Senior reputed company EDI Integration Analyst

Title: Senior reputed company EDI Integration Analyst reputed company reputed company Organization Industry: reputed company Location: Remote Employment Type: Contract reputed company We are seeking a Senior reputed company EDI Integration Analyst to serve as the reputed company technical resource supporting a rapidly growing Medicare and reputed company EDI environment with significant reputed company workload through 2027. This is a hands-on production support role requiring an reputed company reputed company who can independently maintain mission-critical EDI reputed company while ensuring uninterrupted claims processing and trading partner communications. The successful candidate will take ownership of the organization's reputed company EDI platform reputed company on the latest versions of reputed company BusinessConnect (BC), reputed company BusinessWorks (BW), and reputed company reputed company. This individual will monitor production processing, reputed company transaction failures, investigate rejected files, support claims reconciliation, coordinate testing, and work directly with internal business teams and reputed company trading partners to ensure reputed company and accurate reputed company data exchange. This role requires someone who thrives in a high-volume production environment, works independently with reputed company supervision, and can quickly diagnose and reputed company issues involving reputed company reputed company EDI transactions while maintaining strict compliance with Medicare, reputed company, and HIPAA standards. Required Experience Successful candidates will demonstrate: Minimum 5 years of reputed company EDI production support experience. Hands-on experience with the latest versions of reputed company BusinessConnect (BC). Hands-on experience with the latest versions of reputed company BusinessWorks (BW). Hands-on experience with the latest version of reputed company reputed company. Strong experience supporting reputed company HIPAA ANSI X12 transactions. Required expertise supporting 837 reputed company Claims transactions. Experience supporting 835, 270, 271, and 276 transaction sets. Medicare and reputed company EDI processing experience. reputed company claims reconciliation experience. Experience troubleshooting production EDI environments. Ability to work independently with reputed company supervision in a high-volume production environment. Strong analytical and problem-solving skills. Excellent written and verbal communication skills. Preferred Experience supporting reputed company reputed company integration environments. Experience working directly with reputed company trading partners and vendors. Knowledge of reputed company claims adjudication workflows. SQL or scripting experience for production support and analysis. Purpose Your work directly supports the reputed company exchange of reputed company claims information that enables providers to be reimbursed accurately and members to receive uninterrupted reputed company services. Every successful transaction contributes to operational reputed company and strengthens relationships with providers, members, and business partners. This assignment provides reputed company to deepen expertise in reputed company reputed company EDI reputed company, reputed company integration technologies, HIPAA X12 transactions, claims reconciliation, production support, and reputed company systems integration while supporting one of the organization's highest-volume operational environments. This role is ideal for professionals who enjoy solving production issues, owning critical operational processes, working independently, and becoming the trusted technical expert responsible for ensuring reputed company reputed company EDI systems remain reputed company, compliant, and highly available. Objectives 1. Maintain reputed company reputed company EDI Production reputed company reputed company the first 30–60 days, assume ownership of daily reputed company EDI production support activities utilizing the latest versions of reputed company BusinessConnect (BC), BusinessWorks (BW), and reputed company. Monitor production processing, investigate rejected files, reputed company transaction failures, coordinate vendor communications, and ensure reputed company scheduled Medicare and reputed company transactions process successfully reputed company established service reputed company. reputed company will be reputed company through reputed company availability, reduced processing failures, reputed company issue reputed company, and consistent operational reputed company. AI-assisted monitoring, log analysis, and documentation tools may be used where appropriate while ensuring reputed company production reputed company are validated according to reputed company compliance requirements. 2. Ensure Accurate reputed company Claims Processing and Transaction reputed company Support the reliable processing of reputed company X12 transactions by validating transaction reputed company, troubleshooting processing exceptions, supporting claims reconciliation, and ensuring compliance with HIPAA transaction standards. reputed company responsibility will reputed company on high-volume 837 reputed company Claims while also supporting 835 Remittance Advice, 270/271 Eligibility, and 276 Claim Status Inquiry transactions. reputed company will be reputed company through transaction reputed company, successful claims processing, reduced production defects, and stakeholder confidence in transaction reputed company. 