Business Analyst; EDI/Claims/Encounters

Job in Boston, Suffolk County, Massachusetts, 02298, USA

Listing for: Kaav

Full Time position
Listed on 2026-06-19

Job specializations:

IT/Tech
Data Analyst, Business Systems/ Tech Analyst
Business
Data Analyst, Business Systems/ Tech Analyst

Salary/Wage Range or Industry Benchmark: 80000 - 100000 USD Yearly USD 80000.00 100000.00 YEAR

Position: Business Analyst (EDI/Claims/Encounters)

Business Analyst (EDI)

Seeking an experienced Business Analyst with expertise in Electronic Data Interchange (EDI) to drive key project deliverables. The role involves implementing 837 and proprietary claim files for various health plans.

Responsibilities include, but are not limited to:

Be a self-starter with the ability to work independently and with minimal oversight.

Quickly develop a comprehensive understanding of the business rules, core platforms, and applications for the data used in EDI exchanges.

Lead the design and implementation of innovative end-to-end frameworks for encounter exchanges, ensuring they meet both business needs and industry standards.

Facilitate and lead discussions with plans and other stakeholders to identify and clarify requirements, review UAT test cases, and ensure alignment on project objectives and deliverables. Communicating effectively throughout the process.

Develop comprehensive documentation outlining business rules, process flows, and technical specifications.

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Business Analyst; EDI​/Claims​/Encounters

Business Analyst; EDI/Claims/Encounters