EDI Implementation Analyst II

Position

EDI Implementation Analyst II – Remote (United States) reporting to Manager, Health Plan Implementation Analysts.

• Manage internal and external relationships with payers and vendors to meet integration objectives.
• Create and manage documented deliverables, ensuring agreement from internal/external partners.
• Coordinate partner awareness on Availity functionality, addressing production issues.
• Oversee moderate‑to‐complex implementations, including submitters, partners, and vendors.
• Develop and execute implementation plans, test plans, and produce executive summaries.
• Track project progress using tools such as JIRA, Confluence, and Salesforce.
• Mentor and guide Implementation Analysts, ensuring project completion on time.
• Represent the company professionally to external customers with supervision.
• Communicate new implementations and changes, monitor customer communications.
• Support and improve operations and documentation for EDI implementations.
• Provide support for troubleshooting and operational issue resolution.

• Bachelor’s degree or equivalent work experience.
• 4+ years of experience in technology (information exchange) and/or healthcare environments.
• 4+ years managing simple to moderately complex implementations.
• Knowledge of claims processing systems, provider office operations, and customer service processes.
• Understanding of HIPAA implementation guides and mandated ANSI transaction formats.
• Working knowledge of X12 transactions (837P, 837I, 835, 270/271, 276/277, 278, CCR/CCD).
• Ability to create and execute test plans and documentation, such as training resources.
• Strong written and verbal communication skills, including executive presentations.
• Ability to manage multiple priorities in a fast‑paced environment and embrace change.
• Experience with Submitters, Vendors and/or Receivers/Payers a plus.
• Customer service or relationship management experience a plus.
• Experience in software implementations a plus.

Sponsorship is not available for this position.

Location:

Remote, United States.
Availability:
Ongoing.

Availity is an equal opportunity employer and makes decisions in employment matters without regard to race, religious creed, color, age, sex, sexual orientation, gender identity, gender expression, genetic information, national origin, religious, marital status, medical condition, disability, military service, pregnancy, or any other protected classification. Availity is a drug‑free workplace. Candidates must pass a drug test before employment. The company verifies identity and employment eligibility.

For more information on E‑Verify, see the U.S. Department of Homeland Security website.