Hybrid Healthcare EDI & Data Operations Analyst

Community Care Plan; Florida; Hybrid; USD 50,000 - 55,000; Full time

Job summary

South Florida Community Network, LLC is seeking a System Operations Analyst to oversee daily EDI operations and optimize processes. You will monitor, troubleshoot, and improve EDI flows to support efficient claims processing and data integrity.

The role requires proficiency with EPIC, data management, and strong communication to coordinate with partners. Hybrid schedule in Sunrise, FL with an emphasis on accuracy and timely performance.

Qualifications

• Associate degree preferred and/or two to four years of experience.
• Knowledge of Healthcare environment desirable.
• Proficient in MS Word, MS Excel, MS PowerPoint, and Epic.

Responsibilities

• Processes inbound/outbound feeds for eligibility, claims, MOOP, and EDIs as required.
• Prepares data for entry into EPIC Tapestry system and ensures timely loads.
• Detects data integrity issues and generates reports for resolution.
• Loads EPIC files such as Claims, Encounters, MOOP, Eligibility, 835, and 837.
• Tests loads and validates Claims, Eligibility, and MOOP processing.
• Reviews data per SOPs and resolves discrepancies with team leadership.
• Ensures data loads are completed accurately for timely claims payment.
• Validates critical business data from external sites and internal docs as needed.
• Maintains data entry standards and updates CRM data per guidelines.
• Follows policies and meets project deadlines; maintains confidentiality.

Skills

Keyboard skills

Data entry

Communication skills

Organization

Attention to detail

Presentation skills

HIPAA compliance

Education

Associate degree preferred

Tools

Epic

Job description

South Florida Community Network, LLC is seeking a System Operations Analyst to oversee daily EDI operations and optimize processes. You will monitor, troubleshoot, and improve EDI flows to support efficient claims processing and data integrity.

The role requires proficiency with EPIC, data management, and strong communication to coordinate with partners. Hybrid schedule in Sunrise, FL with an emphasis on accuracy and timely performance.