[Remote] Edifecs EDI Analyst Transaction Specialist

Note: The job is a remote job and is open to candidates in USA. Syms Strategic Group (SSG) is hiring an Edifecs EDI Analyst Transaction Specialist to support Veterans Affairs (VA) EDI operations. The role manages transaction workflows and validation, troubleshoots EDI and integration issues, maintains data quality and compliance, and collaborates with technical and business teams.

Responsibilities

• Own functional EDI workflows, partner requirements, and data validation rules
• Ensure accurate transaction processing and support business operations
• Interpret and troubleshoot transaction sets: 270/271, 276/277, 278, 820, 834, 835, 837, 999/277CA
• Analyze Strategic National Implementation Process (SNIP) compliance, companion guides, and partner-specific validation rules
• Document mapping/logical requirements for new partners and integration changes
• Partner with business stakeholders for issue resolution and operational impact assessments
• Support audit/compliance reviews and maintain data quality guardrails
• Collaborate with EDI Analysts, DevSecOps Engineers, Cloud teams, and business teams
• Work with integration specialists on Applicability Statement 2 (AS2), Secure File Transfer Protocol (SFTP), and Hypertext Transfer Protocol Secure (HTTPS) flows
• Validate data sent to/received from non-X.12 partners
• Identify issues introduced by middleware layers or APIs
• Query Structured Query Language (SQL) for transaction details
• Validate payloads, timestamps, statuses, and error flags
• Reconcile mismatches between raw EDI and stored data

Skills

• A strong understanding of payer/provider workflows
• An ability to interpret loops/segmets/element-level errors
• Familiarity with Edifecs Transaction Management or equivalent tools
• Strong experience in Amazon Web Services (AWS) cloud environments
• Excellent communication and stakeholder engagement skills
• A strong understanding of EDI X.12 Loop/segment/element interpretation, SNIP validations (Levels 1-7), companion guide interpretation, and error analysis at segment or element level
• Experience with interpreting Edifecs XEngine validation results and understanding processing rules and transaction profiles
• Experience working with SpecBuilder maps and implementation guides
• An ability to identify issues sourced from Edifecs routes, profiles, or rulesets
• An ability to interpret Edifecs logs and error codes (functional layer, not platform admin level)
• Proficiency with identifying root causes of transaction errors, resolving mapping mismatches, troubleshooting rejections from payers or state systems, and reviewing parsed EDI structures stored in SQL databases
• An ability to understand inbound/outbound workflow architecture
• A strong ability to communicate technical architecture decisions and trade-offs to non-technical stakeholders
• Experience gathering and translating business reporting requirements into technical data models
• Comfort driving ambiguous architecture decisions to resolution with limited direction
• Experience with Agile methodologies (Scrum and Kanban) and JIRA
• Strong documentation habits with creating transaction flow documentation, error trend reports, escalations, and updating Standard Operating Procedures (SOPs) and partner reference guides
• EDIFECS certification
• 8+ years of experience of Edifecs product experience in EDI, healthcare, or enterprise application operations
• 8+ years of EDI/Health Insurance Portability and Accountability Act (HIPAA)
• Bachelor's degree in Computer Science, Engineering, or a related technical discipline; equivalent practical experience considered
• U.S. Citizenship required for this specific opportunity
• Must possess or qualify for a Public Trust (MBI)
• Deep hands-on EDIFECS experience in Electronic Data Interchange X.12 (EDI) Transactions Standards involving key X12 workflows involving the following transactions: * X.12 medical claims (837, 834, 835, 276/277, etc) * 270/271 and 278 transactions * 820 transactions * 999/277CA transactions
• Knowledge of HIPAA compliance requirements in cloud data architecture
• Experience with healthcare payer/PBM systems, clearinghouses, or pharmacy operations
• AWS certification is a bonus

Benefits

• 100% U.S.-based remote position; candidates from CA, CO, IL, MN, NJ, NY, OR, or WA will not be considered.

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