edi analyst

SKYGEN

<div><p><b>What are important things that YOU need to know about this role?
</b></p><p><b><i>Technical Skills
</i></b></p><ul><li>Strong proficiency in <b>SQL </b>for querying, data analysis, and troubleshooting.
</li><li>Experience working with <b>EDI healthcare transactions </b>, including:
<ul><li><b>277 </b>(Claim Status)
</li><li><b>834 </b>(Enrollment)
</li><li><b>835 </b>(Payment/Remittance)
</li><li><b>837 </b>(Claims)
</li><li><b>999 </b>(Implementation Acknowledgment)
</li></ul></li></ul><p><b><i>Work Environment
</i></b></p><ul><li><b>Remote </b>position
</li><li>Standard schedule: <b>8:00&ndash;4:00 </b>or <b>8:00&ndash;4:30 PM CT
</b></li></ul><p><b><i>Work Style
</i></b></p><ul><li>Highly <b>self‑reliant </b>with the ability to research answers, use available resources, and work independently with minimal oversight.
</li>Strong problem‑solving skills and comfort navigating complex systems.<br>
<li>
</li></ul><p><br>
<b>What will YOU be doing for us? </b>The EDI Analyst I supports the EDI Analyst II in system reporting, revenue cycle analytics, and payer data management. This role serves as the secondary technical resource and backup to the EDI Analyst II, ensuring operational continuity when the level II analyst is unavailable.
</p><p>The EDI Analyst works on assigned projects, participates in meetings, and assists with external vendor coordination under the guidance of the EDI Analyst II and Director of Operations.
</p><p><b>What will YOU be working on every day?
</b></p><ul><li>Assist in modifying and maintaining SQL queries using SQL Server Management Studio.
</li><li>Support reporting initiatives and system enhancements.
</li><li>Serve as backup to the EDI Analyst II during absences.
</li><li>Attend internal and external meetings related to system builds and payer reporting.
</li><li>Analyze 277/834/835/837/999 EDI files for trends and discrepancies.
</li><li>Assist with AR analytics and revenue cycle performance reporting.
</li><li>Support payer issue investigations and claim data validation.
</li><li>Participate in system testing and validation for updates or changes.
</li><li>Maintain documentation for reporting workflows and processes.
</li><li>Collaborate with EDI &amp; Operations Analyst on internal system efficiencies.
</li></ul><p><b>What qualifications do YOU need to have to be GOOD candidate?
</b></p><p><b><i>Required Education, </i></b><b><i>Skills &amp; Qualifications
</i></b></p><ul><li><div>Bachelor Degree in Management Information Systems, Computer Science or related degree or equivalent work experience or equivalent years of internal experience.
</div><ul><li><div>Strong analytical and investigative skills
</div></li></ul></li><li>Working knowledge of CPT codes and medical billing
</li><li>Understanding of Accounts Receivable processes
</li><li>Familiarity with 277, 834, 835, 837 and 999 EDI transactions
</li><li>Ability to communicate technical findings clearly
</li><li><p>Ability to prioritize and manage multiple projects<br>
</p></li></ul><p></p><p><b><i>Required Software Proficiency
</i></b></p><ul><li>SQL Server Management Studio (intermediate)
</li><li>Microsoft Access
</li><li>Microsoft Excel
</li><li>Microsoft Word
</li><li>Visual Studio
</li>Notepad++<br>
<li>
</li></ul><p></p><p><i>The salary range and midpoint is listed below for your reference. Please keep in mind that your education and experience along with your knowledge, skills and abilities are taken into consideration when determining placement within the range.
</i></p><p>Compensation Range: $ 51,244 - $76,865
</p><p>Compensation Midpoint: $ 64,054</p></div>

