EDI 834 Functional Analyst

Hybrid in Albany, NY, US • Posted 9 hours ago • Updated 9 hours ago
Contract Independent
Contract Corp To Corp
Contract W2
12 Months
No Travel Required
On-site
$50 - $57/hr
Fitment

Dice Job Match Score™

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Job Details

Skills

  • EDI 834
  • HIPAA EDI standards
  • Integrated eligibility
  • enrollment
  • Electronic Data Interchange
  • System Integration Testing
  • ASC X12
  • Health Care
  • Interfaces
  • Mapping
  • HIPAA
  • Defect Analysis
  • Data Mapping
  • Issue Resolution
  • Documentation
  • 834 data mapping
  • validation
  • reconciliation
  • EDI 834 enrollment

Summary

Seeking an experienced EDI 834 Functional Analyst with strong knowledge of Healthcare Enrollment and Benefits processes. The candidate will analyze, map, and validate 834 Benefit Enrollment and Maintenance transactions, work with business and technical teams, and support EDI interfaces between health plans, employers, and government systems.

Key Responsibilities:

  • Analyze EDI 834 enrollment files, business requirements, and functional specifications.
  • Understand X12 834 segments, loops, data elements, qualifiers, and transaction structures.
  • Work on member enrollment, eligibility, adds/terms, changes, coverage, dependents, and plan information.
  • Perform 834 data mapping, validation, reconciliation, and defect analysis.
  • Coordinate with developers, QA, business users, and EDI teams for issue resolution.
  • Support SIT/UAT, production validation, and troubleshooting of enrollment/interface issues.
  • Prepare functional specifications, mapping documents, test scenarios, and process documentation.
  • Experience with HIPAA EDI standards, healthcare eligibility/enrollment, and X12 transactions is preferred.
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.
  • Dice Id: 91135579
  • Position Id: 9092135
  • Posted 9 hours ago
Contact the job poster
RS

Ranjit Singh

Recruiter @ Softratech LLC
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