EDI Analyst/Transaction Specialist

Syms Strategic Group, LLC (SSG)•Raleigh, NC

6d•$85,389 - $116,975•Remote

About The Position

Syms Strategic Group (SSG) is seeking an experienced Edifecs Electronic Data Interchange (EDI) Analyst/Transaction Specialist for a full-time, 100% U.S.-based remote position supporting the Department of Veterans Affairs. The role owns functional EDI workflows, partner requirements, and data validation rules to ensure accurate transaction processing and support business operations. The salary range is $85,389–$116,975. The position requires U.S. citizenship and possession of, or eligibility to obtain, a Public Trust (MBI). Candidates located in California, Colorado, Illinois, Minnesota, New Jersey, New York, Oregon, or Washington will not be considered. This is a W-2 position. The specialist interprets and troubleshoots healthcare EDI transactions, including 270/271, 276/277, 278, 820, 834, 835, 837, and 999/277CA. The role analyzes SNIP compliance, companion guides, partner-specific validation rules, and Edifecs validation results; documents mapping and logical requirements; and works with business stakeholders to resolve issues and assess operational impacts. It also supports audit and compliance reviews, maintains data-quality guardrails, and collaborates with EDI, DevSecOps, cloud, business, and integration teams. The role involves working with AS2, SFTP, and HTTPS data flows; validating data exchanged with non-X.12 partners; investigating issues from middleware or APIs; querying SQL transaction details; validating payloads, timestamps, statuses, and error flags; and reconciling raw EDI against stored data. Applicants must provide information in screening answers that is supported by their resumes. Interviews are conducted on Microsoft Teams with cameras on, and applicants will be asked to provide a LinkedIn profile link. Selected applicants are subject to a government security investigation and may undergo background checks that include criminal history, employment and education verification, drug testing, and creditworthiness. SSG is an equal opportunity employer.

Requirements

8+ years of Edifecs product experience in EDI, healthcare, or enterprise application operations.
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.
Strong 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.
Ability to interpret Edifecs logs and error codes at the functional layer, not platform-administration level.
Proficiency 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.
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, including Scrum and Kanban, and JIRA.
Strong documentation habits.
U.S. citizenship is required.
Must possess or qualify for a Public Trust (MBI).
Bachelor’s degree in Computer Science, Engineering, or a related technical discipline; equivalent practical experience is considered.

Nice To Haves

Professional Edifecs certification.
Deep hands-on Edifecs experience with EDI X.12 transaction standards, including medical claims transactions such as 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: 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, and business teams.
Work with integration specialists on AS2, SFTP, and HTTPS 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, escalate issues, and update SOPs and partner reference guides.