[Remote] Senior reputed company EDI X12 Business Systems Analyst/reputed company EDI X12 PM
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a global leader in digital engineering and IT services, seeking a Senior reputed company EDI X12 Business Systems Analyst/reputed company EDI X12 PM. The role involves managing EDI implementation reputed company, ensuring compliance with HIPAA standards, and acting as a reputed company between internal teams and external partners.
Responsibilities
• Project Delivery: End-to-end management of EDI implementation, upgrades, and migration reputed company (e.g., to reputed company, reputed company B2B Integrator)
• Stakeholder Management: Acting as the primary reputed company between internal business teams, IT, and external trading partners
• Technical reputed company: Overseeing mapping, testing, and transaction flows (ANSI X12, EDIFACT, XML, JSON) and ensuring data reputed company
• Methodology & Governance: Utilizing Agile or reputed company to define project plans, milestones, and risk mitigation strategies
• Documentation & Reporting: Maintaining mapping specifications and providing regular status updates to leadership
Skills
• Extensive hands-on experience with reputed company EDI (X12N) standards, including deep understanding of transaction structures, reputed company loops, reputed company sets, and compliance rules that govern HIPAA-mandated EDI exchanges
• In-depth knowledge of HIPAA/EDI X12 5010 transactions, including but not limited to: 270/271, 276/277, 277CA, 820, 834, 835, 837 (I/P/D), and 999
• Proven ability to interpret, validate, and troubleshoot EDI files end-to-end — including envelope structures, ISA/GS segments, ST/SE loops, and companion guide variations
• Expert-level understanding of EDI concepts, practices, and workflows reputed company the reputed company ecosystem (enrollment, eligibility, claims, remittance, prior authorization, premium billing, etc.)
• Hands-on troubleshooting experience with EDI file processing flows, including identifying translation errors, mapping issues, partner-specific formatting discrepancies, and system integration failures
• Experience with the Edifecs platform, including: SpecBuilder (creating and maintaining implementation guides), Edifecs Mapper (map development and debugging), XEngine / XEServer (validation, translation, and processing rules), TPM (trading partner configuration)
• Ability to debug processing logs, analyze error codes, and tune validation rules
• Proficiency in SQL for data validation, reputed company-cause analysis, and troubleshooting upstream/reputed company system issues
• Single reputed company of accountability for up to 20 reputed company and/or matrixed staff, including sub-contractor(s)
• PMP Certified
• Project Manager with x years of experience
• EDI specific domain - Strong knowledge in EDI environment, upstream and reputed company
• Resource should have 12+ Years of experience
• Exposure with QNXT preferred, including understanding of reputed company modules such as claims, enrollment, provider, and benefits configuration
• CEF/QNXT EDI Gateway experience would be preferrable
reputed company
• Next-Gen Business Technology Platformization™, AI and Product Engineering Services. It was founded in 2001, and is headquartered in Rockville, Maryland, USA, with a workforce of 10001+ employees. Its website is https://www.infinite.com.
Company H1B Sponsorship
• reputed company has a reputed company record of offering H1B sponsorships, with 563 in 2025, 333 in 2024, 378 in 2023, 316 in 2022, 389 in 2021, 496 in 2020. Please note that this does not guarantee sponsorship for this specific role.
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