EDI & Data Integration Analyst

Do you enjoy solving problems working with data and learning how systems connect behind the scenes

ProviDRs Care is seeking an EDI & Data Integration Analyst to support data exchanges vendor integrations operational reporting and implementation projects across our healthcare administration and provider network organizations.

This position offers an opportunity to work with a variety of technologies business partners and operational teams while developing expertise in healthcare data system integrations EDI transactions reporting and process improvement.

We are looking for someone who is curious analytical and eager to grow. As our organization continues to expand this role offers opportunities to take on additional responsibilities and advance your career.

Responsibilities

• Investigate and resolve data system and integration issues.
  

• Perform data validation reconciliation and exception analysis.
  

• Develop and execute SQL queries for troubleshooting and reporting.
  

• Support EDI transactions and data exchange processes.
  

• Coordinate testing activities with internal teams and external vendors.
  

• Support vendor client and network implementations.
  

• Participate in vendor onboarding implementation planning testing and go-live activities.
  

• Analyze claims eligibility and operational data.
  

• Assist with onboarding new groups vendors and business partners.
  

• Monitor automated processes and investigate failures.
  

• Document business processes file layouts and integration requirements.
  

• Support operational reporting and data requests.
  

• Participate in process improvement and automation initiatives.
  

Required Qualifications

• Strong analytical and problem-solving skills.
  

• Working knowledge of SQL queries and relational databases.
  

• Experience troubleshooting data reporting or system-related issues.
  

• Experience validating reconciling and analyzing data.
  

• Demonstrated ability to identify root-causes and communicate solutions effectively.
  

• Strong attention to detail and organizational skills.
  

• Excellent communication skills and ability to work with technical and non-technical stakeholders.
  

• Proficiency with Microsoft Excel.
  

• Ability to learn new systems business processes and technologies.
  

• Ability to manage multiple priorities in a fast-paced environment.
  

Preferred Qualifications

• 2 years of experience in data analysis systems support data integration business analysis or a related field.
  

• Experience working for a healthcare Third-Party Administrator (TPA) health plan payer PBM provider network or healthcare technology organization.
  

• Understanding of healthcare claims processing eligibility administration benefits and enrolment workflows.
  

• Experience researching and resolving claims eligibility or enrolment discrepancies.
  

• Experience with EDI transactions mapping testing and troubleshooting.
  

• Familiarity with ANSI X12 standards.
  

• Experience with healthcare EDI transactions includingand 270/271.
  

• Experience with healthcare administration platforms such as Facets QNXT EZ-CAP HealthRules or similar systems
  

• Experience with vendor implementations and trading partner onboarding.
  

• Experience with SQL Server.
  

• Experience with automation scripting or programming languages such as Python C# or PowerShell.
  

• Knowledge of HIPAA privacy and security requirements.
  

Education

• Bachelors degree in Information Technology Computer Science Information Systems Data Analytics Business Analytics Healthcare Administration or a related field preferred.
  

• Candidates with an Associate degree and at least three (3) years of relevant experience in data analysis systems support data integration EDI or business analysis are encouraged to apply.
  

• Equivalent combinations of education technical training certifications and relevant work experience may be considered.