EDI Analyst & Senior EDI Analyst

Louisiana Health Service & Indemnity Company; Baton Rouge (LA); On-site; USD 60,000 - 90,000; Full time

Job summary

Blue Cross and Blue Shield of Louisiana (Louisiana Blue) is hiring multiple EDI Analysts to support the EDI Customer Operations Project Development Team. Roles vary from Analyst to Senior Analyst, focusing on EDI systems, integrations, automation, and compliance with regulatory standards.

The position emphasizes collaboration with internal and external stakeholders, implementation of enterprise initiatives, and mentoring team members within an insurance-healthcare context.

Qualifications

• Bachelor's degree or equivalent experience required.
• Strong analytical, communication, organizational, and customer service skills.
• Travel as needed.

Responsibilities

• Design, maintain, and enhance EDI systems, services, and processes to support compliant healthcare data exchange.
• Collaborate with stakeholders to gather requirements and deliver enterprise initiatives.
• Monitor performance, troubleshoot, and propose automation improvements for efficiency and customer satisfaction.
• Document requirements, workflows, procedures, and support materials.
• Lead complex EDI projects, enable testing, and mentor teammates.

Skills

Analytical skills

Communication

Documentation

HIPAA knowledge

Stakeholder collaboration

Education

Bachelor's degree or equivalent experience

Tools

EDI platforms

Automation scripting

Job description

Residency and Authorization

We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with us. Residency in or relocation to Louisiana is preferred for all positions. Applicants must be authorized to work for Louisiana Blue in the United States without employer-sponsored immigration support. Louisiana Blue will not provide current or future employment-based immigration sponsorship or other immigration support for this opportunity, including H-1B, L-1, O-1, H-1B1, E-3, TN, or J-1 sponsorship or F-1 OPT/STEM OPT/CPT support. Applicants who would require such sponsorship or employer support during their employment should not pursue this opportunity.

Position Summary

We are hiring multiple EDI Analysts to join the EDI Customer Operations Project Development Team and are open to hiring at either the Analyst or Senior Analyst level based on the selected candidate's experience, qualifications, and demonstrated competencies. Reporting to the Manager of EDI Project Development, this role supports EDI systems, integrations, automation initiatives, and operational processes. The position collaborates with internal and external stakeholders to improve efficiency, reliability, and customer experience while ensuring compliance with applicable regulatory and industry requirements. Senior Analysts provide technical leadership, subject matter expertise, and team mentorship.

How You Contribute to the Organization’s Mission in this Role

• All Levels: Design, maintain, and enhance EDI systems, services, and operational processes to support accurate, efficient, and compliant healthcare data exchange.
• Partner with internal and external stakeholders to gather requirements, design and implement solutions, support testing and validation activities, and ensure successful delivery of enterprise initiatives.
• Monitor system performance, troubleshoot issues, coordinate resolutions, and recommend process, automation, and technology improvements that enhance operational effectiveness and customer satisfaction.
• Create and maintain technical and operational documentation, including requirements, workflows, procedures, and support materials.
• Ensure compliance with regulatory, privacy, security, and industry standards while maintaining knowledge of healthcare transactions, EDI standards, and emerging technologies.
• Analyst: Deliver EDI support, issue resolution, and production troubleshooting for internal and external customers. Assist with system enhancements, implementations, testing, and documentation. Contribute to process improvements and build expertise in EDI, integration technologies, and business operations.
• Sr Analyst: Lead complex EDI projects, integrations, and automation initiatives. Provide subject matter expertise in EDI, healthcare transactions, and business operations. Direct testing, implementation activities, and critical issue resolution. Identify and implement process and technology improvements that support operational efficiency and business objectives. Mentor team members and facilitate collaboration across technical and business teams.

Qualifications

• All Levels: Bachelor's degree in a related field or equivalent experience. Strong analytical, communication, organizational, and customer service skills. Ability to manage priorities, collaborate across teams, and document business and technical requirements. Travel as needed.
• Analyst: 2+ years of experience supporting business systems, technology solutions, or operational processes. Experience with troubleshooting, system enhancements, and project support activities. Preferred qualifications include knowledge of HIPAA transactions, healthcare operations, and integration technologies and exposure to automation, scripting, or workflow solutions.
• Senior Analyst: 4+ years of related experience, including 3+ years supporting complex system implementations. Proven leadership in process improvement, project delivery, mentoring, and subject matter expertise. Advanced expertise in HIPAA transactions, healthcare data exchange and EDI operations. Experience with automation, APIs, modern integration technologies and healthcare ecosystems.

Additional Accountabilities and Essential Functions

The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions Perform other job-related duties as assigned, within your scope of responsibilities. Job duties are performed in a normal and clean office environment with normal noise levels. Work is predominately done while standing or sitting. The ability to comprehend, document, calculate, visualize, and analyze are required.

An Equal Opportunity Employer

Health and Safety

We encourage the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free.

Background Screening and Drug Testing

We perform background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner.

Additionally, we are a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.

Company Mission

To improve the health and lives of Louisianians.

Company Vision

A better state of health through preventative, easier and more affordable healthcare

Company Information

Blue Cross and Blue Shield of Louisiana (Louisiana Blue) is incorporated as Louisiana Health Service & Indemnity company and is an independent licensee of the Blue Cross Blue Shield Association. Blue Cross and Blue Shield of Louisiana is licensed to sell products only in the state of Louisiana.