Edifecs EDI Analyst Transaction Specialist
Role Overview
• Interpret and troubleshoot transaction sets: 270/271, 276/277, 278, 820, 834, 835, 837, 999/277CA.
• Analyze SNIP compliance, companion guides, and partner‐specific validation rules.
• Document mapping/logical requirements for new partners and integration changes.
• Partner with business stakeholders for issue resolution and operational impact assessments.
• Support audit/compliance reviews and maintain data quality guardrails.
• Collaborate with EDI Analysts, DevSecOps Engineers, cloud teams, and business teams.
Key Skills for This Role
Full Job Posting
Qualifications
- Education
- Bachelor’s or master’s degree in computer science, engineering, or a related technical discipline required; equivalent practical experience considered.
- Edifecs certification.
- Minimum 8 years of Edifecs product experience in EDI, healthcare, or enterprise application operations.
- Minimum 8 years EDI/HIPAA experience.
- Strong understanding of payer/provider workflows.
- Ability to interpret loops/segments/element‐level errors.
- Familiarity with Edifecs Transaction Management or equivalent tools.
- Excellent communication and stakeholder engagement skills.
- Core Technical
- Strong Proficiency in X12 / HIPAA EDI Transactions structure, rules, and field-level details of the full 270/271, 276/277, 278, 820, 834, 835, 837, 999/277CA.
- Strong understanding of EDI X12 Loop/segment/element interpretation, SNIP validations (Levels 1–7), companion guide interpretation, and error analysis at segment or element level.
- Experience with interpreting Edifecs XEngine validation resultsm, understand processing rules and transaction profiles.
- Experience working with SpecBuilder maps and implementation guides.
- Able to identify issues sourced from Edifecs routes, profiles, or rulesets.
- Able to interpret Edifecs logs and error codes (functional layer, not platform admin level).
- Proficient with identifying root causes of transaction errors, resolving mapping mismatches, troubleshooting rejections from payers or state systems, and reviewing parsed EDI structures stored in SQL databases.
- Able to understand inbound/outbound workflow architecture
- Work with integration specialists on AS2, SFTP, HTTPS flows.
- Validate data sent to/received from non-X12 partners.
- Identify issues introduced by middleware layers or APIs.
- Query SQL for transaction details.
- Validate payloads, timestamps, statuses, and error flags.
- Reconcile mismatches between raw EDI and stored data.
- Process & Soft Skills
- Strong ability to communicate technical architecture decisions and trade-offs to non-technical stakeholders.
- Experience gathering and translating business reporting requirements into technical data models.
- Comfortable driving ambiguous architecture decisions to resolution with limited direction.
- Experience with agile methodologies (Scrum, Kanban) and JIRA.
- Strong documentation habits with creating transaction flow documentation, error trend reports, escalations, and updating SOPs and partner reference guides.
Requirements
- Nice to Have
- Knowledge of HIPAA compliance requirements in cloud data architecture
- Experience with healthcare payer/PBM systems, clearinghouses, or pharmacy operations.
- AWS certification is a bonus.
- Clearance Requirement: US Citizenship required with the ability to obtain and maintain a Public Trust clearance
Preferred Qualifications
- Knowledge of HIPAA compliance requirements in cloud data architecture
- Experience with healthcare payer/PBM systems, clearinghouses, or pharmacy operations.
- AWS certification is a bonus.
- Clearance Requirement: US Citizenship required with the ability to obtain and maintain a Public Trust clearance
About SAIC
Provides government and defense clients with technology and engineering services.
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