EDI Enrollment Systems Analyst II/III – Hybrid

Cambia Health Solutions; United States; Hybrid; USD 80,000 - 117,000; Full time

Job summary

Cambia Health Solutions is seeking a Systems/Quality Analyst II-III (EDI Enrollment) for a hybrid role across multiple offices. You will analyze data flows, write SQL queries, and coordinate with trading partners to ensure accurate enrollment processing and data integrity.

The role requires strong analytic, communication, and QA skills, with experience in HIPAA/Edi enrollment and data validation. Travel is local to listed offices and relocation is encouraged as needed.

Qualifications

• Bachelor's degree or equivalent experience in relevant field for II/III level.
• Minimum experience in business or systems analysis and requirements development.

Responsibilities

• Read and create simple structured specifications such as use cases, story cards.
• Read and understand design and business models including basic technical understanding.
• Writes SQL queries and reads simple data models.
• Acts as liaison between development team and end users to create deliverables.
• Contributes to deliverables including analysis and data validation.
• Provide level 1 on-call support including monitoring and on-call communications.
• Manage tasks on small work efforts and coordinate with teams.
• Acquire in-depth knowledge of Health Care and Insurance terminology.

Skills

EDI Enrollment

Eligibility management

Facets enrollment

Data analysis

SQL querying

ETL concepts

XML data exchange

Enrollment errors

Partner coordination

Requirements gathering

Testing (SIT/UAT)

Data quality reporting

Edifecs

Payer domain

Medicare enrollment

Spreadsheet analysis

Production support

AI tools

Education

Bachelor's degree in Computer Science, Mathematics, Business Administration, or related field

Bachelor’s degree in Computer Science, Mathematics, Business Administration, or a related field

Tools

SQL tooling

Facets system

Job description

Cambia Health Solutions is seeking a Systems/Quality Analyst II-III (EDI Enrollment) for a hybrid role across multiple offices. You will analyze data flows, write SQL queries, and coordinate with trading partners to ensure accurate enrollment processing and data integrity.

The role requires strong analytic, communication, and QA skills, with experience in HIPAA/Edi enrollment and data validation. Travel is local to listed offices and relocation is encouraged as needed.