Medicaid EDI Integration Analyst

Richmond, VA, US • Posted 3 hours ago • Updated 2 hours ago

Contract Corp To Corp

Contract W2

Contract Independent

On-site

Stellar Professionals LLC

Fitment

Dice Job Match Score™

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Job Details

Skills

SQL
Agile
Devops
SDLC
XML
MMIS
HIPAA
integration
testing
mapping
API
EDI
Batch
SFTP
X12
triage
MES
HTTPS
E2E
Conduent

Summary

We are seeking a senior-level Medicaid EDI Integration Analyst to lead the coordination of electronic data exchanges between complex healthcare systems. You will bridge the gap between technical vendors and business requirements, ensuring seamless data mapping, file transfers, and system integration.

Location: Richmond, VA (Hybrid)

Work Arrangement: 2 days on-site / 3 days remote (Hybrid)

Interview Process: Virtual (Teams) followed by a potential In-Person interview.

What You'll Do

Data Mapping & Integration: Analyze data structures and provide expert guidance on data mapping between various modules and trading partners.
Testing Leadership: Lead Interface, Trading Partner, and End-to-End (E2E) testing cycles.
Technical Troubleshooting: Manage file transfers via SFTP/HTTPS and oversee batch file processing.
Defect Management: Lead triage calls with multiple vendors to resolve system defects efficiently.
Liaison & Reporting: Serve as the primary contact between technical teams and business stakeholders, reporting metrics directly to leadership.

Required Qualifications

Experience: 8+ years of IT experience with a strong focus on EDI transactions and Interface Testing.
Healthcare Expertise: Deep knowledge of MMIS (Medicaid Management Information Systems) or large-scale healthcare claims processing systems.
Technical Skills: Proficiency in SFTP/HTTPS protocols, interface workflows, and the SDLC/Agile methodology.
Communication: Exceptional ability to lead vendor meetings, manage deadlines independently, and summarize complex technical outcomes for non-technical leaders.

Special Requirements

Local to Richmond, VA: Candidates must currently reside in (or be willing to relocate immediately to) the Richmond area to meet weekly on-site requirements.
Industry Preference: Previous experience with major healthcare processing vendors (e.g., Conduent) is highly 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: 91138038
Position Id: 2026-11263
Posted 3 hours ago

Company Info

About Stellar Professionals LLC

Stellar Professionals LLC stands out in the industry, offering a distinctive fusion of over 15 years of seasoned Staffing professionals and a vibrant community of over 150,000 LinkedIn followers. Our AGILE Staffing services are tailored to assist businesses in finding the ideal talent for their projects. In contrast, our Client Acquisition Services are focused on securing more public/private sector projects. Our disruptive approach to staffing and business consulting, encapsulated in our motto 'Agility and Excellence,' truly sets us apart. Contact us today to explore how we can transform your business. Stellar Professionals has a proven track record of success, offering comprehensive capabilities and profound industry knowledge to help you tackle your organization's most intricate issues.

Since our establishment, we have consistently broadened our client base, with a burgeoning roster of returning and new clients each year. This steady expansion is a testament to the value and caliber of our services, instilling unwavering confidence in our potential clients. Many remarkable people want to do something significant but different. With over 15 years of experience in the Talent Acquisition and Staffing industry, we found that Staffing agencies spend a lot of money on Business Development and recruitment activities with low ROI. Therefore, we at Stellar Professionals LLC develop an innovative, cost-effective solution to help you build great Business partnerships and increase revenue.

Stellar Professionals LLC is currently accepting resumes for a variety of positions. Please review the database of positions that we are seeking to fill and contact us for additional information about any specific opportunity.

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