Vinay K

EDI Integration Engineer @ Clover Health

About

EDI Integration Engineer | 4+ years owning high-volume, HIPAA-compliant B2B platforms in healthcare, retail & logistics.I own end-to-end EDI operations — partner onboarding, secure connectivity (AS2/SFTP/PGP/TLS), X12 mappings, production support (L2/L3), monitoring, RCA, and incident recovery — ensuring accurate, compliant transactions and strong SLAs.Core expertise:HIPAA X12 transactions: 837, 835, 834, 270/271, 276/277, 278 (5010 compliant)Tools: Edifecs (XEngine/SpecBuilder), Cleo CIC, IBM Sterling B2B Integrator/Gentran, ITX/WTXConnectivity & security: AS2, SFTP, PGP encryption, certificate managementIntegrations: SAP, Oracle, Dynamics 365, REST/SOAP APIsAutomation: Python/shell scripting, SQL reconciliation, Power BI dashboardsSupport: Incident management, root-cause analysis, proactive alerts/runbooksKey wins:Reduced partner onboarding time through automation/scripts/templates → improved transaction throughput ~35%Maintained high-availability platforms with zero major compliance issuesBuilt SQL validations to catch rejects/duplicates early → cut downstream errorsPassionate about scalable, audit-ready EDI ecosystems that keep critical partner traffic flowing.Open to senior EDI/B2B roles in healthcare or enterprise — let's connect if you're building resilient integration platforms.

Country

City

United States

Industry

Higher Education

Skill

X12, Electronic Data Interchange (EDI), Hipaa edi, Edifecs / Cleo CIC, ANSI X12 / HIPAA EDI (837/835/834 etc.), IBM Sterling B2B Integrator / Gentran, Production Support, sap idocs, REST APIs, Python (Programming Language), SQL, Gentran, retail edi, healthcare edi, Pretty Good Privacy (PGP), Secure File Transfer Protocol (SFTP), as2, trading partner boarding, B2B Integration, hipaa edi

Experience

EDI Integration Engineer

Clover Health

2024-2 - Present · 2 yrs 8 mos

San Antonio, TX

Own production EDI platform at Clover Health processing high-volume HIPAA X12 transactions (834/837/835/270-278) via Edifecs & Cleo CIC — 99%+ accuracy, zero HIPAA violations over 2 years. Led partner onboarding automation (scripts/templates) → reduced onboarding cycle time significantly and cut manual effort (add your exact: e.g., from 6 weeks to 2 weeks, enabled 10+ new partners). Deliver L2/L3 support & RCA for EDI incidents — restore SLAs rapidly (e.g., 95% within 4 hours), reduce repeat failures via alerts/runbooks. Engineered monitoring suite + runbooks → improved platform stability to 99.9% uptime, prevented repeat failures. Built SQL reconciliation & validation tools → detected 95%+ rejects/duplicates pre-production, reduced billing errors.

Electronic Data Interchange Specialist

International Benefits Administrators

2023-3 - 2023-12 · 10 mos

Garden City, NY

• Owned Sterling B2B Integrator for retail/healthcare partners — processed high-volume X12 (850/810/856/852/997) in production. • Built/maintained complex X12 mappings & workflows for order-to-cash/eligibility — supported seamless ERP integration. • Managed AS2 and SFTP connectivity, including certificate lifecycle, partner setup, and secure data exchange. • Automated GPM/BPM workflows to reduce manual handling and stabilize daily transaction processing. • Provided L2/L3 production support, troubleshooting failed transactions, duplicate documents, and missing acknowledgments. • Used SQL-based reporting to reconcile EDI output with ERP data and reduce billing and shipment errors.

Electronic Data Interchange Analyst

APL Logistics

2021-4 - 2022-12 · 1 yr 9 mos

Hyderabad

• Supported global EDI operations on Sterling Gentran for major retail/transport partners. • Built and maintained mappings across X12, XML, CSV, and flat-file formats for orders, shipments, and invoices. • Managed VAN and partner connectivity, routing, and message transformations across multiple formats. • Automated error detection/recovery with Python/shell scripts → reduced repeat failures and response times. • Built Power BI dashboards tracking EDI volumes, rejects, SLA performance. • Supported partner onboarding, testing, and go-live activities for new trading partners.