EDI Technical Analyst (Claims) - Hybrid

Bickham Services Unlimited, LLC•Phoenix, AZ

1d•Hybrid

About The Position

The EDI Technical Analyst (Claims) is responsible for supporting, analyzing, testing, and maintaining EDI transactions, integrations, and data exchange processes that support healthcare claims operations. This role partners with business and technical teams to troubleshoot production issues, develop technical documentation, create data mappings, support testing efforts, and ensure the successful exchange of healthcare data between trading partners. The ideal candidate combines strong analytical skills, EDI expertise, SQL proficiency, healthcare systems knowledge, and experience supporting payer platforms such as QNXT to drive operational efficiency and data integrity.

Requirements

High School Diploma or GED required
2+ years of EDI experience supporting healthcare transactions.
Experience working with healthcare claims, enrollment, eligibility, or payment transactions (270/271, 834, 835, and 837 preferred).
Experience supporting healthcare payer environments, claims processing systems, and trading partner integrations.
Experience in data analysis, data management, integration, and reporting.
Strong SQL query development and database analysis skills.
Knowledge of healthcare EDI standards, HIPAA regulations, and data mapping methodologies.
Experience with testing tools such as SOAP UI and Postman.
Familiarity with monitoring and logging tools such as Splunk and App Insights.
Understanding of API integrations, ETL processes, cloud platforms (AWS, Azure), and enterprise application environments.
Excellent analytical, troubleshooting, technical documentation, and problem-solving skills.
Ability to manage multiple priorities while working independently and collaboratively across teams.
Strong communication skills with the ability to translate technical concepts for business and operational stakeholders.
Candidates must be US citizens or Green Card holders.
No sponsorship is permitted as this is a temp-to-hire position.
Hybrid Role - Candidates must currently reside in Arizona and be able to work onsite at one of the Arizona offices at least one day per week.

Nice To Haves

Bachelor's degree in Computer Science, Information Systems, Business, or related field preferred.
Strong experience with QNXT is highly preferred.
Knowledge of Edifecs EDI platform is a plus.

Responsibilities

Support, troubleshoot, and resolve EDI production issues related to claims and trading partner transactions.
Analyze, map, and validate healthcare data exchanges including 270/271, 834, 835, and 837 transactions.
Develop technical specifications, mapping documents, process flows, and operational procedures.
Write and maintain SQL queries for production support, reporting, testing, and data validation.
Perform root cause analysis and collaborate with internal teams to resolve data and integration issues.
Create and execute test plans, process test files, document results, and support defect resolution activities.
Utilize tools such as Splunk, App Insights, SOAP UI, and Postman to monitor, troubleshoot, and validate system performance.
Support API integrations, ETL processes, and enterprise data exchange initiatives.
Develop dashboards, reports, and monitoring solutions to ensure data quality and transaction integrity.
Participate in project planning, implementation activities, and continuous process improvement initiatives.
Maintain compliance with HIPAA requirements and healthcare EDI standards including TR3, CAQH CORE, and Blue Exchange guidelines.
Participate in on-call support rotations and production incident response activities.