EDI Analyst I

Pro Global Pvt Ltd

<p><b>Job Summary:</b><br/>The EDI Analyst &ndash; Billing is responsible for managing electronic data interchange (EDI) processes related to billing operations. This role ensures accurate transmission of billing data between internal billing systems and external clients or partners. The analyst will monitor EDI transactions, resolve errors, and ensure compliance with billing and data standards.</p><p><b>Key Responsibilities:</b></p><ul><li>Manage and monitor <b>EDI billing transactions</b> to ensure accurate and timely data exchange.</li><li>Process and validate <b>billing files through EDI systems</b> and billing software.</li><li>Identify, troubleshoot, and resolve <b>EDI transaction errors or rejections</b>.</li><li>Work closely with the <b>Billing, Finance, and IT teams</b> to ensure smooth data flow between systems.</li><li>Maintain and update <b>EDI mapping, configurations, and documentation</b>.</li><li>Analyze billing reports and ensure data accuracy before submission to clients or partners.</li><li>Coordinate with clients or vendors to resolve <b>EDI or billing discrepancies</b>.</li><li>Ensure compliance with <b>EDI standards, billing procedures, and company policies</b>.</li><li>Monitor system performance and recommend improvements to enhance <b>billing automation and efficiency</b></li></ul><p>Ability to commute/relocate:</p><ul><li>Islamabad: Reliably commute or planning to relocate before starting work (Required)</li></ul><p>Experience:</p><ul><li>EDI Analyst: 1 year (Required)</li></ul><p>Work Location: In person</p>

EDI Analyst - Billing

Clean Control Corporation

<p><b>Overview</b><br/>Clean Control is seeking an experienced <b>EDI Business Data Analyst</b> to work <b>on‑site</b> and support the electronic data exchanges that power our core business operations and trading‑partner relationships. This role blends hands‑on EDI expertise with strong business and data analysis skills to ensure accurate, reliable, and efficient data flow across ERP and partner systems.</p><p>This is an ideal opportunity for someone who enjoys solving real business problems, collaborating face‑to‑face with cross‑functional teams, and improving data quality&mdash;not just maintaining EDI maps.</p><p><b>Responsibilities</b></p><ul><li>Analyze business requirements and design scalable <b>EDI solutions</b> using ANSI X12, EDIFACT, XML, and JSON.</li><li>Build, test, maintain, and enhance <b>EDI maps, translations, and ERP integrations</b> (SAP, Oracle, or similar).</li><li>Monitor daily EDI transactions, troubleshoot failures, and resolve data discrepancies to minimize business disruption.</li><li>Perform <b>data and business analysis</b> to validate accuracy, identify trends, and support operational reporting.</li><li>Collaborate closely <b>on‑site</b> with IT, finance, operations, supply chain teams, and external trading partners.</li><li>Develop and maintain <b>documentation</b>, mapping specifications, and test plans; provide support and guidance to business users.</li><li>Drive <b>continuous improvement</b>, including automation, API integrations, and modernization of legacy EDI processes.</li><li>Support audits and reviews to ensure EDI compliance, efficiency, and alignment with business goals.</li></ul><p><b>Requirements</b></p><ul><li>2&ndash;5+ years of experience in <b>EDI analysis, EDI mapping, or business/data analysis</b>.</li><li>Strong working knowledge of <b>EDI standards</b> (ANSI X12, EDIFACT).</li><li>Experience with EDI platforms such as <b>TrueCommerce and SPS Commerce</b>.</li><li>Proficiency in <b>SQL</b> for data validation and analysis.</li><li>Experience working with <b>ERP systems</b> preferred.</li><li>Strong analytical, troubleshooting, and communication skills.</li><li>Ability to communicate complex technical information clearly to non-technical stakeholders.</li><li>Experience with <b>Power BI, or APIs</b>.</li><li>Background in <b>supply chain, logistics, procurement, or B2B integrations</b>.</li><li>Familiarity with <b>cloud‑based EDI solutions or data governance practices</b></li><li>Nice-to-have skills include expertise in Analysis skills related to analytics platforms like Visio or familiarity with VBAs for automation tasks. Embark on a role where your analytical prowess fuels impactful decisions! We&rsquo;re committed to fostering a vibrant environment where innovation thrives&mdash;empowering you to grow professionally while making a tangible difference through your expertise in EDI systems and data analytics.</li></ul><p>Pay: $25.00 - $30.00 per hour</p><p>Benefits:</p><ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Dependent health insurance coverage</li><li>Health insurance</li><li>Life insurance</li><li>Paid holidays</li><li>Professional development assistance</li><li>Tuition reimbursement</li><li>Vision insurance</li></ul><p>Work Location: In person</p>

