Senior EDI Solutions Analyst

About the Role

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

Responsibilities

• Monitor daily EDI transaction processing and troubleshoot any issues
• Act as an implementation team resource for EDI mapping, validation, and testing
• Prepare and update program documentation and conduct audits for prior authorization transactions

Qualifications

• 5+ years of experience in the healthcare data environment, including eligibility, provider, and claims
• Expertise in EDI X12 ANSI 278 transactions and data mapping
• Experience with SQL and relational databases such as MySQL and MS SQL
• Proficiency in Microsoft Office Suite, including Word, Excel, and Visio
• Experience in EDI production support, maintenance, and testing