Senior EDI Solutions Analyst

Working remotely, the full-time Senior EDI Solutions Analyst will lead end-to-end trading partner integrations for EDI 278 transactions in the healthcare industry, ensuring seamless technical integration between Medical Management systems and various Claims systems. Key responsibilities: Monitor daily EDI transaction processing and troubleshoot any issues Act as an implementation team resource for EDI mapping, validation, and testing Prepare and update program documentation and conduct audits for prior authorization transactions Required qualifications: 5+ years of experience in the healthcare data environment, including eligibility, provider, and claims Expertise in EDI X12 ANSI 278 transactions and data mapping Experience with SQL and relational databases such as MySQL and MS SQL Proficiency in Microsoft Office Suite, including Word, Excel, and Visio Experience in EDI production support, maintenance, and testing