EDI Technical Analyst

Description:
We are seeking an EDI Technical Analyst to support a leading healthcare payer in maintaining, enhancing, and optimizing enterprise EDI solutions. This is a senior-level technical role requiring strong experience with healthcare EDI transactions, QNXT, advanced SQL development, C#, and production support within a managed care environment. The ideal candidate will independently troubleshoot complex production issues, support large-scale technical initiatives, perform technical discovery, develop dashboards and reporting, and partner with cross-functional teams to deliver reliable, scalable EDI solutions. This individual should have extensive experience working with healthcare payer systems and HIPAA transactions, and should serve as a technical resource for enterprise integrations and data exchange.

What You Will Do:

• Analyze, troubleshoot, and resolve highly complex EDI production issues involving healthcare transactions.
• Support and maintain QNXT integrations, interfaces, and data workflows.
• Develop, optimize, and maintain advanced SQL queries, stored procedures, and reporting solutions.
• Utilize C# to support application enhancements, integrations, automation, and technical solutions.
• Perform technical discovery and document business, functional, and technical requirements.
• Create technical specifications, mapping documents, and workflow documentation.
• Build dashboards and monitoring tools to track transaction health, performance, and operational metrics.
• Research transaction issues and analyze data trends to identify root causes and recommend improvements.
• Support healthcare EDI transactions including 834, 835, 837, 270/271 and other HIPAA transactions.
• Collaborate with infrastructure teams to improve production monitoring, alerting, and system reliability.
• Lead or participate in large enterprise technology initiatives.
• Develop project estimates, timelines, and implementation plans.
• Support API integrations, data interfaces, and enterprise applications.
• Participate in testing activities including validation, defect resolution, and production implementations.
• Provide production support while participating in on-call rotations as required.

You Will Be Successful If:

• You have extensive experience supporting healthcare payer EDI environments.
• You can independently resolve complex production issues with minimal supervision.
• You possess strong analytical and troubleshooting skills.
• You are comfortable working directly with business partners, developers, infrastructure teams, and vendors.
• You have experience building technical documentation, data mappings, and solution designs.
• You thrive in fast-paced enterprise environments with multiple priorities.
• You can translate business requirements into scalable technical solutions.
• You enjoy improving system performance, automation, and operational efficiency.

What You Will Bring:

• 5+ years of healthcare EDI experience in a payer or managed care environment.
• Experience supporting QNXT.
• Advanced SQL development experience including complex queries, stored procedures, and reporting.
• Strong C# development experience.
• Experience supporting HIPAA EDI transactions including:834 Enrollment, 835 Claims Payment, 837 Claims, 270/271 Eligibility
• Experience with healthcare integrations, data mapping, and ETL processes.
• Experience creating dashboards, reporting, and production monitoring solutions.
• Strong understanding of API integrations and enterprise application support.
• Experience with production support and root cause analysis.
• Knowledge of testing tools such as SOAP UI or Postman.
• Experience working with Splunk, application monitoring, or similar logging tools is preferred.
• Knowledge of cloud platforms such as Azure or AWS is a plus.
• Bachelor's degree in Computer Science, Information Systems, Business, or a related field is preferred.

About US:

We are a healthcare consulting partner specializing in clinical & operations management, enterprise project management, professional services, and software consulting services. We help our clients increase operational efficiency by delivering innovative solutions to solve their most complex business challenges.

Our approach is and has always been simple. First, think and act like the customers who need us, and most importantly, deliver what larger organizations cannot do, provide tangible results that add immediate value, at a rate that cannot be beaten. Your success matters, and we know it.

Additional Details

-Candidates must be US citizens or Green Card holders. -No sponsorship is permitted as this is a temp-to-hire position. -The position is now a fully remote role for candidates anywhere in the United States. -QNXT experience is strongly preferred and should be clearly reflected on the resume. Please do not submit candidates with assumed or inferred QNXT experience if they have not worked directly within the QNXT platform.