Infinite Computer Solutions (ICS)
Infinite Computer Solutions (ICS)

Remote EDI Edifecs systems Analyst

Remote • Posted 30+ days ago • Updated 10 hours ago
Full Time
Remote
Depends on Experience
Fitment

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Job Details

Skills

  • ("EDI Analyst" or "EDI Lead" or "EDI Technical Lead" or Edifecs Analyst")
  • EDI
  • Edifecs
  • Claims
  • (X12)
  • (Health or Healthcare)
  • (SpecBuilder or Spec Builder)

Summary

Required Technical Expertise:

  • Extensive hands-on experience with Healthcare EDI (X12N) standards, including deep understanding of transaction structures, segment loops, code sets, and compliance rules that govern HIPAA-mandated EDI exchanges.
  • Indepth knowledge of HIPAA/EDI X12 5010 transactions, including but not limited to:
    270/271, 276/277, 277CA, 820, 834, 835, 837 (I/P/D), and 999.
  • Resource should have 9+ Years of experience
  • Proven ability to interpret, validate, and troubleshoot EDI files end-to-end — including envelope structures, ISA/GS segments, ST/SE loops, and companion guide variations.
  • Expert-level understanding of EDI concepts, practices, and workflows within the healthcare ecosystem (enrollment, eligibility, claims, remittance, prior authorization, premium billing, etc.).
  • Hands-on troubleshooting experience with EDI file processing flows, including identifying translation errors, mapping issues, partner-specific formatting discrepancies, and system integration failures.
  • Experience with the Edifecs platform, including:
    • SpecBuilder (creating and maintaining implementation guides)
    • Edifecs Mapper (map development and debugging)
    • XEngine / XEServer (validation, translation, and processing rules)
    • TPM (trading partner configuration)
  • Ability to debug processing logs, analyze error codes, and tune validation rules.
  • Proficiency in SQL for data validation, root-cause analysis, and troubleshooting upstream/downstream system issues.
  • Exposure with QNXT preferred, including understanding of core modules such as claims, enrollment, provider, and benefits configuration.
  • Familiarity with integration patterns such as SFTP, API-based data exchange, batch processing, and ETL workflows.
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: 10199915
  • Position Id: 8860649
  • Posted 30+ days ago
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