EDI Solutions Analyst

Job Summary

Working remotely, the full-time EDI Solutions Analyst will manage end-to-end trading partner integrations for EDI 278 transactions in the healthcare industry, ensuring seamless technical integration between the Medical Management system and various Claims systems.

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 healthcare data environments, including eligibility and claims
• Expertise in EDI X12 ANSI 278 transactions and production support
• Experience with SQL and relational databases
• Proficiency in Microsoft Office Suite, including Excel and Visio
• Ability to manage multiple tasks in a fast-paced environment