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# EDI Analyst

- **Company:** Tekvana Inc
- **Location:** Dallas, TX, United States (Remote available)
- **Experience:** Expert
- **Contract:** Permanent contract
- **Skills:** System Testing, Marketplace
- **Published:** July 15, 2026
- **Apply:** https://www.indeed.com/viewjob?jk=edd39e9dd3f9ab49

## About the Role

* The ideal candidate will possess deep health plan enrollment expertise, be well-versed in EDI 834 file structures and processing, and have experience translating complex business requirements into technical solutions while collaborating across both business and IT teams.

Ideal Candidate

 * The successful candidate is a seasoned healthcare EDI professional who understands both the technical and operational aspects of enrollment.

 * They are comfortable working independently, collaborating with cross-functional teams, and helping ensure smooth enrollment operations during critical Open Enrollment periods., * Extensive experience working with EDI 834 Enrollment transactions within a health plan environment.
 * Strong knowledge of health plan enrollment and eligibility processes.
 * Experience supporting Marketplace/Open Enrollment initiatives.
 * Ability to interpret complex business rules and convert them into technical requirements.
 * Experience documenting business requirements, technical specifications, and process flows.
 * Strong analytical and troubleshooting skills.
 * Excellent communication skills with the ability to work effectively across business and technical teams., * Experience working with New York State Marketplace enrollment requirements.
 * Familiarity with CMS and state exchange enrollment regulations.
 * Experience assessing downstream impacts across integrated healthcare systems.
 * Prior experience supporting annual Open Enrollment planning and execution.

Flexible work from home options available.

## Description

* This individual will play a critical role in supporting enrollment operations, with a strong focus on EDI 834 transactions, marketplace enrollment, and Open Enrollment readiness., * Lead the development, validation, and testing of EDI 834 enrollment files.
 * Troubleshoot enrollment file issues and identify root causes.
 * Interpret enrollment business rules and translate them into technical specifications.
 * Provide guidance on state-specific and Marketplace/Open Enrollment requirements.
 * Create detailed technical enrollment scenarios to support system testing and implementation.
 * Convert business needs into clear technical requirements and functional documentation.
 * Define expected system behavior and validate enrollment processing.
 * Support enrollment operations teams by resolving complex enrollment and eligibility issues.
 * Document business and technical requirements, workflows, and process documentation.
 * Develop process flows and workflow diagrams.
 * Act as a liaison between business stakeholders and IT teams to ensure successful implementation of enrollment initiatives.
 * Monitor regulatory and Marketplace rule changes, particularly those impacting Open Enrollment.
 * Interpret New York State Marketplace enrollment requirements and ensure compliance.
 * Assess downstream impacts of enrollment and eligibility changes across integrated systems.
 * Support planning, testing, and readiness activities for Open Enrollment.


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