EDI Analyst

The EDI Analyst will be a part of a team supporting all phases of the design,

development and implementation of an Enrollment Resolution and Reconciliation

process for health insurance exchanges. The Analyst will participate in design

sessions, report on project progress and identify potential risks and issues. The EDI

Analyst will be responsible for troubleshooting and resolving errors in 834 and 820

transactions for health insurance exchanges and performing root cause analysis.

The EDI Analyst will also be responsible for analysis of discrepancies in the eligibility

reconciliation process for multiple stakeholders and continuous process improvement

of the reconciliation process. He/she will provide content to and for collaboration with

training staff on training stakeholders on the transactions and the reconciliation

process. The Analyst may be required to provide training on the transactions and on

the reconciliation processes.

Additional responsibilities include:

• Participation in all phases of testing
• Perform testing and thoroughly document issues
• Work with the technical and development team to resolve identified issues in a

timely manner

• Review documented training material for accuracy and assist in end user

training and support

Minimum Qualifications

• Bachelor’s Degree
• Experience in business analysis
• Experience working with IT development teams
• Experience with enrollment transactions

Additional Qualifications

• Project management experience preferred
• Strong written and oral communication skills
• Experience with Federal contracts a plus
• Testing experience preferred
• Experience with premium payment transactions
• Experience in reconciliation of enrollment transactions
• Knowledge of X12 standards development processes