Edifecs EDI Analyst Transaction Specialist

Syms Strategic Group, LLC (SSG)•Bethesda, MD

2d•$85,389 - $116,975•Remote

About The Position

Syms Strategic Group (SSG) is seeking a talented Edifecs Electronic Data Interchange (EDI) Analyst Transaction Specialist for a full-time, remote position within the Veterans Affairs (VA) department. This role requires an experienced professional with a Public Trust (MBI) security clearance level. The salary range for this position is $85,389 - $116,975. Military Veterans are highly encouraged to apply. This is a W-2 position and requires U.S. Citizenship.

Requirements

A strong understanding of payer/provider workflows
An ability to interpret loops/segments/element-level errors
Familiarity with Edifecs Transaction Management or equivalent tools
Strong experience in Amazon Web Services (AWS) cloud environments
Excellent communication and stakeholder engagement skills
A strong understanding of EDI X.12 Loop/segment/element interpretation, SNIP validations (Levels 1-7), companion guide interpretation, and error analysis at segment or element level
Experience with interpreting Edifecs XEngine validation results and understanding processing rules and transaction profiles
Experience working with SpecBuilder maps and implementation guides
An ability to identify issues sourced from Edifecs routes, profiles, or rulesets
An ability to interpret Edifecs logs and error codes (functional layer, not platform admin level)
Proficiency with identifying root causes of transaction errors, resolving mapping mismatches, troubleshooting rejections from payers or state systems, and reviewing parsed EDI structures stored in SQL databases
An ability to understand inbound/outbound workflow architecture
A strong ability to communicate technical architecture decisions and trade-offs to non-technical stakeholders
Experience gathering and translating business reporting requirements into technical data models
Comfort driving ambiguous architecture decisions to resolution with limited direction
Experience with Agile methodologies (Scrum and Kanban) and JIRA
Strong documentation habits with creating transaction flow documentation, error trend reports, escalations, and updating Standard Operating Procedures (SOPs) and partner reference guides
8+ years of experience of Edifecs product experience in EDI, healthcare, or enterprise application operations
8+ years of EDI/Health Insurance Portability and Accountability Act (HIPAA)
U.S. Citizenship required
Must possess or qualify for a Public Trust (MBI) security clearance

Nice To Haves

Deep hands-on EDIFECS experience in Electronic Data Interchange X.12 (EDI) Transactions Standards involving key X12 workflows involving the following transactions: X.12 medical claims (837, 834, 835, 276/277, etc), 270/271 and 278 transactions, 820 transactions, 999/277CA transactions
Knowledge of HIPAA compliance requirements in cloud data architecture
Experience with healthcare payer/PBM systems, clearinghouses, or pharmacy operations
AWS certification

Responsibilities

Own functional EDI workflows, partner requirements, and data validation rules
Ensure accurate transaction processing and support business operations
Interpret and troubleshoot transaction sets: 270/271, 276/277, 278, 820, 834, 835, 837, 999/277CA
Analyze Strategic National Implementation Process (SNIP) compliance, companion guides, and partner-specific validation rules
Document mapping/logical requirements for new partners and integration changes
Partner with business stakeholders for issue resolution and operational impact assessments
Support audit/compliance reviews and maintain data quality guardrails
Collaborate with EDI Analysts, DevSecOps Engineers, Cloud teams, and business teams
Work with integration specialists on Applicability Statement 2 (AS2), Secure File Transfer Protocol (SFTP), and Hypertext Transfer Protocol Secure (HTTPS) flows
Validate data sent to/received from non-X.12 partners
Identify issues introduced by middleware layers or APIs
Query Structured Query Language (SQL) for transaction details
Validate payloads, timestamps, statuses, and error flags
Reconcile mismatches between raw EDI and stored data