Senior EDI Testing Analyst - Healthcare Data & Compliance

CVSHealth

Michigan

On-site

USD 47,000 - 112,000

Full time

14 days+
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Benefits offered by this job

Medical insurance
Dental and vision coverage
Paid time off
Retirement savings options
Wellness programs

Job summary

CVS Health is seeking an EDI Implementation Specialist to support onboarding and testing of EDI partners. You will coordinate system setup, document requirements, and ensure end-to-end processing meets client expectations.

The role requires 2+ years in EDI transactions, HIPAA compliance, and a client-focused mindset, with strong communication and problem-solving skills in a collaborative, high-pressure environment. 40 hours weekly, full-time.

Qualifications

  • 2+ years of knowledge of EDI transactions and testing.
  • Experience using crosswalks and HIPAA implementation guides.
  • Understanding of HIPAA privacy rules and compliance.
  • Experience in client-facing environments resolving issues.
  • Strong communication, problem-solving, and team collaboration.

Responsibilities

  • Support onboarding and implementation of EDI partners with system setup, configuration, testing and readiness.
  • Collaborate with internal and external stakeholders to gather requirements and ensure solutions meet expectations.
  • Develop and execute test cases to validate end-to-end processing across test and production.
  • Review technical specs and healthcare EDI formats for accuracy and compliance.
  • Educate and support clients during implementation including production changes.

Skills

EDI transactions knowledge
X12 testing
HIPAA compliance
Crosswalks & guides
Client-facing
Problem solving
Communication
Independent & collaborative

Education

Associate degree
Bachelor's degree preferred

Job description

CVS Health is seeking an EDI Implementation Specialist to support onboarding and testing of EDI partners. You will coordinate system setup, document requirements, and ensure end-to-end processing meets client expectations.

The role requires 2+ years in EDI transactions, HIPAA compliance, and a client-focused mindset, with strong communication and problem-solving skills in a collaborative, high-pressure environment. 40 hours weekly, full-time.

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