EDI Business Data Analyst

Capgemini

<div><div><div><p>Hyderabad</p><div>
EDI mapper</div><p>
</p></div></div><p></p><div><div><div><div><div><div>
Choosing Capgemini means choosing a company where you will be empowered to shape your career in the way you&rsquo;d like, where you&rsquo;ll be supported and inspired by a collaborative community of colleagues around the world, and where you&rsquo;ll be able to reimagine what&rsquo;s possible. Join us and help the world&rsquo;s leading organizations unlock the value of technology and build a more sustainable, more inclusive world.</div><div><div><div><div>
Your Role</div></div><div><div><div><ul><li>Develop, test, and deploy EDI transactions including but not limited to 837, 835, 270/271, 276/277, and 999</li></ul></div><div><ul><li><br>
Work with trading partners to establish and maintain EDI connections (SFTP, AS2, etc.)</li></ul></div><div><ul><li><br>
Collaborate with business analysts and internal stakeholders to gather integration requirements and define mapping specifications</li></ul></div><div><ul><li><br>
Perform data mapping and translation using EDI tools or integration platforms</li></ul></div><div><ul><li><br>
Monitor daily EDI transaction processing and troubleshoot errors, rejections, and issues</li></ul></div><div><ul><li><br>
Support onboarding of new trading partners, including setup, testing, and production cutover</li></ul></div><div><ul><li><br>
Ensure HIPAA compliance in all data exchanges and maintain thorough documentation</li></ul></div><div><ul><li><br>
Participate in the development of APIs or other integration solutions as needed</li></ul></div><div><ul><li><br>
Maintain logs, technical documentation, and system configurations</li></ul></div><div><ul><li><br>
Provide support during audits and ensure data integrity across systems</li></ul></div><br>
</div><p>
</p></div></div><div><div><div>Your Profile</div></div><div><div><div><ul><li>In EDI development or integration within the healthcare industry</li></ul></div><div><ul><li><br>
Strong experience with ANSI X12 formats, especially 837, 835, 270/271</li></ul></div><div><ul><li><br>
Hands-on experience with EDI mapping, translation, and integration tools</li></ul></div><div><ul><li><br>
Understanding of HIPAA compliance, healthcare claims processing, and payer/provider data flows</li></ul></div><div><ul><li><br>
Proficiency in scripting languages and SQL for data manipulation</li></ul></div><div><ul><li><br>
Strong problem-solving skills and attention to detail</li></ul></div><div><ul><li><br>
Excellent written and verbal communication skills</li></ul></div><br>
</div><p>
</p></div></div><div><div><div>What You'll Love About Working Here</div></div><div><ul><li>
You can shape your career with us. We offer a range of career paths and internal opportunities within Capgemini group. You will also get personalized career guidance from our leaders.</li><li>
You will get comprehensive wellness benefits including health checks, telemedicine, insurance with top-ups, elder care, partner coverage or new parent support via flexible work.</li></ul></div></div></div><div>
Capgemini is an AI-powered global business and technology transformation partner, delivering tangible business value. We imagine the future of organizations and make it real with AI, technology and people. With our strong heritage of nearly 60 years, we are a responsible and diverse group of 420,000 team members in more than 50 countries. We deliver end-to-end services and solutions with our deep industry expertise and strong partner ecosystem, leveraging our capabilities across strategy, technology, design, engineering and business operations. The Group reported 2024 global revenues of &euro;22.1 billion.<br>
Make it real | www.capgemini.com</div></div></div><div><div><div>
<div><div>Ref. code</div><div>
335200-en_GB</div></div><div><div>
Posted on</div><div>
05 Mar 2026</div></div><div><div>
Experience level</div><div>
Experienced Professionals</div></div><div><div>
Contract type</div><div>
Permanent</div></div><div><div>
Location</div><div>
Hyderabad</div></div><div><div>
Business unit</div><div>
Other Delivery units</div></div><div><div>
Brand</div><div>
Capgemini</div></div><div><div>
Professional communities</div><div>
Software Engineering</div></div></div></div></div></div></div></div></div><p></p>

EDI mapper

Availity, LLC.

