Senior EDI Testing Analyst

CVS Health•Work At Home-Michigan, MI

2d•$46,988 - $112,200

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Support the onboarding and implementation of EDI partners by coordinating system setup, configuration, testing, and production readiness activities. Partner with internal and external stakeholders to gather business requirements, document implementation needs, and support solutions that meet operational and client expectations. Develop and execute test cases to validate system functionality, confirm requirements are met, and ensure accurate end-to-end processing across test and production environments. Review and interpret technical specifications, healthcare EDI formats, and related documentation to ensure accuracy, compliance, and alignment with business needs. Educate and support clients through implementation activities, including production preparation and changes to communication protocols, file formats, or software.

Requirements

2+ years of comprehensive knowledge of EDI transactions, including testing standard X12 transactions such as 837P, 837I, 837 Outgoing, 999, TA1, and U277.
2+ years of experience using crosswalks, HIPAA implementation guides, and requirements documents to validate that data has been mapped to the correct database fields.
2+ years of understanding of privacy rules and HIPAA compliance
2+ years of experience working with clients on issue resolution and problem-solving discussions.
2+ years of experience in a client-facing environment partnering directly with clients on EDI-related issue resolution, testing activities, root-cause analysis, and problem-solving discussions.
Ability to present ideas in business-friendly and user-friendly language
Highly motivated and self-directed.
Strong analytical and problem-solving skills.
Ability to prioritize and execute tasks effectively in a high-pressure environment.
Ability to work both independently and in a collaborative team environment.
Strong verbal and written communication skills.

Nice To Haves

Background in healthcare preferred.

Responsibilities

Support the onboarding and implementation of EDI partners by coordinating system setup, configuration, testing, and production readiness activities.
Partner with internal and external stakeholders to gather business requirements, document implementation needs, and support solutions that meet operational and client expectations.
Develop and execute test cases to validate system functionality, confirm requirements are met, and ensure accurate end-to-end processing across test and production environments.
Review and interpret technical specifications, healthcare EDI formats, and related documentation to ensure accuracy, compliance, and alignment with business needs.
Educate and support clients through implementation activities, including production preparation and changes to communication protocols, file formats, or software.