EDI Analyst/Transaction Specialist
Location: Remote
Description:
Seeking a highly motivated and self-directed EDI Analyst/Transaction Specialist to join our team supporting Veterans. The EDI Analyst owns functional EDI workflows, partner requirements, and data validation rules. This role ensures accurate transaction processing and supports business operations. This is a 100% Remote role.
Job Responsibilities:
Interpret and troubleshoot transaction sets: 270/271, 276/277, 278, 820, 834, 835, 837, 999/277CA.
Analyze SNIP compliance, companion guides, and partner?specific validation rules.
Document mapping/logical requirements for new partners and integration changes.
Partner with business stakeholders for issue resolution and operational impact assessments.
Support audit/compliance reviews and maintain data quality guardrails.
Collaborate with EDI Analysts, DevSecOps Engineers, cloud teams, and business teams.
Required Skills:
Minimum 8 years of Edifecs product experience in EDI, healthcare, or enterprise application operations.
Minimum 8 years EDI/HIPAA experience.
Strong understanding of payer/provider workflows.
Ability to interpret loops/segments/element?level errors.
Familiarity with Edifecs Transaction Management or equivalent tools.
Excellent communication and stakeholder engagement skills
Strong Proficiency in X12 / HIPAA EDI Transactions structure, rules, and field-level details of the full 270/271, 276/277, 278, 820, 834, 835, 837, 999/277CA.
Strong understanding of EDI X12 Loop/segment/element interpretation, SNIP validations (Levels 1-7), companion guide interpretation, and error analysis at segment or element level.
Experience with interpreting Edifecs XEngine validation results, understand processing rules and transaction profiles.
Experience working with SpecBuilder maps and implementation guides.
Able to identify issues sourced from Edifecs routes, profiles, or rulesets.
Able to interpret Edifecs logs and error codes (functional layer, not platform admin level).
Proficient with identifying root causes of transaction errors, resolving mapping mismatches, troubleshooting rejections from payers or state systems, and reviewing parsed EDI structures stored in SQL databases.
Able to understand inbound/outbound workflow architecture
Work with integration specialists on AS2, SFTP, HTTPS flows.
Validate data sent to/received from non-X12 partners.
Identify issues introduced by middleware layers or APIs.
Query SQL for transaction details.
Validate payloads, timestamps, statuses, and error flags.
Reconcile mismatches between raw EDI and stored data.
Strong ability to communicate technical architecture decisions and trade-offs to non-technical stakeholders.
Experience gathering and translating business reporting requirements into technical data models.
Comfortable driving ambiguous architecture decisions to resolution with limited direction.
Experience with agile methodologies (Scrum, Kanban) and JIRA.
Strong documentation habits with creating transaction flow documentation, error trend reports, escalations, and updating SOPs and partner reference guides.
Must be able to obtain and maintain a Public Trust Security clearance.
Desired Skills and Experience:
Knowledge of HIPAA compliance requirements in cloud data architecture
Experience with healthcare payer/PBM systems, clearinghouses, or pharmacy operations.
AWS certification is a bonus.
Education and Experience:
Bachelor's or Master's degree in computer science, engineering, or a related technical discipline required; equivalent practical experience considered
Minimum 8 years of Edifecs product experience in EDI, healthcare, or enterprise application operations.
Minimum 8 years EDI/HIPAA experience.
Edifecs certification.
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About HigherEchelon, Inc.
HigherEchelon, Inc. (HE) is a service-disabled veteran-owned small business (SDVOSB) organizational performance consulting firm with offerings in Engineering, Gaming, Human Capital, Enterprise Technology and Cyber Solutions. HigherEchelon aims to be the premier trusted partner in organizational excellence and achieves this through sustained investment in talent and the employee experience. HigherEchelon puts the employee first to better serve customer needs and sustain excellence.
HigherEchelon offers competitive full-time benefits including paid vacation and holidays, 401(k) matching, full health/dental/vision coverage, plus much more. For on-site and remote employees, flexible work schedules are offered when authorized.
By joining our team, you are choosing to embark on a journey towards excellence as a valued team member and trusted partner. We appreciate your inquiry and look forward to discussing the opportunity further.
EOE/Minorities/Females/Veterans/Disabled:
HigherEchelon, Inc. is an Equal Employment Opportunity employer and provides reasonable accommodation for qualified individuals with disabilities and disabled veterans in its job application procedures.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, citizenship, ancestry, marital status, protected veteran status, disability status or any other status protected by federal, state, or local law. HigherEchelon, Inc. participates in E-Verify.
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: 90832636
- Position Id: 006Qr00000osKwDIAU
- Posted 7 days ago
