EDI Technical Analyst
About The Position
We are seeking an EDI Technical Analyst to support a leading healthcare payer in maintaining, enhancing, and optimizing enterprise EDI solutions. This is a senior-level technical role requiring strong experience with healthcare EDI transactions, QNXT, advanced SQL development, C#, and production support within a managed care environment. The ideal candidate will independently troubleshoot complex production issues, support large-scale technical initiatives, perform technical discovery, develop dashboards and reporting, and partner with cross-functional teams to deliver reliable, scalable EDI solutions. This individual should have extensive experience working with healthcare payer systems and HIPAA transactions, and should serve as a technical resource for enterprise integrations and data exchange.
Requirements
- 5+ years of healthcare EDI experience in a payer or managed care environment.
- Experience supporting QNXT.
- Advanced SQL development experience including complex queries, stored procedures, and reporting.
- Strong C# development experience.
- Experience supporting HIPAA EDI transactions including: 834 Enrollment, 835 Claims Payment, 837 Claims, 270/271 Eligibility
- Experience with healthcare integrations, data mapping, and ETL processes.
- Experience creating dashboards, reporting, and production monitoring solutions.
- Strong understanding of API integrations and enterprise application support.
- Experience with production support and root cause analysis.
- Knowledge of testing tools such as SOAP UI or Postman.
- Candidates must be US citizens or Green Card holders.
- No sponsorship is permitted as this is a temp-to-hire position.
Nice To Haves
- Experience working with Splunk, application monitoring, or similar logging tools is preferred.
- Knowledge of cloud platforms such as Azure or AWS is a plus.
- Bachelor's degree in Computer Science, Information Systems, Business, or a related field is preferred.
Responsibilities
- Analyze, troubleshoot, and resolve highly complex EDI production issues involving healthcare transactions.
- Support and maintain QNXT integrations, interfaces, and data workflows.
- Develop, optimize, and maintain advanced SQL queries, stored procedures, and reporting solutions.
- Utilize C# to support application enhancements, integrations, automation, and technical solutions.
- Perform technical discovery and document business, functional, and technical requirements.
- Create technical specifications, mapping documents, and workflow documentation.
- Build dashboards and monitoring tools to track transaction health, performance, and operational metrics.
- Research transaction issues and analyze data trends to identify root causes and recommend improvements.
- Support healthcare EDI transactions including 834, 835, 837, 270/271 and other HIPAA transactions.
- Collaborate with infrastructure teams to improve production monitoring, alerting, and system reliability.
- Lead or participate in large enterprise technology initiatives.
- Develop project estimates, timelines, and implementation plans.
- Support API integrations, data interfaces, and enterprise applications.
- Participate in testing activities including validation, defect resolution, and production implementations.
- Provide production support while participating in on-call rotations as required.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Senior
