EDI exposure. This role requires someone who:
- Understands how healthcare claims actually flow end-to-end
- Can read and implement companion guides without hand-holding
- Has dealt with inconsistent payer behavior in production
- Is comfortable owning EDI workflows from ingestion through reconciliation
Why MediDrive
- Work on real, high-volume healthcare and Medicaid integrations
- Senior-level ownership and autonomy
- Modern, containerized architecture
- Remote-friendly environment
Opportunity to shape the EDI foundation of a growing NEMT platform
What you'll do
- The EDI Developer will design, implement, and maintain healthcare EDI pipelines using .NET and EdiFabric, focusing on parsing, validating, and troubleshooting transactions like 837, 835, and 834. Responsibilities also include managing end-to-end claims workflows, implementing payer companion guides, and ensuring HIPAA compliance.
About Corporate Transportation Group
CTG pushes the boundaries of passenger ground transportation. We run dedicated microtransit operations, manage broker programs, coordinate corporate travel, and deliver NEMT medical transportation—powered by modern tech that streamlines workflows and elevates the experience for riders and drivers. With 30+ years of hands-on operations and a broad U.S. footprint, we combine deep industry expertise with cutting-edge solutions to deliver reliable, accessible, and scalable mobility for organizations and communities. For customers, that means consistent quality and accountability; for talent, it’s a place where transportation pros and technologists solve meaningful problems and grow their careers.
Ready to join Corporate Transportation Group?
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Frequently Asked Questions
What does a EDI Developer (Healthcare / NEMT) do at Corporate Transportation Group?
As a EDI Developer (Healthcare / NEMT) at Corporate Transportation Group, you will: the EDI Developer will design, implement, and maintain healthcare EDI pipelines using .NET and EdiFabric, focusing on parsing, validating, and troubleshooting transactions like 837, 835, and 834. Responsibilities also include managing end-to-end claims workflows, implementing payer companion guides, and ensuring HIPAA compliance..
How do I apply for the EDI Developer (Healthcare / NEMT) position at Corporate Transportation Group?
You can apply for the EDI Developer (Healthcare / NEMT) position at Corporate Transportation Groupdirectly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process.