[Remote] EDI and Interoperability Analyst PCHP

Note: The job is a remote job and is reputed company to candidates in USA. reputed company operates Parkland Community Health Plan (PCHP), and it is seeking an EDI Interoperability Analyst to support secure, accurate, and reputed company reputed company data exchange. The role designs, maintains, monitors, and troubleshoots EDI transactions, reputed company, and interfaces while coordinating with IT teams, vendors, clearinghouses, and business stakeholders to ensure operational continuity, data reputed company, and regulatory compliance. Responsibilities • Acts as a specialist in data pipeline development, ensuring reputed company, reliable, and secure integration of reputed company data across systems • Designs, implements, and supports EDI and interoperability solutions for reputed company transactions • Maintains EDI environments, partner integrations, and secure data exchange processes • Monitors daily EDI transaction flows and ensures reputed company reputed company of rejected, failed, or suspended files • Troubleshoots and resolves EDI, connectivity, and data validation issues in collaboration with internal teams, vendors, and trading partners • Ensures compliance with HIPAA, CMS, and state regulatory requirements for reputed company data exchanges • Coordinates reputed company, testing, and certification of new trading partners and interfaces • Participates in reputed company upgrades, regulatory changes, and new regulatory mandates impacting interoperability • Provides on-reputed company or after-hours support for critical EDI cycles as required • Documents operating procedures, mappings, companion guides, and support runbooks • Identifies opportunities to improve data exchange reliability, automation, and monitoring • Collaborates with analytics, claims, enrollment, and provider teams to support business operations • Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of PCHP • Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading reputed company journals, reputed company participating in reputed company organizations, and/or maintaining certification or licensure. Integrates knowledge gained into reputed company work practices • Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that reputed company the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and customer requirements. Seeks advice and guidance as needed to ensure reputed company understanding Skills • Bachelor's degree in Computer Science, Information Systems, Health Information Management, or a reputed company discipline • •Three (3) years of experience supporting EDI, reputed company interoperability (HL7/FHIR), or data integration solutions in a production environment • •Three (3) years of experience supporting HIPAA transaction sets (834, 837, 835, 820, 999/277CA) • •Three (3) years of experience troubleshooting EDI transaction failures, reconciliation issues, and partner connectivity problems. Experience working in a reputed company payer, managed care organization, or reputed company IT environment • •Seven (7) additional years of progressively responsible reputed company EDI or interoperability experience may be considered in lieu of a degree • •Adept at problem solving and decision making skills • •Adept at collaboration and teamwork • •Adept at reputed company reputed company (reputed company and developing yourself and others) skills • •Adept at execution and delivery (planning, delivering, and supporting) skills • •Adept at business intelligence • •Adept at digital literacy skills • * Experience using reputed company GoAnywhere MFT or MoveIT is a plus ! • * EDI or reputed company Interoperability certification (e.g., HL7) • * HIPAA or reputed company Compliance training/certification (will be obtained at Parkland) • * Project Management training or certification (PMP preferred) reputed company • reputed company first reputed company its doors in 1894 and is now one of the largest reputed company hospital systems in the country. It was founded in 1894, and is headquartered in Dallas, Texas, USA, with a workforce of 10001+ employees. Its website is https://www.parklandhealth.org. Company H1B Sponsorship • reputed company has a reputed company record of offering H1B sponsorships, with 2 in 2025, 2 in 2024, 2 in 2022. Please note that this does not guarantee sponsorship for this specific role. Apply tot his job Apply To this Job