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L4 – Team Lead – Electronic Data Interchange Specialist – THE ARCHITECT

Actively Reviewing

Wonder Worth Solutions

Vellore Full-Time 4–8 yrs exp Posted 10 hours ago · Apply by Sep 14, 2026

Job Description

The Role

EDI is the invisible infrastructure of healthcare billing. As The Architect, you will manage trading partner onboarding, data mapping, HIPAA/ANSI X12 compliance, real-time transmission monitoring, error resolution, integrations, and automation improvements.
You identify silent failures before they impact operations and ensure claims, eligibility checks, and remittance transactions move accurately and seamlessly across every payer connection.

What You Will Own – Your Responsibilities

Trading Partner Onboarding — Configure mappings, validate formats, and ensure HIPAA/ANSI X12 compliance
EDI Error Handling — Monitor real-time transmissions, identify root causes, and document resolutions
Data Mapping & Integration — Maintain accurate system and payer data mappings
Performance Monitoring — Track transaction success rates, error trends, and transmission health
Regulatory Compliance — Ensure adherence to HIPAA/ANSI X12 and payer standards
Automation Improvement — Reduce manual EDI tasks through workflow automation

Non-Negotiable Metric

EDI TRANSACTION ACCURACY RATE
TARGET: ≥ 99%
Percentage of EDI transactions processed successfully without transmission or mapping errors across all trading partners monthly.

The Fight: What You will Fight:

No one sees the failure until claims stop moving – Your responsibility is to see it first.

WHO THRIVES HERE : Three Traits We Cannot Teach

System Thinking — Identify root configuration issues and prevent recurring failures
Precision in Format — Ensure accurate EDI mappings and error-free transmissions
Calm Under Pressure — Resolve EDI failures with structured troubleshooting and clear root-cause analysis

The Wws Perks

Qualifications

Experience: 3+ years of experience in healthcare transactions, data mapping or documentation work with team leadership.
Education: Bachelor’s degree in any discipline.
Technical Understanding: Strong understanding of EDI workflows, HIPAA/ANSI X12 standards, and healthcare transaction systems.
Leadership Skills: Experience in handling teams, driving operational performance, and managing issue escalations.
Analytical Skills: Strong troubleshooting and root-cause analysis abilities.
Communication: Effective coordination with internal teams, payers, clients, and stakeholders.
Documentation: Proficient in maintaining clear, structured, and audit-ready documentation.