Position: EDI Analyst
Location: Remote
Employment Type: Contract
Duration: 3 Months + Possible Extension
Schedule: Monday Friday, 8:00 AM 5:00 PM
Experience
3+ years of EDI/healthcare experience, preferably within a managed care environment.
EDI Expertise
Strong knowledge of EDI transactions, 834 enrollment files, eligibility, enrollment, premium billing, and reconciliation.
Technical/Business Analysis
Experience with EDI mapping specifications, technical support, business analysis, UAT, transaction monitoring, and issue resolution.
Healthcare Transactions
Knowledge of CMS, FFM, trading partners, and third-party enrollment transactions is highly relevant.
Process Improvement
Experience developing policies/procedures, identifying process improvements, documentation, and staff training.
Analytical Skills
Strong data analysis, troubleshooting, attention to detail, and reporting capabilities.
Communication
Ability to work effectively with internal teams, management, clients, trading partners, and external organizations.
Work Environment
Ability to work independently in a fast-paced environment while maintaining confidentiality and regulatory compliance.