EDI Application Development Manager - remote

Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.

We’re proud to be recognized—again! For the fourth year in a row, we’ve been certified by Great Place to Work®, and for the third consecutive year, we’ve earned a spot on Fortune's Best Workplaces in Health Care™ list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive.

Watch this short video for a brief introduction to Paradigm.


We are seeking a full-time, remote EDI Application Development Manager. This position will plan, coordinate, and lead all activities related to application development with a specialization in EDI and partner integration engineering. This role owns the strategy, architecture, design, development, testing, deployment, and operations of EDI/B2B transactions, API-led integrations, and partner onboarding. The manager leads a blended team of employees and contractors, drives engineering standards, and ensures secure, compliant, and reliable data exchange across the enterprise. This position will be remote with limited office presence.

RESPONSIBILITIES:

Application Development
• Manage maintenance and support of existing systems and implementation of new systems as prioritized by IT leadership and PMO; track schedules, risks, resource plans, and status within Agile/Scrum.
• Define, implement, and measure best practices for design, development, code review, build/deploy, unit testing, automated testing, and release management; establish KPIs and SLAs to drive stability and usability.
• Own development and test environments; coordinate database and infrastructure needs to ensure scalability and performance; maintain environment landscape and release calendar.
• Lead the assessment and implementation of third-party controls; manage its inventories and implement a common library within the organization.

EDI & Partner Integration Engineering

• Manage development, maintenance, and modernization of EDI systems.
• Lead onboarding of trading partners; partner integrations, APIs, and supporting applications.
• Oversee EDI mapping, X12 transaction processing, XML/JSON transformations, and partner onboarding workflows.
• Architect, design, and oversee EDI/B2B integrations including mapping, translation, validation, and acknowledgments across X12, XML, JSON, and proprietary formats.
• Define connectivity (AS2, SFTP, MFT), security, and operational runbooks; ensure timely setup of agreements and certificates.
• Establish standards and reusable assets for core X12 transactions (e.g., 834, 837P/I, 835, 270/271, 276/277, 278, 999/997) and companion guide adherence.
• Direct the effective use of EDI platforms (e.g., Edifecs or equivalent), mapping tools, and scripting to automate transformations and error handling.
Integrate EDI with internal applications via APIs, Service Bus, X12, Custom interfaces; partner with solution/domain architects on integration patterns and data contracts.

Security, Risk, and Compliance

• Ensure compliance with enterprise security policies; safeguard credentials and certificates; enforce least privileged access and auditing.
• Implement data protection for PHI/PII and adhere to applicable regulations and contractual obligations, lead vendor risk assessments for integration platforms.

Leadership & Management

• Work closely with IT Management to ensure that Application Strategies and design align with business objectives and conform to best practices.
• Initiate and Identify opportunities for product usage, best practices, and creating an enterprise platform
• Supervise, mentor, and develop application and EDI engineers; provide continuous feedback, performance reviews, and growth plans.
• Coordinate cross-functional delivery with Product, Architecture, Security, QA, and Operations; communicate frequently and transparently with stakeholders.
• Manage budgets/forecasts; prioritize maintenance and enhancements; sponsor continuous improvement initiatives and DevOps/Agile maturity.
• Ensure frequent, timely, and accurate communication between team members and business users.
• Collect, analyze, and report SLA and KPI data (and take corrective actions as warranted) to drive application stability and usability
• Participate in on-call