EDI Implementation Analyst (Remote)

Availity

2d • Remote

About The Position

Availity delivers revenue cycle and related business solutions for health care professionals who want to build healthy, thriving organizations. Availity has the powerful tools, actionable insights and expansive network reach that medical businesses need to get an edge in an industry constantly redefined by change. At Availity, we're not just another Healthcare Technology company; we're pioneers reshaping the future of healthcare! With our headquarters in vibrant Jacksonville, FL, and an exciting office in Bangalore, India, along with an exceptional remote workforce across the United States, we're a global team united by a powerful mission. We're on a mission to bring the focus back to what truly matters – patient care. As the leading healthcare engagement platform, we're the heartbeat of an industry that impacts millions. With over 2 million providers connected to health plans, and processing over 13 billion transactions annually, our influence is continually expanding. Join our energetic, dynamic, and forward-thinking team where your ideas are celebrated, innovation is encouraged, and every contribution counts. We're transforming the healthcare landscape, solving communication challenges, and creating connections that empower the nation's premier healthcare ecosystem. We’re hiring an EDI Implementation Analyst to join a small, highly specialized team that supports production health plan integrations. In this role, you’ll manage complex configuration changes for health plan partners, ensuring claims data flows accurately and reliably through Availity’s platform. This is a hands-on role that blends technical configuration work with strong analytical thinking and cross‑team collaboration. Sponsorship, in any form, is not available for this position.

Requirements

• Minimum of 4 years related experience in a technology (information exchange) and/or health care environment
• Bachelor’s Degree or equivalent work experience
• Experience analyzing, interpreting, and validating business requirements, not just executing instructions
• Ability to balance technical execution with thoughtful problem-solving
• Ability to collaborate with external partners and internal partners including production support teams and information technology
• Understanding of HIPAA implementation guides for claim and other transactions
• Knowledge of the health care industry HIPAA mandated ANSI transaction formats
• Working knowledge of the X12 transactions specifically 837P, 837I, 835, 270/271, 276/277, 278, CCR/CCD, and HL7 transaction sets
• Proven ability to work in a team environment
• Ability to prepare documented customer requirements

Nice To Haves

• A background working with health plans, clearinghouses, or payer systems
• Experience in environments with production releases and structured change management.
• Strong troubleshooting and analytical abilities.

Responsibilities

• Managing and executing change request tickets from premium health plan partners using JIRA
• Analyzing and validating business requirements, ensuring requests are accurate, complete, and make sense before implementation
• Configuring receiver configurations, including edits and enrichments, using Availity’s internal tool EPDM
• Coordinating with development teams when changes require code-level updates
• Serving as a key point of contact for connectivity and data issues, acting as “air traffic control” to route and resolve issues effectively
• Performing functional testing and support production releases
• Participating in monthly production releases and occasional minor releases
• Working closely with internal teams such as Health Plan Analysts, Account Management, and Payment Accuracy

Benefits

• competitive salary
• bonus structure
• generous HSA company contribution
• healthcare
• vision
• dental benefits
• 401k match program
• unlimited PTO for salaried associates + 9 paid holidays
• Hourly associates start at 19 days of PTO and go up from there with all the same holiday benefits
• associates to reimburse up to $250/year for gym memberships, participation in racing events, weight management programs, etc
• education reimbursement
• Paid Parental Leave for both moms and dads, both birth parents and adoptive parents

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level