Senior EDI Analyst

3 days ago

United States Genesis10 Full time
Genesis10 is currently seeking a Senior EDI Analyst / Business Systems Analyst for a 3 month contract role with our healthcare client in Eden Prairie, MN. The resource is required to work on pacific time.

Compensation: $ - per hour, depending on skill and experience level.

Summary:
We are seeking a highly skilled Senior EDI Analyst / Business Systems Analyst with extensive experience in healthcare payer systems, HIPAA X12 transactions, and integration platforms. The ideal candidate will have a proven track record of supporting end-to-end EDI workflows, troubleshooting production issues, and driving seamless integration between internal systems and external trading partners.

Responsibilities:
  • Monitor and support daily EDI transaction flows (837, 835, 278, 834, 270/271) across multiple payer and provider integrations.
  • Troubleshoot and resolve production issues, including edit errors, rejected files, mapping discrepancies, and reprocessing of corrected X12 transactions.
  • Collaborate with trading partners to validate Authorization (278) and Claims EDI workflows.
  • Develop functional specifications, source-to-target mappings, data flow diagrams, and traceability documentation.
  • Create job aids and process documentation to support production teams and new integrations.
  • Participate in UAT execution, SQL validation, and post-deployment verification.
  • Design and support end-to-end trading partner integrations using platforms such as Cleo Cloud, EDI Fabric, and SQL-based validation.
  • Lead EDI production support, resolving mapping errors, reprocessing failed transactions, and coordinating partner testing.
  • Document workflows, ICDs, and interface specifications; collaborate with QA for regression and UAT cycles.
  • Deliver Medicaid and MMIS solutions through FACETS, focusing on Claims, Eligibility, NCPDP D.0, and Prior Authorization modules.
  • Conduct JAD sessions, create BRDs/FRDs, document end-to-end process flows, and perform gap analysis.
  • Validate backend data using SQL; support UAT and production rollout for claim pricing and member eligibility.
Qualifications
  • EDI & HIPAA Transactions: 837, 835, 278, 834, 270/271, SNIP validation
  • Integration Engines: CLEO, Sterling, Mirth, Boomi, BizTalk
  • Claims & UM Systems: FACETS, MMIS, Utilization Management workflows
  • EDI Production Support: Mapping issue resolution, reprocessing, edits, resubmissions
  • Data Analysis: SQL, relational databases (SQL Server, Oracle, MySQL, DB2)
  • Documentation: BRD/FRD, ICD, data mapping, Visio workflows, job aids
  • Agile Delivery: Scrum, SAFe, Kanban, backlog refinement, user story creation
  • Healthcare Domain: Eligibility, provider data, claims adjudication

Technical Skills:
  • EDI: ANSI X12 (837, 835, 834, 278, 270/271, 810, 850), HL7, NCPDP D.0
  • Integration Engines: Mirth, Boomi, BizTalk, Cleo, IBM Sterling
  • Platforms: FACETS, Epic, Cerner, Salesforce, Hansen, Edifecs
  • Databases: SQL Server, Oracle, MySQL, DB2
  • Tools: SQL Developer, JIRA, Client ALM, SoapUI, Visio, Lucidchart
  • Reporting: Power BI, Tableau, Crystal Reports
  • Methods: Agile/Scrum, Kanban, SAFe, Waterfall

If you have the described qualifications and are interested in this exciting opportunity, apply today

Ranked a Top Staffing Firm in the U.S. by Staffing Industry Analysts for six consecutive years, Genesis10 puts thousands of consultants and employees to work across the United States every year in contract, contract-for-hire, and permanent placement roles. With more than 300 active clients, Genesis10 provides access to many of the Fortune 100 firms and a variety of mid-market organizations across the full spectrum of industry verticals.

For contract roles, Genesis10 offers the benefits listed below. If this is a perm-placement opportunity, our recruiter can talk you through the unique benefits offered for that particular client.

Benefits of Working with Genesis10:
Access to hundreds of clients, most of whom have been working with Genesis10 for 5-20+ years.
The opportunity to have a career and a home in Genesis10; many of our consultants have been working exclusively with Genesis10 for years.
Access to an experienced, caring recruiting team (more than 7 years of experience, on average.)
Behavioral Health Platform
Medical, Dental, Vision
Health Savings Account
Voluntary Hospital Indemnity (Critical Illness & Accident)
Voluntary Term Life Insurance
401K
Sick Pay (for applicable states/municipalities)
Commuter Benefits (Dallas, NYC, SF)
Remote opportunities available

For multiple years running, Genesis10 has been recognized as a Top Staffing Firm in the U.S., as a Best Company for Work-Life Balance, as a Best Company for Career Growth, for Diversity, and for Leadership, amongst others. To learn more and to view all our available career opportunities, please visit us at www.genesis10.com

Genesis10 is an Equal Opportunity Employer. Candidates will receive consideration without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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