Ajoy Das
Assam
Summary
EDI Developer with around 9 years of experience in healthcare integration projects, specializing in EDI mapping, system enhancements, and production support. Experienced in managing multiple projects, resolving complex integration challenges, and delivering high-quality solutions that meet business and client requirements.
Overview
9
9
years of professional experience
Work History
Senior Implementation Consultant
Cotiviti
Mohali - Remote
09.2025 - Current
- Worked on Molina kps- Michigan and Texas healthcare EDI implementation projects.
- Onboarded and configured Edifecs products, including MI & TX Content Packs. Configured Trading Partner Management (TPM), Pass-Through, and Non-Pass-Through transaction processing.
- Developed custom Java rules, and data enrichment solutions for Ecf files, 837 transactions.
- Built and maintained profiles in EAM, routes, and file-processing workflows for inbound and outbound EDI transactions.
- Performed history data loads, SpecBuilder maps and guidelines updates, and workflow enhancements based on client requirements.
- Troubleshot EM transaction processing, routing, and mapping issues, performing root cause analysis and implementing fixes.
- Collaborated with cross-functional teams to deliver HIPAA-compliant EDI solutions and successful client implementations.
IT Analyst
Tata Consultancy Services
Delhi
12.2024 - 08.2025
- Lead offshore team for the successful delivery of Cigna project, managing resources, timelines, and team performance.
- Expertise in Edifecs tools: XEngine, XEServers, EAM, TM, EM, SpecBuilder for EDI data integration and management.
- Onboard new partners, create profiles, routes for ensuring seamless integration and data compatibility across systems.
- Work with multiple file formats (X12, JSON, XML) for data transformation and integration.
- Coordinate with cross-functional teams, providing project updates, and troubleshooting technical issues.
- Maintain comprehensive documentation and deliver regular status reports on project milestones and KPIs.
Senior Implementation Consultant
Edifecs Technologies Pvt Ltd
Mohali
12.2022 - 11.2024
- I specialized in optimizing healthcare outcomes, reducing costs, and fostering innovation.
- My role encompassed building maps using SpecBuilder for data translation, managing Claims (837) processing in Encounter Management and deploying Knowledge Packs (KPs).
- Developing Java-based rules, and handling database management.
- Additionally, I configured servers and routes in Encounter Adapter Module (EAM).
- Processed CSV and X12 files, ensured HIPAA compliance, and provided technical support for EDI-related issues to clients and internal teams.
- A leading healthcare technology company
Application Developer
Infosys Ltd
Pune
10.2017 - 12.2022
- Experienced in coding, testing, reviewing, and delivering flawless transaction systems for clients.
- Proficient in automating tasks and activities through script development, enhancing efficiency.
- Skilled in EDI technologies, including WTX tool and Sterling B2B Integrator, with expertise in file transfer protocols like FTP, SFTP, and AS2.
- Successfully onboarded new trading partners, managed product migrations, and conducted installations using Edi WTX technologies and Sterling File Gateway.
- Well-versed in EDI HIPAA transactions such as X12 (834, 837), flat files, and XML, and proficient in tools like Lightwell, B2B Rest APIs, and Tumbleweed.
- Handled client calls for major production defects and real-time issues, and served as the Kanban Master in the team.
Education
BSC - Computer science
SRM university
Chennai05.2017
Skills
- EDI
- EDIFECS
- HEALTHCARE
- LINUX
- SQL
- JAVA
- GIT
- JIRA
- CLAIMS
- 837
- 834
- 999
- 277CA
- 835
- CSV
- JSON
- XML
Accomplishments
CEO Values Award, 2023, Customer Centricity
Languages
- English
- Hindi
- Assamese
- Tamil
Hobbies and Interests
- Cooking
- Music
- Travelling
- Badminton
Timeline
Senior Implementation Consultant
Cotiviti
09.2025 - Current
IT Analyst
Tata Consultancy Services
12.2024 - 08.2025
Senior Implementation Consultant
Edifecs Technologies Pvt Ltd
12.2022 - 11.2024
Application Developer
Infosys Ltd
10.2017 - 12.2022
BSC - Computer science
SRM university