Overview
Skills
Job Details
Role: EDI Analyst with EDIFECS
Location: Remote (EST/CST Only)
12+ Months
Must have:
8+ years of Business Analyst experience with at least 5+ years in
healthcare EDI.
Strong knowledge of HIPAA X12 transactions
(837/835/270/271/276/277/278).
Experience working with healthcare payers, providers, or
clearinghouses.
Familiarity with EDI tools/platforms like Edifecs, Foresight.
Responsibilities:
Work with business stakeholders, product owners, and technical
teams to gather and document requirements for EDI implementations.
Experience with Edifecs and other EDI Gateway platforms.
Analyze, define, and validate HIPAA X12 transactions (837, 835,
270/271, 276/277, 278, etc.).
Create and maintain BRDs, FRDs, user stories, process flows, and
use cases.
Collaborate with architects and developers to ensure proper
translation, mapping, and validation of EDI files.
Serve as liaison between business teams, trading partners, and
IT teams during onboarding and integration.
Support UAT planning and execution, including test case creation
and defect triage.
Ensure compliance with HIPAA, CMS, Medicaid, and Medicare
regulations.
Participate in Agile ceremonies (backlog grooming, sprint
planning, daily standups, retrospectives).
Provide operational and production support for EDI transaction
issues.
Required Skills & Experience:
8+ years of Business Analyst experience with at least 5+ years
in healthcare EDI.
Strong knowledge of HIPAA X12 transactions
(837/835/270/271/276/277/278).
Experience working with healthcare payers, providers, or
clearinghouses.
Familiarity with EDI tools/platforms like Edifecs, Foresight.
Strong analytical and documentation skills (BRD, FRD, user
stories, workflows).
Experience with SQL for data validation and analysis.
Excellent communication and stakeholder management skills.
Thanks
Yashasvi Hasija
Technical Recruiter | Empower Professionals
......................................................................................................................................
|
LinkedIn: linkedin.com/in/yashasvi-hasija-6a745625b
100 Franklin Square Drive Suite 104 | Somerset, NJ 08873
Certified NJ and NY Minority Business Enterprise (NMSDC)