Find Your Next Opportunity
Direct Hire, Contract, Contract to Hire
- Start your job search below
- Filter by Location, Remote Jobs, Keywords, and more. Save your keyword searches for automated notifications when new jobs are added.
- Apply!
EDI Analyst (Healthcare 834 transaction sets)
$ 50.00 - $ 60.00
Posted 09/22/2026
Contract
Contract
Remote Friendly
Job ID:
27666
Job Description
Our client is a nationally recognized large-scale health system, they are a payor/provider and offer a full continuum of health services through their health plan, medical group, and hospital group.
Our client is looking for several Healthcare EDI Analysts who have experience with 834 enrollment transactions/files and the Facets payer claims & administration platform.
Work model - 100% remote within the US, Eastern or Central time zones preferred.
Expenses allowed: No
Client will supply necessary Equipment
No Sponsorship Available
Summary -
Provides support for the EDI Operations department by interfacing with internal and external customers including business analysts, software developers, project managers, trading partners, and software vendors. This role is responsible for managing a range of EDI transactions including enrollment, claims, financial, and eligibility transactions using ANSI X12 HIPAA compliant formats.
Provides technical support for the implementation of EDI connections with external parties; responds to inquiries related to EDI transactions; conducts analysis of EDI transactions; and provides issue resolution when necessary. Handles multiple enhancement requests and projects.
Essential Functions:
* Demonstrate knowledge of EDI standard formats and communicate complex data exchange concepts to internal and external parties. Interface professionally with various internal and external customers including Operations, Sales, Marketing, IS, and Trading Partners to understand and process work requests.
* Responsible for the implementation of electronic data interchange connections between Priority Health and external parties. Support ongoing implementations in post-production, including error identification/resolution, continuous improvement, and pro-active communication with the trading partners and providers to reduce/prevent errors.
* Verify and monitor EDI processes. Troubleshoot and resolve EDI related issues. Develop and maintain procedural documentation. Follow-up comprehensively with all stakeholders during issue remediation process to assure that delays are minimized and the process runs smoothly.
* Assist in defining application enhancements and upgrades.
* Perform application configuration, mapping, and monitoring of EDI transactions and processes.
* Support application testing effort by performing user acceptance testing (UAT) and assisting in defect resolution.
* Provide on-call support as necessary.
Essential Functions:
* Demonstrate knowledge of EDI standard formats and communicate complex data exchange concepts to internal and external parties. Interface professionally with various internal and external customers including Operations, Sales, Marketing, IS, and Trading Partners to understand and process work requests.
* Responsible for the implementation of electronic data interchange connections between Priority Health and external parties. Support ongoing implementations in post-production, including error identification/resolution, continuous improvement, and pro-active communication with the trading partners and providers to reduce/prevent errors.
* Verify and monitor EDI processes. Troubleshoot and resolve EDI related issues. Develop and maintain procedural documentation. Follow-up comprehensively with all stakeholders during issue remediation process to assure that delays are minimized and the process runs smoothly.
* Assist in defining application enhancements and upgrades.
* Perform application configuration, mapping, and monitoring of EDI transactions and processes.
* Support application testing effort by performing user acceptance testing (UAT) and assisting in defect resolution.
* Provide on-call support as necessary.
Job Requirements
- Associate's Degree or equivalent, Bachelor's Degree preferred
- 2+ years experience with 834 transaction sets (enrollment files)
- 2+ years experience analyzing EDI data to identify content and/or formatting issues
- 2+ years experience using SQL queries to retrieve and/or display data
- 2+ years experience reading/analyzing/formatting/translating EDI data
- 2+ years of Implementing EDI setup and mapping
- 2+ years of experience in the healthcare industry
- 2+ years of experience with Facets software or a similar healthcare enrollment/claims management software system
About Grand Rapids, MI
Ready to embark on an exciting career journey in the vibrant city of Grand Rapids, Michigan? Explore our latest job opportunities in this dynamic region that boasts a thriving job market and a welcoming community. Known as Beer City USA, Grand Rapids is home to an array of craft breweries, stunning art galleries like the Frederik Meijer Gardens & Sculpture Park, and impressive cultural attractions such as the Grand Rapids Ballet and the Grand Rapids Symphony. With its lively downtown area, renowned restaurants serving up local delicacies like pasties and Michigan cherry pie, and picturesque outdoor spaces like Millennium Park and John Ball Zoo, Grand Rapids offers a perfect blend of urban amenities and natural beauty for professionals looking to advance their careers in a charming and growing city. Dive into our job listings and discover the opportunities waiting for you in Grand Rapids!
