EDI Business Implementation Analyst
Company: VirtualVocations
Location: Vista
Posted on: May 21, 2025
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Job Description:
A company is looking for an EDI Business Implementation Analyst
to lead eBusiness implementations and coordinate activities across
multiple functional areas.
Key Responsibilities
Coordinate and support the implementation of new Medicaid,
Commercial, and Marketplace lines of business
Manage setup, testing, and validation of EDI Transactions to ensure
compliance with HIPAA and payer-specific requirements
Develop and document business requirements for claims intake and
processing, ensuring alignment with regulatory and operational
standards
Required Qualifications
Bachelor's degree or equivalent years of relevant work
experience
Minimum of five (5) years of health care operations experience in
insurance, managed care, or related industry
3-5 years of SQL experience, including the ability to write and
execute complex queries
Advanced knowledge of healthcare EDI files and ANSI X12
guidelines
Working knowledge of managed care and health claims processing
Keywords: VirtualVocations, Mission Viejo , EDI Business Implementation Analyst, Professions , Vista, California
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