IS Business & EDI Analyst - Denver Health Medical Plan (Must Live in Colorado. Weekly On Site Requirement)

Denver Health and Hospital Authority•Denver, CO

8d•Hybrid

About The Position

We are recruiting for a mission-driven IS Business & EDI Analyst - Denver Health Medical Plan to join our team! At Denver Health, purpose isn’t just something we believe in—it’s something we live every day, for life’s journey. This is a hybrid role located in Denver, Colorado with a requirement of being in the office 2 days per week. Under minimal supervision, the Business/EDI Analyst plays a dual role at the intersection of business analysis and electronic data interchange, supporting the operational, technical and project needs of a nonprofit health plan. In this position, the analyst will gather and document business requirements, facilitate cross-functional communication between clinical, operational, and technical stakeholders, and support complex workflows into clear, actionable specifications. Equal weight is placed on the EDI side of the role, where the analyst will monitor, troubleshoot, and support the processing of HIPAA-compliant electronic transactions — including 837 claim files and 835 remittance advices — ensuring accurate and timely data exchange between the health plan and its trading partners. The ideal candidate has experience in a healthcare or managed care environment, with working exposure to both business analysis disciplines and EDI file formats and standards. A strong attention to detail, comfort navigating ambiguity across business and technical teams, and a foundational understanding of HIPAA transaction sets are essential to success in this role. This individual will be expected to grow in both domains simultaneously, making it well-suited for someone who is analytically curious, process-minded, and motivated by the operational backbone that keeps a health plan running accurately and compliantly.

Requirements

Must live in Colorado
Bachelor's Degree Computer Science required - Or - High School Diploma or GED and 2-4 years of equivalent experience required
1-3 years experience with ITSM/ticketing and incident management concepts required
1-3 years experience with EDI file types (834, 837, 820) or healthcare data required
1-3 years Project management experience required
Foundational knowledge of HL7 & EDI/X12 formats
Basic T-SQL skills — query writing for analysis and troubleshooting
Familiarity with relational databases and data mapping between systems
Ability to manage multiple priorities with minimal supervision
Strong analytical and diagnostic skills across multiple systems
Excellent communication — technical concepts to non-technical audiences
Highly organized; adapts to shifting workloads and priorities
Strong interpersonal skills; quickly builds rapport with staff and vendors
Comfortable with ambiguity — knows when to act and when to ask

Nice To Haves

1-3 years experience with Edifecs, BizTalk, or similar integration tools and Healthcare payer background preferred

Responsibilities

Monitor daily EDI file movement and X12 data load processes
Review data quality reports and job logs; triage and resolve issues
Maintain and update job schedules for EDI workflows
Perform UAT support testing 834, 837, 820, and related transaction sets
Ad-Hoc SQL queries to analyze data trends and assist in issue triage
Map data between database tables and EDI file structures
Test vendor integrations using Postman or SOAP UI
Support change management — test and validate before production
Assist in translating business requirements into technical extract designs
Document technical specifications, data mappings, and process procedures
Support Config changes, certificate renewals, PGP keys etc.
Serve as the primary IS contact for support tickets across the business application portfolio
Triage and resolve application incidents submitted by DHMP staff and external vendors
Facilitate user onboarding and offboarding across supported platforms
Set up new vendors and configure automated file management workflows
Participate in weekly rotation of daily system health checkout
Assist customers with application implementation, workflow identification, and issue resolution
Collaborate with users to gather requirements and support UAT
Coordinate with Denver Health IT and IS team members as needed
Document solutions — technical specs, process notes, and incident responses
Support project and upgrade activities alongside daily operations

Benefits

Generous paid time off, fully paid parental leave, exceptional retirement contributions, comprehensive health coverage, and nationally recognized well-being programs.
Tuition assistance, career advancement pathways, and professional development
Meaningful financial advantages through loan forgiveness eligibility and employer contributions.
Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
100% paid parental leave up to 6 weeks
Immediate eligibility for retirement plans with employer contribution up to 9.5%
Generous medical, dental, vision plans in addition to employer paid disability and life insurance.
Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
Free RTD EcoPass (public transportation)
Childcare discount programs & exclusive perks on large brands, travel, and more
Tuition reimbursement & assistance
Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
Professional clinical advancement program & shared governance
Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer