Healthcare EDI Analyst - 834 Enrollment / Facets 100% Remote | Contract | U.S.-Based | Eastern or Central Time Zones Preferred Healthcare EDI | 834 Enrollment Transactions | Facets | SQL Our client, a nationally recognized large-scale health system, is seeking several Healthcare EDI Analysts to support EDI enrollment transactions and integrations. The organization operates as both a healthcare payer and provider, offering a full continuum of services through its health plan, medical group, and hospital network. This position is specifically focused on candidates with hands-on experience working with 834 enrollment transactions/files, healthcare EDI, and Facets or a similar payer claims and enrollment platform . Key Requirements 2+ years of experience with 834 enrollment transactions/files 2+ years of healthcare EDI experience Experience with Facets or a similar healthcare payer enrollment/claims administration platform Experience analyzing, reading, formatting, and translating
ANSI X12 / HIPAA EDI
transactions Experience with EDI setup, mapping, and implementation SQL experience for querying, retrieving, and analyzing data Experience troubleshooting EDI content, formatting, mapping, and transaction errors What You'll Do Manage and support healthcare EDI transactions, with a strong focus on 834 enrollment files . Analyze EDI data to identify content, formatting, mapping, and processing issues. Configure, map, monitor, and troubleshoot EDI transactions and processes. Implement EDI connections between the health plan and external trading partners. Support new EDI implementations through testing, production launch, and post-production support. Investigate transaction errors and work with trading partners and internal teams to resolve issues. Use SQL queries to retrieve, validate, and analyze healthcare enrollment and transaction data. Monitor EDI processes and proactively identify opportunities to prevent recurring errors. Perform user acceptance testing (UAT) and assist with defect identification and resolution. Support application enhancements, upgrades, and configuration changes. Develop and maintain EDI procedures and technical documentation. Collaborate with business analysts, software developers, project managers, operations teams, providers, vendors, and external trading partners. Provide on-call support as necessary. Qualifications Associate's degree or equivalent experience required; Bachelor's degree preferred. 2+ years of experience working with 834 enrollment transaction sets . 2+ years of experience analyzing EDI data for content and formatting issues. 2+ years of experience reading, analyzing, formatting, and translating EDI data. 2+ years of experience implementing EDI setup and mapping. 2+ years of experience using SQL queries to retrieve and analyze data. 2+ years of experience within the healthcare industry . 2+ years of experience with Facets or a similar healthcare enrollment, claims, or payer administration system. Strong understanding of ANSI X12 and HIPAA-compliant EDI transactions . Strong analytical, troubleshooting, documentation, and communication skills. Additional Details 100% remote within the United States Eastern or Central time zones preferred Client-provided equipment No travel or reimbursable expenses No sponsorship available This is an excellent opportunity for an experienced Healthcare EDI Analyst who understands the technical and operational side of 834 enrollment transactions and can troubleshoot complex EDI issues within a healthcare payer environment. If you have hands-on 834, healthcare EDI, SQL, and Facets experience, we encourage you to apply.
Job Types:
Full-time, Temporary, Contract Pay:
$50.00 - $60.00 per hour Expected hours: 40.0 per week
