EDI Analyst/Transaction Specialist

Syms Strategic Group, LLC (SSG)•Des Moines, IA

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 position with a salary range of $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, and candidates must possess or qualify for a Public Trust (MBI). This is a W-2 position. 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 validation requirements, documents mappings and integration requirements, and works with business stakeholders to resolve issues and assess operational impacts. It also supports audit and compliance reviews and maintains data quality guardrails. The position collaborates with EDI Analysts, DevSecOps Engineers, Cloud teams, business teams, and integration specialists. Work includes supporting AS2, SFTP, and HTTPS flows; validating data exchanged with non-X.12 partners; identifying issues introduced by middleware or APIs; querying SQL transaction details; validating payloads, timestamps, statuses, and error flags; and reconciling differences between raw EDI and stored data. Applicants must be U.S. citizens and must be able to meet government security-investigation eligibility requirements. Applicants selected may be subject to background investigation, including criminal history, employment and education verification, drug testing, and creditworthiness. Interviews are conducted on Microsoft Teams with the camera on, and applicants will be asked to provide a LinkedIn profile link.

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 originating from Edifecs routes, profiles, or rulesets.
Ability to interpret Edifecs logs and error codes at the functional layer, rather than 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 explain 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.
Hands-on Edifecs experience with X.12 workflows, including medical claims transactions 837, 834, 835, and 276/277; 270/271 and 278 transactions; 820 transactions; 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 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.
Document transaction flows, error trends, escalations, SOPs, and partner reference guides.