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# Healthcare EDI 834 Functional Analyst

- **Company:** nTech Workforce
- **Location:** Baltimore, MD, United States (Remote available)
- **Experience:** Experienced
- **Contract:** Temporary to permanent
- **Skills:** Data Analysis, Data Auditing
- **Published:** August 28, 2026
- **Apply:** https://www.dice.com/job-detail/efac0162-b659-4048-83de-25ae9eaf9d15

## About the Role

* Minimum of 4 years of progressive functional/business analysis experience and a Bachelor s degree.
 * In lieu of a bachelor s degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
 * Mandatory hands-on expertise with EDI 834 eligibility file layouts and feed processes.
 * Direct experience working with the Facets claims platform (Facets G6 or Facets Legacy).
 * Proven experience in data analysis, data auditing, and testing within a healthcare claims environment.
 * Strong verbal and written communication skills with experience in vendor-facing or third-party client interaction.
 * Must reside within the DMV or local commuting region (Southern PA, DE, local WV) and be open to attending quarterly in-office meetings.
 * Ability to adhere to fixed core working hours of 8:30 AM to 5:00 PM EST., * Prior experience utilizing Edifex software for EDI mapping/processing.
 * Background in Healthcare Business Analysis, Data Analysis, Claims Analysis, or Quality Assurance (QA).
 * Experience handling commercial book of business implementations.

## Description

* Work with a leading regional healthcare payer organization assisting in the onboarding and implementation of new commercial accounts. This Functional Analyst will play a key role in managing EDI 834 eligibility file feeds, validating file specifications, conducting rigorous data testing and auditing, and serving as a technical liaison to third-party administrators and vendors to ensure seamless account go-lives ahead of peak renewal seasons., * Lead the end-to-end onboarding and implementation of new commercial account EDI file feeds (ranging from 50 to 1,000+ member groups).
 * Analyze, validate, and audit EDI 834 eligibility files to ensure file layouts match specific vendor requirements and match active members in the claims system.
 * Perform thorough data analysis and end-to-end testing of file feeds prior to promoting data into the production claims environment.
 * Interface directly with external vendors, third-party administrators (TPAs), and client teams to resolve data discrepancies, clarify specifications, and answer technical questions.
 * Collaborate with cross-functional teams to ensure smooth account setup during high-volume renewal periods.


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