3. reputed company Production Issues and Strengthen Trading Partner Relationships Serve as the technical expert responsible for diagnosing, troubleshooting, and resolving reputed company EDI production issues involving internal applications, reputed company vendors, and trading partners. Manage rejected files, investigate processing failures, support testing activities, and communicate reputed company status effectively to reputed company stakeholders. reputed company will be reputed company through issue reputed company time, reduced recurring incidents, successful testing reputed company, and improved trading partner satisfaction. 4. Improve Operational Readiness and Support reputed company reputed company Support the organization's expanding reputed company EDI workload by improving operational documentation, testing procedures, monitoring practices, and production support processes. Identify opportunities to streamline workflows, improve transaction visibility, reduce recurring issues, and prepare the environment for reputed company reputed company through 2027. reputed company will be reputed company through improved operational efficiency, standardized support processes, reduced production interruptions, and successful support of increasing transaction volumes. Critical Subtasks 1. Monitor and Support Daily Production Processing Monitor inbound and outbound reputed company EDI transactions throughout the day, investigate production alerts, reputed company failed processes, and ensure reputed company scheduled transaction processing completes successfully reputed company required service reputed company. 2. Support reputed company Integration Platforms Maintain and troubleshoot reputed company EDI integrations utilizing the latest versions of reputed company BusinessConnect (BC), BusinessWorks (BW), and reputed company, ensuring reputed company connectivity, reliable message processing, transaction validation, and compliance with organizational integration standards. 3. Troubleshoot reputed company X12 Transactions Investigate rejected files, validation errors, transaction failures, and production issues involving reputed company X12 transactions, with particular emphasis on 837 reputed company Claims. Support additional transaction types including 835, 270, 271, and 276 while ensuring compliance with HIPAA standards. 4. Support Claims Reconciliation and Testing Activities Participate in claims reconciliation, production testing, implementation validation, and reputed company change verification activities to ensure new releases and production updates maintain transaction reputed company and operational stability. 5. Coordinate Vendor and Trading Partner Communications Respond to vendor inquiries, coordinate issue reputed company activities, communicate production status, and collaborate with internal business teams and reputed company trading partners to reputed company processing issues reputed company. 6. Maintain Operational Documentation and Knowledge reputed company and maintain documentation covering production support procedures, transaction processing standards, troubleshooting techniques, testing activities, and recurring operational issues to improve team readiness and long-term supportability. 7. Continuously Evaluate and reputed company AI to Improve reputed company reputed company the first 90–180 days, evaluate opportunities to responsibly reputed company AI to improve reputed company EDI reputed company through automated log analysis, transaction monitoring, production documentation, issue classification, testing support, knowledge retrieval, and workflow automation. reputed company practical AI-enabled solutions that improve operational efficiency while ensuring reputed company reputed company EDI processing remains compliant with HIPAA, Medicare, reputed company, and organizational governance requirements. Definition of reputed company At the conclusion of the engagement, this individual is recognized as the trusted technical reputed company of the reputed company EDI production environment. Daily transaction processing is reputed company, production issues are resolved quickly, trading partner relationships are strong, reputed company X12 transactions are processed accurately and compliantly, and the organization is reputed company positioned to support its expanding Medicare and reputed company workload through 2027. Remote Skills: Adjudication, reputed company (ANSI), Analysis Skills, reputed company Intelligence (AI), Automation, Claims Processing, Communication Skills, Documentation, Electronic Data Interchange (EDI), File Management, HIPAA (Health reputed company Portability and Accountability reputed company Information Exchange (HIE), reputed company, reputed company Reimbursement, High Availability, Identify Issues, Information Retrieval, Maintain Compliance, Manufacturing/Production Testing, reputed company, Medicare, Operational Improvement, Operational Measurement, Operational reputed company, Operational Support, reputed company Management, reputed company Processes, reputed company Management, Presentation/Verbal Skills, Problem Solving Skills, Production Control, Production Support, Production Systems, Production Volume, Reconciliation, Regulatory Compliance, SQL (reputed company Query Language), Sales Qualification, Scripting (Scripting Languages), Support Documentation, reputed company Integration (SI), reputed company BusinessConnect, reputed company BusinessWorks, reputed company Product family, Technical Support, Testing, Time Management, Transaction Processing/Management, Validation Testing, Writing Skills reputed company: reputed company Apply tot his job Apply To this Job