Healthcare EDI Testing Analyst - Onboarding & Validation

CVS Health; Dover (DE); On-site; USD 47,000 - 112,000; Full time

Job summary

CVS Health is seeking a skilled EDI onboarding and implementation specialist to coordinate system setup, configuration, testing, and production readiness for partner integrations. You will collaborate with internal and external stakeholders to gather business requirements and support compliant solutions across end-to-end processes.

Develop and execute test cases to validate system functionality, review technical specifications, and educate clients during production preparation and protocol

Qualifications

• 2+ years of knowledge of EDI transactions including testing standard X12 (837P/837I/837 Outgoing/999/TA1/U277)
• 2+ years using crosswalks, HIPAA implementation guides, and requirements docs to validate data mapping
• 2+ years understanding privacy rules and HIPAA compliance
• 2+ years working with clients on issue resolution and problem-solving discussions
• 2+ years in a client-facing environment partnering directly with clients on EDI-related issue resolution, testing activities, root-cause analysis, and problem-solving discussions
• Ability to present ideas in business-friendly and user-friendly language
• Highly motivated and self-directed
• Strong analytical and problem-solving skills
• Ability to prioritize and execute tasks effectively in a high-pressure environment
• Ability to work both independently and in a collaborative team environment
• Strong verbal and written communication skills

Responsibilities

• Support the onboarding and implementation of EDI partners by coordinating system setup, configuration, testing, and production readiness activities.
• Partner with internal and external stakeholders to gather business requirements, document implementation needs, and support solutions that meet operational and client expectations.
• Develop and execute test cases to validate system functionality, confirm requirements are met, and ensure accurate end-to-end processing across test and production environments.
• Review and interpret technical specifications, healthcare EDI formats, and related documentation to ensure accuracy, compliance, and alignment with business needs.
• Educate and support clients through implementation activities, including production preparation and changes to communication protocols, file formats, or software.

Education

Associate degree

Bachelor's degree

Job description

CVS Health is seeking a skilled EDI onboarding and implementation specialist to coordinate system setup, configuration, testing, and production readiness for partner integrations. You will collaborate with internal and external stakeholders to gather business requirements and support compliant solutions across end-to-end processes.

Develop and execute test cases to validate system functionality, review technical specifications, and educate clients during production preparation and protocol