Description

This role requires a Business Analyst to drive requirements definition for EDI initiatives within a payer environment.

Responsibilities

• Partner with business teams to define and document requirements for EDI initiatives.
• Contribute across Claims, Provider Portal, and Customer Service Portal efforts.
• Translate business needs into functional specifications for technical teams.
• Review EDI transactions (837, 835, 270/271, etc.) for accuracy and compliance.
• Support testing and validate solutions before go-live.

Required Skills

• 5+ years as a Business Analyst within health insurance (payer).
• Deep understanding of EDI (HIPAA 5010, X12).
• Hands-on experience with FACETS.
• Familiarity across health plan operations (beyond claims).
• Excellent communication skills.
• Businessanalyst experience.

Preferred Skills

• Agile/Scrum experience.
• Edifecs experience.

Key Skills

Education

Any Gradute