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Healthcare EDI Analyst – Payer Connectivity

AnalystAnalystFull TimeRemoteSeniorTeam 10,001+Since 1996H1B SponsorCompany SiteLinkedIn

Location

California

Posted

5 days ago

Salary

$89.9K - $155.8K / year

Seniority

Senior

Bachelor Degree5 yrs expEnglish

Job Description

Healthcare EDI Analyst – Payer Connectivity

Experian

• Establish, maintain, and optimize payer and trading partner connections that support reliable electronic healthcare transactions • Research payer requirements, implement and validate connectivity solutions, maintain accurate payer data, and resolve transaction issues across supported workflows • Be the subject matter expert and escalation point for payer connectivity, EDI, API, and web/screen capture issues • Partner with Product, Clearinghouse, Implementation, Engineering, Support, vendors, and trading partners to support setup, troubleshooting, and optimization • Document payer lists, workflows, requirements, research findings, issue resolutions, and reference materials in established systems • Validate and monitor new payer connections to ensure successful transaction exchange • Analyze reporting, dashboards, Salesforce cases, and Jira tickets to identify trends, risks, and improvement opportunities • Support process improvement, automation, and AI-driven projects that improve monitoring, data accuracy, and workflow efficiency • Provide guidance and training on payer connectivity processes and best practices.

Job Requirements

  • 5+ years of business analyst, implementation, client/payer-side, or healthcare RCM software/technology experience
  • 3+ years of healthcare eligibility and benefits experience across hospital and/or physician workflows
  • Strong knowledge of healthcare EDI transactions and workflows, including 270/271, 276/277, 278, 837, and 835
  • Understanding of payer connectivity models, including direct connections, clearinghouses, trading partners, AS2, SFTP, APIs, and FHIR-based integrations
  • Research payer requirements, interpret companion guides, and translate requirements into connectivity solutions
  • Experience analyzing healthcare transaction data, diagnosing connectivity issues, validating outcomes, and managing payer lists or transaction availability data
  • Experienced with Microsoft 365, Salesforce, Atlassian Jira, reporting tools, and dashboards
  • Experience with Experian Health platforms, similar healthcare technology solutions, Epic/Cerner, data analysis, automation, or AI-driven solutions.

Benefits

  • Great compensation package and bonus plan
  • Core benefits including medical, dental, vision, and matching 401K
  • Flexible work environment, ability to work remote, hybrid or in-office
  • Flexible time off including volunteer time off, vacation, sick and 12-paid holidays

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