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# EDI Analyst

- **Company:** Zelis Healthcare
- **Location:** Creve Coeur, MO, United States
- **Experience:** Expert
- **Salary:** $65,000.0 - $82,650.0
- **Contract:** Permanent contract
- **Skills:** Microsoft Word, Microsoft Excel, Artificial Intelligence, Data Analysis, ASC X12 Standards, JIRA, C Sharp (Programming Language), Information Systems, Data Mapping, Microsoft SQL Server, Sql Optimization, Information Technology, Api Design, GPT
- **Published:** July 16, 2026
- **Apply:** https://jobs.localjobnetwork.com/apply/add/87740950/1

## About the Role

* Bachelor's degree in Information Systems, Healthcare Administration, Computer Science, or a related field, or equivalent experience.
 * 5-7+ years of healthcare EDI experience, including 3-5+ years supporting HIPAA ANSI X12 835 transactions; experience with 837, 834, and 270/271 is a plus.
 * Strong understanding of the healthcare claims lifecycle, payment processing, provider payment posting, and reconciliation.
 * Experience with EDI validation tools (Edifecs, Crystal Validation), ANSI X12 standards, data mapping, and healthcare integration processes.
 * Advanced SQL and data analysis skills; Microsoft SQL Server experience preferred.
 * Proficiency with Microsoft Teams, Word, Excel, Notepad++, and AI tools such as ChatGPT; Jira, C#, or API experience is a plus.
 * Excellent analytical, communication, troubleshooting, and problem-solving skills, with the ability to mentor junior analysts and collaborate across technical, operational, and client-facing teams.

## Description

As part of our continued growth, Zelis is seeking an experienced EDI Analyst II to support and optimize healthcare EDI integrations with a primary focus on ANSI X12 5010 835 Electronic Remittance Advice (ERA) transactions. In this role, you will troubleshoot complex EDI issues, improve integration processes through automation and AI-enabled tools, and ensure the accuracy, integrity, and compliance of healthcare payment data while collaborating with cross-functional teams and external partners., * Analyze and troubleshoot complex ANSI X12 5010 835 (ERA) transactions, identifying processing, formatting, balancing, and compliance issues.

 * Perform root cause analysis, resolve EDI processing issues, and implement preventive solutions.
 * Design and maintain EDI integration workflows, data mappings, technical documentation, and testing plans.
 * Interpret payer and provider specifications to ensure compliance with HIPAA, ANSI X12, and trading partner requirements.
 * Generate, validate, and review EDI files, communicating findings and recommendations to internal teams and clients.
 * Serve as the technical point of contact for escalated 835 remittance, provider payment, and clearinghouse issues.
 * Partner with internal teams, clients, vendors, and trading partners to resolve integration, connectivity, and workflow challenges.
 * Leverage AI-enabled tools and automation to improve data quality, validation, reconciliation, and operational efficiency.
 * Manage multiple priorities, document best practices, ensure HIPAA compliance, and identify process improvement opportunities.
 * Mentor junior analysts and stay current with healthcare EDI standards, integration technologies, and AI advancements.


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