EDI Analyst/Transaction Specialist

Syms Strategic Group, LLC (SSG)•Atlanta, GA
•$85,389 - $116,975•Remote

About The Position

Syms Strategic Group (SSG) is seeking an experienced Edifecs Electronic Data Interchange (EDI) Analyst/Transaction Specialist to support the Department of Veterans Affairs. This is a full-time, 100% U.S.-based remote position, subject to geographic restrictions. The role owns functional EDI workflows, partner requirements, and data validation rules to ensure accurate transaction processing and support business operations. The position works with healthcare transaction standards, partner-specific validation requirements, integration flows, middleware, APIs, and SQL-stored transaction data. The specialist collaborates with business stakeholders, EDI analysts, DevSecOps engineers, cloud teams, and integration specialists to troubleshoot transaction issues, resolve operational impacts, document requirements, support audits and compliance reviews, and maintain data quality. The position requires U.S. citizenship and must possess or qualify for Public Trust (MBI). Applicants selected will be subject to a government security investigation and must meet applicable eligibility requirements. Candidates from California, Colorado, Illinois, Minnesota, New Jersey, New York, Oregon, or Washington will not be considered. This is a W-2 position.

Requirements

  • At least 8 years of Edifecs product experience in EDI, healthcare, or enterprise application operations.
  • At least 8 years of EDI/HIPAA experience.
  • Strong understanding of payer/provider workflows.
  • Ability to interpret EDI loops, segments, and element-level errors.
  • Familiarity with Edifecs Transaction Management or equivalent tools.
  • Strong experience in AWS cloud environments.
  • Excellent communication and stakeholder engagement skills.
  • Understanding of EDI X.12 loop, segment, and element interpretation; SNIP validations Levels 1–7; companion guide interpretation; and segment- or element-level error analysis.
  • Experience interpreting Edifecs XEngine validation results and understanding processing rules and transaction profiles.
  • Experience working with SpecBuilder maps and implementation guides.
  • Ability to identify issues sourced from Edifecs routes, profiles, or rulesets and interpret Edifecs logs and error codes at the functional layer.
  • Proficiency in identifying transaction-error root causes, resolving mapping mismatches, troubleshooting payer or state-system rejections, and reviewing parsed EDI structures stored in SQL databases.
  • Ability to understand inbound and outbound workflow architecture and 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, including Scrum and Kanban, and JIRA.
  • Strong documentation habits.
  • Bachelor’s degree in Computer Science, Engineering, or a related technical discipline, or equivalent practical experience.
  • U.S. citizenship is required.
  • Must possess or qualify for a Public Trust (MBI).

Nice To Haves

  • Professional Edifecs certification.
  • Deep hands-on Edifecs experience with X.12 medical claims transactions, including 837, 834, 835, and 276/277; 270/271 and 278; 820; and 999/277CA.
  • 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 including 270/271, 276/277, 278, 820, 834, 835, 837, and 999/277CA.
  • Analyze SNIP compliance, companion guides, and partner-specific validation rules.
  • Document mapping and logical requirements for new partners and integration changes.
  • Partner with business stakeholders to resolve issues and assess operational impacts.
  • Support audit and compliance reviews and maintain data quality guardrails.
  • Collaborate with EDI Analysts, DevSecOps Engineers, cloud teams, business teams, and integration specialists.
  • Support AS2, SFTP, and HTTPS integration flows.
  • Validate data sent to and received from non-X.12 partners.
  • Identify issues introduced by middleware layers or APIs.
  • Query SQL for transaction details; validate payloads, timestamps, statuses, and error flags.
  • Reconcile mismatches between raw EDI and stored data.
  • Create transaction flow documentation and error trend reports, handle escalations, and update SOPs and partner reference guides.
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