EDI Solutions Analyst

Job Summary

A company is looking for an EDI Solutions Analyst to manage EDI integrations in the healthcare industry.

Key Responsibilities:

• Monitor daily EDI transaction processing and troubleshoot any issues
• Serve as an implementation team resource for EDI validation and testing
• Prepare and update program documentation and conduct data analysis for prior authorizations and claims

Required Qualifications:

• 2+ years of experience in the healthcare data environment (eligibility, provider, claims)
• 2+ years of experience with data mapping and workflow documentation
• Experience with EDI 278 production support and maintenance, including transaction editing
• Proficiency in SQL and experience with relational databases
• Healthcare EDI transaction knowledge and specific expertise in EDI X12 ANSI 278 transactions