EDI Technical Analyst (Claims) - Hybrid

HJ Staffing • Phoenix, AZ

1d • Hybrid

About The Position

HJ Staffing is seeking an EDI Technical Analyst (Claims) to support, analyze, test, and maintain EDI transactions, integrations, and data exchange processes for healthcare claims operations. In this role, you will partner with business and technical teams to troubleshoot production issues, develop technical documentation, create data mappings, and ensure successful data exchange between trading partners. The ideal candidate combines strong analytical skills, EDI expertise, SQL proficiency, healthcare systems knowledge, and direct experience supporting payer platforms like QNXT to drive operational efficiency and data integrity.

Requirements

• High School Diploma or GED required
• 2+ years of hands-on EDI experience supporting healthcare transactions (claims, enrollment, eligibility, or payment).
• Strong SQL query development and database analysis skills.
• Proven experience supporting healthcare payer environments, claims processing systems, and trading partner integrations (QNXT highly preferred).
• Experience with testing tools (SOAP UI, Postman) and monitoring/logging tools (Splunk, App Insights).
• Must currently reside in Arizona and be able to commute to the Phoenix office (85021) at least one day per week.
• Must be a US Citizen or Green Card holder.

Nice To Haves

• Bachelor's degree in Computer Science, IS, or a related field preferred.
• Understanding of API integrations, ETL, and cloud platforms (AWS/Azure) is preferred.
• Knowledge of the Edifecs EDI platform is a major plus.

Responsibilities

• Support, troubleshoot, and resolve EDI production issues related to claims and trading partner transactions; participate in on-call support rotations.
• Analyze, map, and validate healthcare data exchanges including 270/271, 834, 835, and 837 transactions.
• Write and maintain SQL queries for production support, reporting, testing, and data validation. Utilize Splunk, App Insights, SOAP UI, and Postman to monitor and validate system performance.
• Create and execute test plans, process test files, document results, and resolve defects. Develop technical specifications, mapping documents, and process flows.
• Support API integrations, ETL processes, and enterprise data exchange initiatives while developing dashboards to monitor data quality.
• Maintain strict compliance with HIPAA requirements and healthcare EDI standards including TR3, CAQH CORE, and Blue Exchange guidelines.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED