EDI Business Analyst - REMOTE

Job Summary

We are seeking a business-focused EDI Business Analyst to serve as a critical link between the business and IT teams. In this role, you'll work directly with operational stakeholders to gather and translate requirements into clear, actionable deliverables. You will support EDI initiatives across multiple functional areas-including claims, provider portals, and customer service portals-to ensure that technical solutions align with real-world business needs.

Primary Responsibilities

• Partner with business stakeholders to define, document, and refine requirements for EDI-related projects and enhancements.
• Serve as the liaison between business users and technical teams, translating business needs into functional specifications and user stories.
• Analyze and validate HIPAA EDI transactions (including 837, 835, 270 / 271, 275, etc.) to ensure accuracy, compliance, and alignment with business rules.
• Work across cross-functional areas-not limited to claims, but also provider portal and customer service portal initiatives.
• Participate in testing efforts : create test scenarios, validate EDI data and outputs, and support user acceptance testing (UAT).
• Troubleshoot issues, identify root causes, and recommend corrective actions.
• Ensure deliverables meet project timelines, scope, and quality standards.

Education and Experience