Business Analyst (Claims / 837 / Encounters) - Boston, MA (Remote)

Georgia IT Inc

United States

Business Analyst (Claims / 837 / Encounters)

Location: Boston, MA

Position Type: Contract (05-18-2026 to 10-31-2026) Rate: DOE

Job Description

Experienced Business Analyst with expertise in EDI and healthcare claims
Support large-scale implementation initiative
Focus on implementation and optimization of 837 and proprietary claims files
Ensure accurate ingestion and processing across systems
Hands-on role requiring assessment of current challenges
Perform root cause analysis
Drive improvements to claims data and processes

Key Responsibilities

Lead implementation of EDI 837 and proprietary claims files for multiple health plans
Analyze claims data and identify issues
Perform root cause analysis to resolve ingestion errors
Recommend and implement changes for accurate claims processing
Understand business rules, core platforms, and applications supporting EDI exchanges
Design and support end-to-end frameworks for encounter and claims data exchanges
Facilitate discussions with health plans and stakeholders
Gather and clarify requirements
Create and maintain documentation (business requirements, process flows, technical specifications)
Communicate across business and technical teams

Required Qualifications (MUST HAVE):

Strong experience with healthcare claims processing
Deep expertise in EDI transactions, specifically 837
Experience implementing 837 and proprietary claims files
Experience with root cause analysis and data issue resolution
Ability to work independently in a fast-paced environment

Apply

Vacancy posted 14 hours ago

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