EDI Analyst/Transaction Specialist

Syms Strategic Group, LLC (SSG)•Nashville, TN

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 to support the Department of Veterans Affairs. This is a full-time, 100% U.S.-based remote W-2 position with a Public Trust (MBI) clearance requirement. The salary range is $85,389–$116,975. Candidates from California, Colorado, Illinois, Minnesota, New Jersey, New York, Oregon, or Washington will not be considered. U.S. citizenship is required. The specialist owns functional EDI workflows, partner requirements, and data validation rules to ensure accurate transaction processing and support business operations. The role interprets and troubleshoots healthcare transaction sets, analyzes SNIP compliance and partner-specific rules, documents mappings and logical requirements, and works with business stakeholders to resolve issues and assess operational impacts. It also supports audits and compliance reviews, collaborates with EDI, DevSecOps, cloud, business, and integration teams, and investigates data and transaction issues across EDI, middleware, APIs, and SQL-stored data. The role requires substantial Edifecs, EDI, and HIPAA experience, including interpretation of X.12 structures, validation results, processing rules, transaction profiles, maps, implementation guides, logs, and error codes. The specialist also translates reporting requirements into technical data models, communicates architecture decisions to non-technical stakeholders, and maintains transaction-flow documentation, error reports, escalation records, SOPs, and partner reference guides. Applicants must be U.S. citizens and must possess or qualify for a Public Trust (MBI). Selected applicants will be subject to a government security investigation and must meet eligibility requirements for access to classified information and a government-granted security clearance. Background checks may include criminal history, employment and education verification, drug testing, and creditworthiness. Interviews are conducted on Microsoft Teams with cameras on, and applicants will be asked to provide a LinkedIn profile link.

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.
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.
Ability to understand inbound and outbound workflow architecture.
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

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, 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.
Identify root causes of transaction errors, resolve mapping mismatches, troubleshoot rejections, and review parsed EDI structures stored in SQL databases.
Gather and translate business reporting requirements into technical data models.
Communicate technical architecture decisions and trade-offs to non-technical stakeholders.
Create transaction-flow documentation and error-trend reports, document escalations, and update SOPs and partner reference guides.