<div><div>Availity delivers revenue cycle and related business solutions for health care professionals who want to build healthy, thriving organizations. Availity has the powerful tools, actionable insights and expansive network reach that medical businesses need to get an edge in an industry constantly redefined by change.</div><div></div>
At Availity, we're not just another Healthcare Technology company; we're pioneers reshaping the future of healthcare! With our headquarters in vibrant Jacksonville, FL, and an exciting office in Bangalore, India, along with an exceptional remote workforce across the United States, we're a global team united by a powerful mission.<br>
<br>
We're on a mission to bring the focus back to what truly matters &ndash; patient care. As the leading healthcare engagement platform, we're the heartbeat of an industry that impacts millions. With over 2 million providers connected to health plans, and processing over 13 billion transactions annually, our influence is continually expanding.<br>
<br>
Join our energetic, dynamic, and forward-thinking team where your ideas are celebrated, innovation is encouraged, and every contribution counts. We're transforming the healthcare landscape, solving communication challenges, and creating connections that empower the nation's premier healthcare ecosystem.<div></div><div>
Reporting to the Manager, Provider Services the Operations Support Analyst provides resolution to client issues that require more in-depth knowledge of the technology, platform, products and/or processes. Issues are typically identified by the Client Services Team and can include complicated electronic data interchange (EDI) claim errors and transmission problems.<br>
<br>
Sponsorship, in any form, is not available for this position.</div><div><br>
Location: Remote, US</div><div></div><div><br>
Why you want to work on this team:</div><ul><li><div>
Highly communicative and collaborative team environment, there is always a chance to learn new things</div></li><li><div>
Opportunities for growth into an Operations Support Analyst III, Clearinghouse Support, and other roles</div></li></ul><div></div><div><br>
To be qualified for this position you have:</div><ul><li><div>
High School diploma or GED</div></li><li><div>
2 or more years of work experience as a Client Services Representative at Availity (if internal), with an emphasis on technical skills</div></li><li><div>
ANSI transaction experience</div></li><li><div>
Ability to read ANSI guides</div></li><li><div>
Experience supporting EDI/X12 transactions</div></li></ul><div></div><div><br>
You will set yourself apart:</div><ul><li><div>
You have experience working with Essentials Pro</div></li><li><div>
Strong analytical thinking and skillset</div></li></ul><div></div><div><br>
You will be:</div><ul><li><div>
Interacting with trading partners as well as direct-connect payers to facilitate resolution to client issues.</div></li><li><div>
Supporting the development of client support documentation as needed.</div></li><li><div>
Interacting closely with other team members in Availity to provide the highest quality of customer service.</div></li><li><div>
Serving as the subject matter expert and liaison between Operations, Customers, and the Availity Development team, handling more advanced technical issues as they arise.</div></li><li><div>
Provides training to first level support representatives as necessary to facilitate rapid resolution of client issues.</div></li><li><div>
May be called upon to serve in multiple roles and perform other duties, projects, or activities as specified by their management.</div></li></ul><div></div><div><br>
Availity culture and benefits:</div><ul><li><div>
Availity is a certified &ldquo;Great Place to Work&rdquo;, a &ldquo;Best Workplaces for Technology Companies&rdquo;, a &ldquo;Best Workplaces for Women&rdquo; and a &ldquo;Best Workplaces for Millennials&rdquo;!</div></li><li><div>
Culture is important to us and there are many ways for you to make your mark here!</div></li><li><div>
