EDI Analyst

Apex Systems; Pleasanton, Northern (CA, KY); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Medical, Dental, Vision

401K with company match

HSA

Employee Assistance Program (EAP)

ESPP

Job summary

Apex Systems is looking for an EDI Analyst to support a large healthcare client. This remote role can be performed from anywhere in the United States on an 18‑month contract with potential extension.

The candidate will build, test, and maintain EDI connections with brokers, TPAs, and benefits platforms, troubleshooting 834 transactions and related data feeds. Strong Excel skills and X12 literacy are required.

Qualifications

• 2–4+ years of healthcare EDI experience, with 834 transactions experience.
• Experience supporting external partners or clients in a payer, TPA, or benefits administration environment.
• Ability to read and interpret X12 transaction files, including loops, segments, and benefit codes.

Responsibilities

• Support onboarding and maintenance of channel partner integrations (EDI, API, XML).
• Validate and troubleshoot enrollment data feeds, including 834 transactions.
• Analyze transaction discrepancies, demographic mismatches, and rejected records.
• Coordinate issue resolution with internal teams and external partners.
• Monitor recurring transmission failures and elevate defects as needed.
• Document workflows, connection requirements, and partner-specific configurations.
• Participate in integration testing and connection validation for new partners.

Skills

EDI Systems

834 Transactions

Healthcare Industry Experience

Excel (VLOOKUP/XLOOKUP)

Tools

XML

JSON

X12

Job description

Apex Systems is hiring an EDI Analyst for a large Healthcare client.

Location: Fully remote anywhere in the United States. 18 months contract with potential to extend.

Role Overview

The EDI Analyst supports the channel partner integration ecosystem by building, testing, and maintaining connection points with external partners such as brokers, TPAs, payroll vendors, and benefits administration platforms. This role requires EDI troubleshooting skills, cross-functional coordination, and hands‑on experience with enrollment transactions.

Key Responsibilities

• Support onboarding and maintenance of channel partner integrations (EDI, API, XML).
• Validate and troubleshoot enrollment data feeds, including 834 transactions.
• Analyze transaction discrepancies, demographic mismatches, and rejected records.
• Coordinate issue resolution with internal teams and external partners.
• Monitor recurring transmission failures and elevate defects as needed.
• Document workflows, connection requirements, and partner-specific configurations.
• Participate in integration testing and connection validation for new partners.

Required Qualifications

Experience: 2–4+ years of healthcare EDI experience, with 834 transaction experience required. Experience supporting external partners or clients in a payer, TPA, or benefits administration environment is necessary.

Technical Skills: Candidates must have the ability to read and interpret X12 transaction files, including loops, segments, and benefit codes. Strong analytical skills with Excel (VLOOKUP/XLOOKUP, pivot tables) are required.

Preferred Qualifications

• Multi‑transaction EDI experience is preferred.
• Familiarity with API payloads (JSON/XML) is a plus.
• Excellent communication and documentation skills.

About Everforth Apex and Career Growth

Everforth Apex is a world‑class IT services company that serves thousands of clients across the globe. When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRateds Best of Staffing® in Talent Satisfaction in the United States and Great Place to Work® in the United Kingdom and Mexico.

Benefits Overview

• Everforth Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection.
• We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure.
• Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts.
• In terms of professional development, Everforth Apex hosts an on‑demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA.
• Everforth Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach.
• You can access a full list of our benefits, programs, support teams and resources within our ‘Welcome Packet’ as well, which an Everforth Apex team member can provide.

Equal Opportunity and Diversity Statement

Everforth Apex Systems is an equal opportunity employer.

We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law.

Everforth Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.

Accommodation and Support

If you require an accommodation under the Americans with Disabilities Act to participate in an interview with a virtual recruiter or to use our website for a search or application, please contact our Benefits Department at [e-mail] or 804‑523‑8228.

Please note that this contact information is strictly to be used for medical ADA accommodations and that no other inquiries will be answered.

UnitedHealthcare creates and publishes the Transparency in Coverage Machine‑Readable Files on behalf of Everforth Apex Systems.