Senior EDI Testing Analyst

CVS Health; Springfield (IL); On-site; USD 47,000 - 112,000; Full time

Job summary

CVS Health is seeking an EDI Implementation Specialist to support onboarding and implementation of EDI partners. The role involves coordinating system setup, testing, and production readiness; gathering business requirements; and ensuring end-to-end processing accuracy across test and production environments.

Preferred candidates have 2+ years of experience with EDI, HIPAA compliance, and client-facing collaboration, with an associate degree and a bachelor's degree preferred.

Qualifications

• 2+ years of experience with EDI transactions and testing of X12 formats (837P/837I/999/TA1/U277).
• 2+ years using crosswalks and HIPAA guides to map data to database fields.
• 2+ years understanding HIPAA privacy rules and compliance.
• 2+ years in a client-facing role resolving issues and coordinating with clients.
• Strong written and spoken communication with ability to explain technical concepts to non-technical stakeholders.

Responsibilities

• Coordinate onboarding and implementation of EDI partners, including system setup and testing.
• Collaborate with internal/external stakeholders to gather requirements and define implementation needs.
• Develop and execute test cases to validate end-to-end processing in test and production environments.
• Review technical specs and healthcare EDI formats to ensure accuracy and compliance.
• Educate and support clients through implementation activities and protocol changes.

Skills

EDI transactions

HIPAA compliance

Client-facing

Requirements gathering

Testing & validation

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.