We have several Diversity &amp; Inclusion teams and various ways to engage with fellow Availity associates. &ldquo;Availadies&rdquo;, &ldquo;Beyond Black&rdquo;, &ldquo;HOLA&rdquo;, &ldquo;Availity Pride&rdquo;, &ldquo;VetAvaility&rdquo; a Young Professionals Group and &ldquo;She Can Code IT&rdquo; a group for women in tech are some of the groups you can get involved in.</div></li><li><div>
Availity is a culture of continuous learning. We have many resources and experts in our tech stack and in our industry that can help get you there too!</div></li><li><div>
We offer a competitive salary, bonus structure, generous HSA company contribution, healthcare, vision, dental benefits and a 401k match program that you can take advantage of on day one!</div></li><li><div>
We offer unlimited PTO for salaried associates + 9 paid holidays. Hourly associates start at 19 days of PTO and go up from there with all the same holiday benefits.</div></li><li><div>
Interested in wellness? We allow our associates to reimburse up to $250/year for gym memberships, participation in racing events, weight management programs, etc.</div></li><li><div>
Interested in furthering your education? We offer education reimbursement!</div></li><li><div>
Availity offers Paid Parental Leave for both moms and dads, both birth parents and adoptive parents.</div></li><li><div>
Want to work for an organization that gives back to the community? You&rsquo;re at the right place! Availity partners with various organizations, both locally and nationally, to raise awareness, funds and morale as our staff members volunteer their time and funds to engage the organizations campaign.</div></li></ul><div></div><div>
Next steps:</div><div>
After you apply, you will receive text/email messages thanking you for applying and then you will continue to receive more text/email messages alerting you as to where you are in the recruitment process.</div><div></div><div><br>
Interview process:</div><ul><li><div>
Recruiter Resume Review</div></li><li><div>
Manager Resume Review</div></li><li><div>
Manager Video Interview</div></li><li><div>
Team Video Interview</div></li></ul><div></div><div><i>
Video Camera Usage:</i></div><div><i>
Availity fosters a collaborative and open culture where communication and engagement are central to our success. As a remote first company, we are also camera-first and provide all associates with camera/video capability to simulate the office environment. If you are not able to use your camera for all virtual meetings, you should not apply for this role.</i></div><div></div><div><i>
Having cameras on helps create a more connected, interactive, and productive environment, allowing teams to communicate more effectively and build stronger working relationships. The usage of cameras also enhances security and protects sensitive company information. Video participation is required to ensure that only authorized personnel are present in meetings and to prevent unauthorized access, data breaches, preventing social engineering, or the sharing of confidential information with non-participants.</i></div><div></div><div><i>
Disclaimers:</i></div><div><i>
Availity is an equal opportunity employer and makes decisions in employment matters without regard to race, religious creed, color, age, sex, sexual orientation, gender identity, gender expression, genetic information, national origin, religion, marital status, medical condition, disability, military service, pregnancy, childbirth and related medical conditions, or any other classification protected by federal, state, and local laws and ordinances.</i></div><div></div><div><i><br>
Availity is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.</i></div><div></div><div><i><br>
NOTICE: Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. When required by state law or federal regulation, Availity uses I-9, Employment Eligibility Verification in conjunction with E-Verify to determine employment eligibility. Learn more about E-Verify at </i><div><i>http://www.dhs.gov/e-verify</i></div><i>.</i></div></div><div></div>

