Remote EDI Eligibility Analyst for Healthcare Plans

ZipStaff Inc.; Boston (MA); Remote; USD 83,000 - 124,000; Part time

Benefits offered by this job

Health Insurance

Dental Insurance

Vision Insurance

401(k) + 401(k) matching

Paid time off

Referral Program

Job summary

ZipStaff Inc. seeks an experienced Business Analyst specializing in Electronic Data Interchange (EDI) to drive key project deliverables for a leading healthcare organization.

This remote-leaning role focuses on implementing 834 and proprietary eligibility, COB, and group files for various health plans. The analyst will independently lead end-to-end frameworks for processing eligibility exchanges, facilitate stakeholder discussions, and produce comprehensive documentation.

Qualifications

• Bachelor's Degree required.
• Expertise in Electronic Data Interchange (EDI).
• Experience implementing 834 and proprietary eligibility, COB, and group files for health plans.
• Strong experience developing and executing end-to-end test scenarios.

Responsibilities

• Lead design and implementation of end-to-end EDI eligibility frameworks.
• Facilitate discussions with plans and stakeholders to clarify requirements and review UAT.
• Create comprehensive documentation of business rules, processes, and technical specs.
• Conduct multiple rounds of end-to-end testing with strong testing experience.

Skills

EDI

Healthcare domain

UAT testing

Stakeholder facilitation

Education

Bachelor's Degree

Job description

ZipStaff Inc. seeks an experienced Business Analyst specializing in Electronic Data Interchange (EDI) to drive key project deliverables for a leading healthcare organization.

This remote-leaning role focuses on implementing 834 and proprietary eligibility, COB, and group files for various health plans. The analyst will independently lead end-to-end frameworks for processing eligibility exchanges, facilitate stakeholder discussions, and produce comprehensive documentation.