Senior EDI Testing Analyst

CVS Health; Jefferson City (MO); On-site; USD 47,000 - 112,000; Full time

Job summary

CVS Health is seeking a skilled EDI Implementation Specialist to onboard and implement EDI partners, coordinate system setup, and ensure production readiness. You will work with stakeholders to gather requirements, validate mappings, and develop test cases to guarantee end-to-end accuracy in production environments.

The role requires strong HIPAA knowledge, experience with client-facing activities, and the ability to communicate complex technical details in business terms.

Qualifications

• 2+ years of comprehensive knowledge of EDI transactions.
• 2+ years using crosswalks, HIPAA guides, and requirements to validate data mapping.
• 2+ years of HIPAA compliance understanding.
• 2+ years of client-facing experience for EDI-related issue resolution and testing.
• 2+ years in a client-facing environment coordinating with clients on EDI issues, testing, root-cause analysis.

Responsibilities

• Onboard and implement EDI partners by coordinating system setup, configuration, testing and production readiness.
• Gather business requirements with internal and external stakeholders and document implementation needs.
• Develop and execute test cases to validate system functionality end-to-end across test and production environments.
• Review technical specs, HIPAA formats, and related docs for accuracy and alignment with business needs.
• Educate and support clients through implementation activities including production prep and changes to protocols or formats.

Skills

EDI knowledge

HIPAA compliance

Data mapping

Client-facing

Business communication

Self-motivation

Analytical skills

Prioritization

Teamwork

Communication

Education

Associate degree

Bachelor's degree preferred

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary

• 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.

Required Qualifications

• 2+ years of comprehensive knowledge of EDI transactions, including testing standard X12 transactions such as 837P, 837I, 837 Outgoing, 999, TA1, and U277.
• 2+ years of experience using crosswalks, HIPAA implementation guides, and requirements documents to validate that data has been mapped to the correct database fields.
• 2+ years of understanding of privacy rules and HIPAA compliance
• 2+ years of experience working with clients on issue resolution and problem‑solving discussions.
• 2+ years of experience 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.

Preferred Qualifications

• Background in healthcare preferred.

Education

• Associate degree required; Bachelor's degree preferred.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is: $46,988.00 - $112,200.00 This pay range represents the base hourly rate or base annual full‑time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short‑term incentive program in addition to the base pay range listed above.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 09/02/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.