EDI Analyst

Do you have experience in X12 EDI?, We are seeking an experienced EDI Analyst with a strong background in healthcare payer systems, EDI transactions, data analysis, and SQL Server. The ideal candidate will have hands-on experience with QNXT and a solid understanding of healthcare claims, enrollment, billing, and care management processes within Medicaid and Medicare environments.

Required QualificationsExperience

• Minimum 3 years of experience in computer technology and/or information systems.
• Minimum 2 years of experience in:
• Data analysis
• Data management and integration
• Data extraction and transformation
• Reporting and analytics
• Minimum 2 years of Electronic Data Interchange (EDI) experience, including:
• 270/271 Eligibility and Benefits Verification (27X)
• 834 Enrollment Transactions
• 835 Claims Payment/Remittance Transactions
• 837 Healthcare Claims Transactions

Healthcare Systems Experience

• Hands-on experience with QNXT.
• Strong understanding of healthcare payer operations and workflows.
• Experience working with:
• Claims processing
• Billing operations
• Member enrollment
• Care management
• Knowledge of Medicaid and Medicare programs is highly preferred.

Technical Skills

• Strong experience with Microsoft SQL Server.
• Ability to write, troubleshoot, and optimize SQL queries.
• Experience analyzing and validating large datasets.
• Comfortable working with data integration and reporting processes.

Note: Candidates should be prepared to complete a technical assessment focused on SQL Server and SQL query development., * Experience supporting healthcare payer organizations.

• Strong analytical and problem-solving skills.
• Excellent communication and stakeholder collaboration abilities.
• Experience working in cross-functional technical and business teams.

3.63.6 out of 5 stars Phoenix, AZ 85003 Hybrid work From $40.42 an hour - Contract

Dexian is a leading provider of staffing, IT, and workforce solutions with over 12,000 employees and 70 locations worldwide. As one of the largest IT staffing companies and the 2nd largest minority-owned staffing company in the U.S., Dexian was formed in 2023 through the merger of DISYS and Signature Consultants. Combining the best elements of its core companies, Dexian’s platform connects talent, technology, and organizations to produce game-changing results that help everyone achieve their ambitions and goals.