Operations Support Analyst

VetsEZ

<div><p>We are currently looking for a <b>Business Analyst</b> for a 100% remote position on a large federal government project supporting the Department of Veterans Affairs. The ideal candidate will bring a strong background in business analysis within Agile environments and a proven ability to translate business needs into effective software solutions. In this role, you will collaborate closely with cross-functional team members to analyze business requirements, facilitate stakeholder communication, and support the successful delivery of high-quality software products.</p>
<p>The candidate must reside within the continental US.</p>
<p><b>Responsibilities</b></p>
<ul><li>Develop detailed user stories and acceptance criteria by collaborating with stakeholders to gather and refine requirements.</li><li>
Manage and prioritize the product backlog in partnership with the Business stakeholders to align with business goals.</li><li>
Support sprint planning by helping define and prioritize tasks that drive incremental value.</li><li>
Maintain ongoing communication with stakeholders to share project updates and gather feedback.</li><li>
Analyze business processes to identify gaps, inefficiencies, and opportunities for improvement.</li><li>
Partner with the development team to design software solutions that effectively address business needs.</li><li>
Oversee testing and validation efforts to ensure solutions meet defined requirements and quality standards.</li><li>
Create and maintain comprehensive project documentation to support development, deployment, and maintenance.</li><li>
Promote continuous improvement by identifying process enhancements and applying Agile best practices.</li><li>
Take on additional tasks and responsibilities as needed to support team objectives and ensure the success of the project.</li></ul>
<p><b>Requirements:</b></p>
<ul><li>Bachelor's Degree in Computer Science, a technical discipline, or any other relevant discipline is required.</li><li>
Minimum of 8 years of professional analyst experience.</li><li>
Demonstrated experience as a Business Analyst in Agile environments, particularly within the SAFe framework.</li><li>
Demonstrated expertise in EDI (Electronic Data Interchange) transactions, including hands-on experience analyzing, interpreting, and validating EDI data within complex enterprise workflows.</li><li>
Proficient in software development processes, including requirements gathering, documentation, and collaboration with cross-functional teams.</li><li>
Strong analytical and problem-solving skills, with the ability to evaluate complex business challenges and propose effective solutions.</li><li>
Excellent verbal and written communication skills, with a proven ability to work collaboratively and interact effectively with stakeholders and team members.</li></ul>
<p><b>Additional Qualifications:</b></p>
<ul><li>Experience with SAFe/Agile, Certified SAFe Practitioner certification is preferred.</li><li>
Experience with the VA or other Government agencies.</li><li>
Ability to obtain government clearance.</li></ul>
<p><b>Benefits:</b></p>
<ul><li>Medical/Dental/Vision.</li><li>
401k with Employer Match.</li><li>
PTO + Federal Holidays.</li><li>
Corporate Laptop.</li><li>
Training Opportunities.</li><li>
Remote Opportunity.</li></ul>
<p><b>Note:</b> Selected candidates will be required to complete fingerprinting at a government facility and undergo a background check as part of the hiring process.</p><br>
<p>VetsEZ is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability, or protected veteran status.</p>
<p>Sorry, we are unable to offer sponsorship at this time.</p></div>

Business Analyst (Remote Opportunity)

Independent Living Systems, llc

<div><p>We are seeking a Configuration Analyst to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.</p><p><b>
About the Role:</b></p><p>
The Configuration Analyst in the Health Care Services industry plays a critical role in ensuring that healthcare software systems and applications are accurately configured to meet organizational needs and regulatory requirements. This position involves analyzing system configurations, identifying areas for improvement, and implementing changes that enhance operational efficiency and data integrity. The analyst collaborates closely with clinical, administrative, and IT teams to tailor configurations that support member care workflows and compliance standards. By maintaining detailed documentation and performing rigorous testing, the Configuration Analyst ensures that system updates and new implementations function seamlessly within the healthcare environment. Ultimately, this role contributes to the delivery of high-quality healthcare services by optimizing the technological infrastructure that supports clinical and administrative processes.</p><p><b>
Minimum Qualifications:</b></p><ul><li>
High School diploma or GED required</li><li>
Minimum two (2) years' experience as a medical Senior Claim Examiner, Call Center Advocate, Business Analyst or Trainer</li><li>
Medicare and Medicaid reimbursement methodologies including APR DRG / Exempt Units/ APG /RBRVS / APC.</li></ul><p><b>
Preferred Qualifications:</b></p><ul><li>
Associate's degree in health care or related fields</li><li>
Knowledge of UB04 / CMS1500 claims, ICD-10 /Revenue/ CPT / HCPCS diagnosis and procedure coding, claim adjudication processes, EDI and OCR claim submission</li><li>
Certification in Health IT or related fields (e.g., Certified Professional in Healthcare Information and Management Systems - CPHIMS).</li><li>
Knowledge of data analytics and reporting tools used in healthcare settings.</li><li>
Familiarity with project management methodologies and tools.</li><li>
Experience in training and supporting end-users in healthcare technology environments.</li></ul><p><b>
Responsibilities:</b></p><ul><li>
Claims testing and processing including claim adjustments, as well as providing support and education to the staff as necessary.</li><li>
The incumbent will troubleshoot and resolve provider records to support the claims operation.</li><li>
Process claims in accordance with corporate policies and procedures and state regulations.</li><li>
Review and analyze a variety of claim samples including auto-adjudicated claims to assure pricing per contractual agreement, negotiated rate or to Medicaid and Medicare rates.</li><li>
Provide consistent feedback to Management in timely manner both individually and collectively.</li></ul></div><p></p>

Configuration Analyst

Search 3478+ Edi analyst jobs near you this March. New roles added regularly across leading industries. Apply today.