Senior Systems Analyst (EDI)

The Senior Systems Analyst (EDI) is responsible for providing Electronic Data Interchange (EDI) data analysis, transaction support, error resolution, and related services for large -scale healthcare or eligibility -based systems. This role works closely with technical, business, and testing teams to analyze, resolve, and transmit EDI transactions accurately and efficiently.

Key Responsibilities

• Provide data analysis, transactional support, error detection, resolution, and ongoing support for EDI operations
  

• Perform analysis and validation of Medicaid 8001 transaction files
  

• Review and resolve data issues related to master data, master person identifiers, and other system data discrepancies
  

• Perform system error analysis and root cause investigation
  

• Validate 1095 -A and 1095 -B files and reconcile 8001 transactions
  

• Analyze inbound and outbound EDI files exchanged with carriers, managed care organizations, and external partners
  

• Identify EDI file rejections, analyze root causes, and recommend corrective actions
  

• Analyze EDI 999 acknowledgment files and assist with resolving exceptions and data issues
  

• Coordinate with development, business, and testing teams to analyze, fix, test, and transmit EDI files on a daily or as -needed basis
  

• Perform data corrections to resolve consumer - or system -reported issues
  

• Access databases and applications to perform root cause analysis and implement data fixes
  

• Translate business needs into technical EDI data solutions
  

• Communicate effectively with IT teams, business users, vendors, and stakeholders
  

• Support flexible work schedules, including off -hours, weekends, and holidays as required
  

Requirements