Senior EDI Testing & Integration QA Analyst

CVS Health; Indianapolis (IN); On-site; USD 47,000 - 112,000; Full time

Job summary

CVS Health in the United States is seeking an EDI Onboarding Specialist to coordinate system setup, configuration, testing, and production readiness with partner vendors. You will work with internal and external stakeholders to gather requirements and ensure end-to-end processing aligns with business needs.

The role emphasizes documenting technical specs, preparing test cases, and educating clients through implementation activities.

Qualifications

• 2+ years of 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.

Responsibilities

• 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.

Skills

EDI transactions knowledge

HIPAA compliance

client-facing

test case development

requirements gathering

analytical skills

problem-solving

prioritization

team collaboration

effective communication

Education

Associate degree

Bachelor's degree

Tools

Crosswalks

EDI testing tools

Job description

CVS Health in the United States is seeking an EDI Onboarding Specialist to coordinate system setup, configuration, testing, and production readiness with partner vendors. You will work with internal and external stakeholders to gather requirements and ensure end-to-end processing aligns with business needs.

The role emphasizes documenting technical specs, preparing test cases, and educating clients through implementation activities.