Edifecs EDI Analyst Transaction Specialist

Syms Strategic Group (SSG) is seeking a talented Edifecs Electronic Data Interchange (EDI) Analyst Transaction Specialist

Location: Remote

Department: Veterans Affairs (VA)

Type: Full Time

Min.

Experience:

Experienced

Security Clearance Level: Public Trust (MBI)

Salary Range: $85,389 - $116,975

If you have previously applied to Syms Strategic Group (SSG), there is no need to reapply. Applications are still under review.

• Own functional EDI workflows, partner requirements, and data validation rules
• Ensure accurate transaction processing and support business operations
• Interpret and troubleshoot transaction sets: 270/271, 276/277, 278, 820, 834, 835, 837, 999/277CA
• Analyze Strategic National Implementation Process (SNIP) compliance, companion guides, and partner-specific validation rules
• Document mapping/logical requirements for new partners and integration changes
• Partner with business stakeholders for issue resolution and operational impact assessments
• Support audit/compliance reviews and maintain data quality guardrails
• Collaborate with EDI Analysts, Dev Sec Ops  Engineers, Cloud teams, and business teams
• Work with integration specialists on Applicability Statement 2 (AS2), Secure File Transfer Protocol (SFTP), and Hypertext Transfer Protocol Secure (HTTPS) flows
• Validate data sent to/received from non-X.12 partners
• Identify issues introduced by middleware layers or APIs
• Query Structured Query Language (SQL) for transaction details
• Validate payloads, timestamps, statuses, and error flags
• Reconcile mismatches between raw EDI and stored data

• A strong understanding of payer/provider workflows
• An ability to interpret loops/segmets/element-level errors
• Familiarity with Edifecs Transaction Management or equivalent tools
• Strong experience in Amazon Web Services (AWS) cloud environments
• Excellent communication and stakeholder engagement skills
• A strong understanding of EDI X.12 Loop/segment/element interpretation, SNIP validations (Levels 1-7), companion guide interpretation, and error analysis at segment or element level
• Experience with interpreting Edifecs XEngine validation results and understanding processing rules and transaction profiles
• Experience working with Spec Builder maps and implementation guides
• An ability to identify issues sourced from Edifecs routes, profiles, or rulesets
• An ability to interpret Edifecs logs and error codes (functional layer, not platform admin level)
• Proficiency with identifying root causes of transaction errors, resolving mapping mismatches, troubleshooting rejections from payers or state systems, and reviewing parsed EDI structures stored in SQL databases
• An ability to understand inbound/outbound workflow architecture
• A strong ability to communicate technical architecture decisions and trade-offs to non-technical stakeholders
• Experience gathering and translating business reporting requirements into technical data models
• Comfort driving ambiguous architecture decisions to resolution with limited direction
• Experience with Agile methodologies (Scrum and Kanban) and JIRA
• Strong documentation habits with creating transaction flow documentation, error trend reports, escalations, and updating Standard Operating Procedures (SOPs) and partner reference guides

EDIFECS certification

8+ years of experience of Edifecs product experience in EDI, healthcare, or enterprise application operations

8+ years of EDI/Health Insurance Portability and Accountability Act (HIPAA)

Deep hands-on EDIFECS experience in Electronic Data Interchange X.12 (EDI) Transactions Standards involving key X12 workflows involving the following transactions:

• X.12 medical claims (837, 834, 835, 276/277, etc)
• 270/271 and 278 transactions
• 820 transactions
• 999/277CA transactions

Knowledge of HIPAA compliance requirements in cloud data architecture

Experience with healthcare payer/PBM systems, clearinghouses, or pharmacy operations

AWS certification in a bonus

Bachelor’s degree in Computer Science, Engineering, or a related technical discipline; equivalent practical experience considered

U.S. Citizenship required for this specific opportunity

Must possess or qualify for a Public Trust (MBI)