EDI Analyst/Transaction Specialist

Syms Strategic Group, LLC (SSG)•Austin, TX

6d•$85,389 - $116,975•Remote

About The Position

Syms Strategic Group is seeking an experienced Edifecs Electronic Data Interchange (EDI) Analyst Transaction Specialist to support the Department of Veterans Affairs. This is a full-time, fully U.S.-based remote W-2 position requiring U.S. citizenship and possession of, or eligibility to obtain, a Public Trust (MBI). Candidates residing in California, Colorado, Illinois, Minnesota, New Jersey, New York, Oregon, or Washington will not be considered. The salary range is $85,389–$116,975. 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, validates compliance and partner-specific rules, documents mapping and logical requirements, and works with business stakeholders and technical teams to resolve issues. It also supports audit and compliance reviews, maintains data quality guardrails, and helps identify issues arising from middleware or APIs. The role works with integration specialists on AS2, SFTP, and HTTPS flows; validates data exchanged with non-X.12 partners; queries SQL transaction details; validates payloads, timestamps, statuses, and error flags; and reconciles raw EDI against stored data. The position requires strong experience with Edifecs products, EDI/HIPAA, healthcare payer/provider workflows, AWS environments, transaction error analysis, and stakeholder communication. Applicants selected will be subject to a government security investigation and may undergo background checks including criminal history, employment and education verification, drug testing, and creditworthiness.

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 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, rather than the platform-admin level.
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.
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, or equivalent practical experience.

Nice To Haves

Professional Edifecs certification.
Deep hands-on Edifecs experience with EDI X.12 transaction standards, including medical claims (837, 834, 835, 276/277, and related workflows), 270/271, 278, 820, and 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, 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 impact.
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, handle escalations, and update SOPs and partner reference guides.