EDI Medical Business Analyst

Remote-first work arrangement within the United States.Full-TimeMiddle
Salary55,730 - 73,500 USD per year
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Job Details

Experience
5+ years
Required Skills
SQLAgileBusiness AnalysisETLSCRUMHIPAA

Requirements

  • Bachelor’s degree in Computer Science, Engineering, Information Systems, or related technical field.
  • 5+ years of experience in IT operations, systems analysis, or EDI-focused business analysis roles.
  • Strong knowledge of healthcare EDI standards and transactions (e.g., 837, 835, 270/271, 999, 277).
  • Hands-on experience with EDI mapping, processing, onboarding, testing, and troubleshooting.
  • Understanding of HIPAA, X12/EDIFACT standards, and healthcare data exchange protocols.
  • Experience working with EDI tools such as Gentran, IBM Sterling Integrator, or similar platforms.
  • Familiarity with SQL, data workflows, ETL processes, and healthcare data systems.
  • Experience working in Agile/Scrum environments, including user story development and backlog management.
  • Strong communication skills with the ability to translate technical concepts for non-technical stakeholders.
  • Ability to work independently, manage multiple priorities, and deliver high-quality documentation under deadlines.

Responsibilities

  • Gather, analyze, and document detailed business and technical requirements for EDI-related epics, features, and user stories.
  • Serve as a liaison between business stakeholders, developers, testers, and external partners to clarify EDI requirements and resolve issues.
  • Support end-to-end EDI integration testing, validation, and onboarding with third-party vendors and trading partners.
  • Design, map, and maintain EDI workflows, processes, and data exchange structures across healthcare systems.
  • Translate complex healthcare business needs into structured functional and technical specifications.
  • Participate in Agile ceremonies including backlog grooming, sprint planning, and daily stand-ups.
  • Develop process flows, documentation, test plans, and project materials to support delivery and implementation.
  • Identify and recommend improvements to existing EDI processes, systems, and operational workflows.
  • Support troubleshooting and issue resolution related to EDI transactions and data exchange failures.
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55,730 - 73,500 USD per year
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