• Pick up customer questions and bug reports from Slack, go into their account, figure out what's going on, and get it resolved • Most of this is diagnosing and fixing. A customer says "this isn't working," you find out why and either push a fix or loop in the right person • Reach for AI tools (Claude Code, Cursor, etc.) by default to move fast. This is core to how we work, not a nice-to-have • Work alongside our support lead, who owns the customer relationship. You bring the technical depth they don't have. • Over time, if you're spotting product ideas and shipping, this can grow into a product engineering role. Not the priority on day one, but the path is real

• Develop, maintain, and optimize complex SQL queries, views, and stored procedures to support analysis, configuration validation, reporting, and defect resolution • Perform in-depth data analysis and root-cause investigations to troubleshoot system and production issues • Use SQL to extract, analyze, reconcile, and validate data across environments to support solutioning, testing, and quality assurance • Support performance tuning activities by analyzing queries, batch jobs, execution plans, and system throughput • Perform smoke testing and post-release validation to confirm data integrity and system stability • Coordinate with data conversion teams to support migration planning, data loads, reconciliation, and validation • Validate converted and migrated data to ensure accuracy, completeness, and alignment with business and policy intent • Support and validate configuration syncs (e.g., Redgate) from baseline to upper environments (source-to-target) • Analyze, validate, and reconcile interface outputs, extract files, reports, and database feeds • Validate X12 EDI transactions (e.g., 834, 837, 835, 820, 999/277) for structure, content, and processing outcomes • Serve as a technical liaison between Business Analysts, Configuration Analysts, developers, QA, conversion teams, and operations

Role Description The EDI Technical Analyst is responsible for the analysis, implementation, support, and optimization of Electronic Data Interchange (EDI) transactions within a healthcare payer environment. This role serves as a liaison between business stakeholders, trading partners, vendors, and technical teams to ensure the accurate exchange of healthcare data. The analyst supports HIPAA-compliant transactions, troubleshooting, testing, implementation, and ongoing maintenance of EDI processes to improve operational efficiency and data integrity. Key Responsibilities - EDI Analysis & Support - Analyze, configure, implement, and support healthcare EDI transactions including: - 834 Benefit Enrollment and Maintenance - 837 Professional, Institutional, and Dental Claims - 835 Electronic Remittance Advice - 270/271 Eligibility Inquiry and Response - 276/277 Claim Status Inquiry and Response - 278 Prior Authorization - 820 Premium Payments - Monitor daily EDI processing and resolve transaction failures, rejections, and data integrity issues. - Conduct root cause analysis and recommend corrective actions for production issues. - Collaborate with business and operational teams to identify EDI requirements and system enhancements. - Technical Analysis - Analyze inbound and outbound EDI files and transaction sets for compliance with HIPAA standards. - Create and maintain mapping specifications, technical documentation, and data flow diagrams. - Perform impact assessments for system upgrades, regulatory changes, and business initiatives. - Support integration between payer core administration systems (e.g., Facets, QNXT, HealthRules, NetworX) and external trading partners. - Testing & Implementation - Coordinate and execute unit, system, integration, and user acceptance testing. - Develop test plans, test cases, and validation procedures. - Facilitate onboarding of new providers, clearinghouses, employer groups, and vendor trading partners. - Validate EDI transaction accuracy during implementation and system upgrades. - Regulatory Compliance - Ensure compliance with HIPAA X12 standards and CMS regulations. - Stay informed of industry changes affecting EDI transactions and healthcare interoperability. - Support audit requests and regulatory reporting activities. - Stakeholder Collaboration - Partner with business analysts, developers, operations teams, providers, clearinghouses, and external vendors. - Serve as a subject matter expert for EDI-related processes and transaction troubleshooting. - Provide production support and participate in issue resolution meetings. Qualifications - Bachelor's degree in Information Systems, Healthcare Administration, Computer Science, or equivalent work experience. - 3+ years of healthcare EDI experience within a payer organization. - Strong knowledge of HIPAA X12 transaction sets (834, 837, 835, 270/271, 276/277, 278, 820). - Experience working with healthcare claims, enrollment, eligibility, provider, and payment processes. - Proficiency in analyzing EDI files and troubleshooting transaction errors. - Experience with SQL and database querying. - Understanding of healthcare payer operations and managed care concepts. - Strong analytical, problem-solving, and communication skills. Preferred Qualifications - Experience with payer platforms such as Facets, QNXT, or HealthRules Payor. - Experience with EDI tools such as IBM Sterling, Edifecs, BizTalk, or Cleo. - Knowledge of XML, JSON, APIs, and healthcare interoperability standards. - Experience supporting Medicare, Medicaid, and Commercial lines of business. - Familiarity with Agile methodologies and project management practices. Key Competencies - EDI Transaction Management - HIPAA Compliance - Healthcare Claims Processing - Trading Partner Management - Root Cause Analysis - Requirements Gathering - System Integration - SQL and Data Analysis - Testing and Validation - Technical Documentation - Cross-Functional Collaboration Benefits - Choice of multiple health and dental plans with nationally recognized networks. - Vision benefits, a total wellness program, and an employee assistance program. - Competitive wages and retirement savings plans. - Company-paid disability and life insurance. - Pre-tax savings opportunities (HSA and/or FSA). - Professional development offerings and opportunities for remote work. - A generous paid-time-off program. Company Description At Tegria, we bring bold ideas and breakthroughs to improve care, technology, revenue, and operations in ways that move healthcare organizations from patient-centered to human-centered. We are helping healthcare put people first—both patients and those who dedicate their lives to delivering care. Tegria is an equal employment opportunity employer and provides equal employment opportunities (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. All qualified candidates are encouraged to apply.

• EDI Transaction Support • Provide day-to-day application support for EDI transactions and file-based integrations. • Troubleshoot EDI failures, missing/rejected files, formatting issues, data discrepancies, and transmission errors. • Coordinate with internal teams, clients, and vendors to resolve EDI processing issues. • Support EDI testing during client onboarding, Application fixes, enhancements, or application changes. • FTP / FTP2 File Transfer Support. • Support FTP-related activities, including coordination with the FTP group for requesting FTP accounts for vendor’s, password changes, connectivity issues, access updates, and file transfer requirements. • Validate successful file movement after FTP password changes, configuration updates, or access modifications. • Ensure secure and accurate exchange of files between internal systems and external partners. • Client Testing & Meeting Support. • Support testing and validation of the layouts, including file structure, field mapping, formatting, required fields, and business rule compliance. • Identify and report layout mismatches, missing data, invalid values, or file formatting issues. • Coordinate with QA, development, business, and client teams for testing and issue resolution. • Participate in client/internal meetings to review layout requirements, testing results, defects, and required changes. • ABI / Customs Support. • Support ABI/customs-related uploads and downloads and monitor customs data exchange processes. • Troubleshoot customs file failures, rejected records, missing shipment data, incorrect customs information, and processing errors. • Coordinate with business and technical teams to resolve customs processing issues.