EDI Analyst

EDI Analyst Job#: 3053038

Job Description:

Job Start Date - 10/18/26

Job End Date - 1/29/27

Job Description

- Job Title:

EDI Analyst
100% Remote Specific Skillset Requirements:
Candidate must have robust knowledge and experience with 834 enrollment files and Facets.

Expenses allowed: no Corewell Health Equipment to be Provided

Job Summary:

Provides support for the EDI Operations department by interfacing with internal and external customers including business analysts, software developers, project managers, trading partners, and software vendors. This role is responsible for managing a range of EDI transactions including enrollment, claims, financial, and eligibility transactions using ANSI X12 HIPAA compliant formats. Provides technical support for the implementation of EDI connections with external parties;

responds to inquiries related to EDI transactions; conducts analysis of EDI transactions; and provides issue resolution when necessary. Handles multiple enhancement requests and projects.

Essential Functions:

Demonstrate knowledge of EDI standard formats and communicate complex data exchange concepts to internal and external parties. Interface professionally with various internal and external customers including Operations, Sales, Marketing, IS, and Trading Partners to understand and process work requests.

Responsible for the implementation of electronic data interchange connections between Priority Health and external parties. Support ongoing implementations in post-production, including error identification/resolution, continuous improvement, and pro-active communication with the trading partners and providers to reduce/prevent errors.

Verify and monitor EDI processes. Troubleshoot and resolve EDI related issues. Develop and maintain procedural documentation. Follow-up comprehensively with all stakeholders during issue remediation process to assure that delays are minimized and the process runs smoothly.

Assist in defining application enhancements and upgrades.

Perform application configuration, mapping, and monitoring of EDI transactions and processes.

Support application testing effort by performing user acceptance testing (UAT) and assisting in defect resolution.

Provide on-call support as necessary.

Qualifications:

Required Associate's Degree or equivalent

Preferred Bachelor's Degree2 years of relevant experience Analyzing EDI data to identify content and/or formatting issues Required2 years of relevant experience Using SQL queries to retrieve and/or display data Required2 years of relevant experience Reading/analyzing/formatting/translating EDI data Required2 years of relevant experience Implementing EDI setup and mapping Required2 years of relevant experience Experience in the healthcare industry Preferred2 years of relevant experience

Experience with Facets software or a similar healthcare enrollment/claims management software system Preferred Everforth Apex is a world-class IT services company that serves thousands of clients across the globe. When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package.

Our commitment to excellence is reflected in many awards, including Clearly Rateds Best of Staffing in Talent Satisfaction in the United States and Great Place to Work in the United Kingdom and Mexico.

Everforth Apex uses a virtual recruiter as part of the application process.  for more details. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Everforth Apex and its affiliates, and contracted partners. Frequency varies for text messages. Message and…