Overview
Remote
On Site
Contract - W2
Contract - Independent
Skills
SAP BASIS
Pivotal
Data Integration
System Integration
Mapping
Testing
Regulatory Compliance
Operational Efficiency
Specification Gathering
Data Integrity
Health Care
Workflow
Management
Communication
Collaboration
Problem Solving
Conflict Resolution
Attention To Detail
Healthcare Information Technology
Electronic Data Interchange
Finance
Accounting
Marketing
Legal
Customer Support
Online Training
Artificial Intelligence
Insurance
.NET
Job Details
Description
We are looking for an experienced EDI Analyst to join our team on a long-term contract basis. In this role, you will play a pivotal part in implementing and managing Electronic Data Interchange (EDI) processes for a healthcare claims adjudication system. This position is based in Dublin, Ohio, and offers the opportunity to contribute significantly to healthcare data integration and operations.
Responsibilities:
Lead the implementation and coordination of EDI processes for healthcare claims adjudication systems.
Manage and integrate EDI transaction sets, including 837 (Claims) and 835 (Remittance Advice), ensuring compliance with healthcare standards.
Collaborate with stakeholders, vendors, and payers to ensure seamless system integration and data accuracy.
Develop and execute detailed implementation plans, including mapping, testing, validation, and system go-live processes.
Troubleshoot technical issues, optimize configurations, and maintain compliance with EDI regulations.
Provide ongoing support and improvements to the EDI system, ensuring operational efficiency.
Analyze and document technical specifications and workflows to streamline integration processes.
Monitor data transactions and address discrepancies to maintain data integrity.
Coordinate with cross-functional teams to align EDI processes with broader organizational objectives.
Requirements
Extensive experience in leading EDI implementations, particularly in healthcare claims adjudication systems.
In-depth knowledge of EDI formats, including 837 (Institutional), 835, and related transaction sets.
Strong understanding of healthcare claims processing and adjudication workflows.
Proven ability to work independently and manage project timelines effectively.
Excellent communication skills and the ability to collaborate across teams.
Strong problem-solving capabilities and attention to detail.
Familiarity with healthcare IT standards and regulations.
Experience with integrating EDI systems into enterprise platforms such as CRMs, ERPs, or claim engines.
Technology Doesn't Change the World, People Do.
Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app and get 1-tap apply, notifications of AI-matched jobs, and much more.
All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use.
We are looking for an experienced EDI Analyst to join our team on a long-term contract basis. In this role, you will play a pivotal part in implementing and managing Electronic Data Interchange (EDI) processes for a healthcare claims adjudication system. This position is based in Dublin, Ohio, and offers the opportunity to contribute significantly to healthcare data integration and operations.
Responsibilities:
Lead the implementation and coordination of EDI processes for healthcare claims adjudication systems.
Manage and integrate EDI transaction sets, including 837 (Claims) and 835 (Remittance Advice), ensuring compliance with healthcare standards.
Collaborate with stakeholders, vendors, and payers to ensure seamless system integration and data accuracy.
Develop and execute detailed implementation plans, including mapping, testing, validation, and system go-live processes.
Troubleshoot technical issues, optimize configurations, and maintain compliance with EDI regulations.
Provide ongoing support and improvements to the EDI system, ensuring operational efficiency.
Analyze and document technical specifications and workflows to streamline integration processes.
Monitor data transactions and address discrepancies to maintain data integrity.
Coordinate with cross-functional teams to align EDI processes with broader organizational objectives.
Requirements
Extensive experience in leading EDI implementations, particularly in healthcare claims adjudication systems.
In-depth knowledge of EDI formats, including 837 (Institutional), 835, and related transaction sets.
Strong understanding of healthcare claims processing and adjudication workflows.
Proven ability to work independently and manage project timelines effectively.
Excellent communication skills and the ability to collaborate across teams.
Strong problem-solving capabilities and attention to detail.
Familiarity with healthcare IT standards and regulations.
Experience with integrating EDI systems into enterprise platforms such as CRMs, ERPs, or claim engines.
Technology Doesn't Change the World, People Do.
Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app and get 1-tap apply, notifications of AI-matched jobs, and much more.
All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use.
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.