Edifecs EDI Analyst Transaction Specialist

Syms Strategic Group, LLC; Bethesda (MD); Remote; USD 85,000 - 117,000; Full time

Job summary

Syms Strategic Group (SSG) is seeking an Edifecs Electronic Data Interchange (EDI) Analyst Transaction Specialist. This remote full-time role focuses on owning EDI workflows, validating data, and troubleshooting complex transaction sets across payer/provider contexts.

The role requires 8+ years in Edifecs/EDI, strong AWS experience, and a Public Trust (MBI) clearance. US citizenship is required; the position is remote nationwide, with restrictions for certain states.

Qualifications

• Payer/provider workflows and processes understanding.
• Ability to interpret loops/segments/element-level errors.
• Familiarity with Edifecs Transaction Management.
• Experience in AWS cloud environments.
• Strong communication and stakeholder engagement.
• Deep knowledge of EDI X12 loops, segments, and validations.
• Experience with Edifecs XEngine validation results and rulesets.
• Experience with SpecBuilder maps and implementation guides.
• Ability to identify issues from Edifecs routes, profiles, or rulesets.
• Skill interpreting Edifecs logs and error codes (functional).
• Root-cause analysis for mapping/mismatch problems.
• Understand inbound/outbound workflow architecture.
• Effective technical communication to non-technical stakeholders.
• Experience translating business reporting into data models.
• Comfort making architecture decisions with limited direction.
• Experience with Agile (Scrum/Kanban) and JIRA.
• Documentation habits: SOPs, transaction flows, trends.

Responsibilities

• Own functional EDI workflows, partner requirements, and data validation rules.
• Ensure accurate transaction processing and support business operations.
• Interpret and troubleshoot transaction sets: 270/271, 276/277, 278, 820, 834, 835, 837, 999/277CA.
• Analyze SNIP compliance, companion guides, and partner-specific rules.
• Document mapping/logical requirements for new partners and changes.
• Collaborate with business stakeholders for issue resolution and impact assessment.
• Support audit/compliance reviews and data quality guardrails.
• Coordinate with EDI Analysts, DevSecOps, Cloud teams, and business units.
• Work with AS2, SFTP, and HTTPS flows for integrations.
• Validate data with non-X12 partners and reconcile payloads with SQL data.
• Identify issues from middleware or APIs and drive resolution.

Skills

EDI workflows

Edifecs TM

AWS Cloud

EDI X12

SNIP Validations

Companion Guides

Error Analysis

SQL Queries

EDI Transports

Payer/Provider

Edifecs Logs

Agile/Scrum

SOP Documentation

Education

Bachelor's degree in CS/Engineering

Tools

Edifecs Transaction Management

Edifecs XEngine

SpecBuilder maps

AWS

Jira

Job description

Syms Strategic Group (SSG) is seeking a talented Edifecs Electronic Data Interchange (EDI) Analyst Transaction Specialist

Location: Remote

Department: Veterans Affairs (VA)

Type: Full Time

Min. Experience: Experienced

Security Clearance Level: Public Trust (MBI)

Salary Range: $85,389 - $116,975

If you have previously applied to Syms Strategic Group (SSG), there is no need to reapply. Applications are still under review.

Essential Duties and Responsibilities

• Own functional EDI workflows, partner requirements, and data validation rules
• Ensure accurate transaction processing and support business operations
• Interpret and troubleshoot transaction sets: 270/271, 276/277, 278, 820, 834, 835, 837, 999/277CA
• Analyze Strategic National Implementation Process (SNIP) compliance, companion guides, and partner-specific validation rules
• Document mapping/logical requirements for new partners and integration changes
• Partner with business stakeholders for issue resolution and operational impact assessments
• Support audit/compliance reviews and maintain data quality guardrails
• Collaborate with EDI Analysts, DevSecOps Engineers, Cloud teams, and business teams
• Work with integration specialists on Applicability Statement 2 (AS2), Secure File Transfer Protocol (SFTP), and Hypertext Transfer Protocol Secure (HTTPS) flows
• Validate data sent to/received from non-X.12 partners
• Identify issues introduced by middleware layers or APIs
• Query Structured Query Language (SQL) for transaction details
• Validate payloads, timestamps, statuses, and error flags
• Reconcile mismatches between raw EDI and stored data

Required Skills and Experience

• A strong understanding of payer/provider workflows
• An ability to interpret loops/segmets/element-level errors
• Familiarity with Edifecs Transaction Management or equivalent tools
• Strong experience in Amazon Web Services (AWS) cloud environments
• Excellent communication and stakeholder engagement skills
• A strong understanding of EDI X.12 Loop/segment/element interpretation, SNIP validations (Levels 1-7), companion guide interpretation, and error analysis at segment or element level
• Experience with interpreting Edifecs XEngine validation results and understanding processing rules and transaction profiles
• Experience working with SpecBuilder maps and implementation guides
• An ability to identify issues sourced from Edifecs routes, profiles, or rulesets
• An ability to interpret Edifecs logs and error codes (functional layer, not platform admin level)
• Proficiency with identifying root causes of transaction errors, resolving mapping mismatches, troubleshooting rejections from payers or state systems, and reviewing parsed EDI structures stored in SQL databases
• An ability to understand inbound/outbound workflow architecture
• A strong ability to communicate technical architecture decisions and trade-offs to non-technical stakeholders
• Experience gathering and translating business reporting requirements into technical data models
• Comfort driving ambiguous architecture decisions to resolution with limited direction
• Experience with Agile methodologies (Scrum and Kanban) and JIRA
• Strong documentation habits with creating transaction flow documentation, error trend reports, escalations, and updating Standard Operating Procedures (SOPs) and partner reference guides

Professional Certifications

EDIFECS certification

Years of Professional Experience

8+ years of experience of Edifecs product experience in EDI, healthcare, or enterprise application operations

8+ years of EDI/Health Insurance Portability and Accountability Act (HIPAA)

Desired experience

Deep hands-on EDIFECS experience in Electronic Data Interchange X.12 (EDI) Transactions Standards involving key X12 workflows involving the following transactions:

• X.12 medical claims (837, 834, 835, 276/277, etc)
• 270/271 and 278 transactions
• 820 transactions
• 999/277CA transactions

Knowledge of HIPAA compliance requirements in cloud data architecture

Experience with healthcare payer/PBM systems, clearinghouses, or pharmacy operations

AWS certification in a bonus

Formal Education

Bachelor’s degree in Computer Science, Engineering, or a related technical discipline; equivalent practical experience considered

Citizenship Requirement

U.S. Citizenship required for this specific opportunity

Security Clearance Requirements

Must possess or qualify for a Public Trust (MBI)

CRITICAL NOTES

1. SSG will not make assumptions regarding your qualifications. Your answers to the mandatory screening questions must be supported by the information on your resume. Applications with inconsistencies will not be considered.
2. Recruiters or Third parties will not be considered.
3. This is a 100% U.S. based remote position. However, candidates from CA, CO, IL, MN, NJ, NY, OR, or WA will not be considered.
4. This is a W-2 position
5. All interviews will be conducted on Microsoft Teams with your camera on; there will be no exceptions
6. As part of our screening process, you will be requested to provide a link to your LinkedIn profile

U.S Citizenship is required for this specific opportunity. Applicants selected will be subject to a government security investigation and must meet eligibility requirements for access to classified information and be able to obtain a government-granted security clearance. Individuals may also be subject to a background investigation including, but not limited to criminal history, employment and education verification, drug testing, and creditworthiness.

Syms Strategic Group, LLC is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, marital status, disability, veteran status, sexual orientation, or genetic information.