Remote EDI & Data Integration Analyst - Healthcare Claims

Harris Jones Staffing Recruiting Llc; Phoenix (AZ); À distance; USD 85 000 - 120 000; Plein temps

Résumé du poste

Harris Jones Staffing Recruiting Llc is seeking an EDI Technical Analyst (Claims) to support, analyze, test, and maintain EDI transactions and data exchanges for healthcare claims operations. You will collaborate with business and technical teams to troubleshoot production issues and develop mappings and documentation.

The ideal candidate combines strong EDI and SQL skills with healthcare systems knowledge, including experience supporting payer platforms like QNXT.

Qualifications

• EDI expertise with healthcare data exchanges.
• Experience with payer data formats and transformations.
• Strong SQL and data validation skills.

Responsabilités

• Production Support: resolve EDI production issues and participate in on-call rotations.
• Data Analysis & Mapping: analyze, map, and validate 270/271, 834, 835, 837 transactions.
• SQL & Monitoring: write SQL queries and monitor system performance with Splunk, App Insights.
• Testing & Documentation: create test plans, document results, and develop mapping docs.
• Integrations: support API integrations and ETL processes while building dashboards.
• Compliance: maintain HIPAA and EDI standards compliance.

Connaissances

EDI expertise

SQL proficiency

Data analysis

Healthcare payer tools

Communication skills

Outils

SQL Server

Splunk

App Insights

SOAP UI

Postman

ETL tools

Description du poste

Harris Jones Staffing Recruiting Llc is seeking an EDI Technical Analyst (Claims) to support, analyze, test, and maintain EDI transactions and data exchanges for healthcare claims operations. You will collaborate with business and technical teams to troubleshoot production issues and develop mappings and documentation.

The ideal candidate combines strong EDI and SQL skills with healthcare systems knowledge, including experience supporting payer platforms like QNXT.