EDI Business Analyst Job at ShiftCode Analytics, Boston, MA

L2pjWGp5ZE9UYW1Ib21QYzhQdVpDVjdPR2c9PQ==
  • ShiftCode Analytics
  • Boston, MA

Job Description

Interview : Video Visa : USC, GC, GC EAD, H4 This is hybrid from day-1 ( Local candidates highly preferred ) Description: 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,, 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
  • 5+ years of Business Analyst experience within the healthcare payer / health insurance industry.
  • Strong understanding of EDI standards, including HIPAAX12 transactions.
  • Hands-on experience reviewing and interpreting EDI transaction sets (837, 835,, 275, etc.).
  • Working knowledge of FACETS (Facets Claims Processing system).
  • Excellent communication, facilitation, and documentation skills with a business-first mindset.
  • Experience collaborating across multiple operational domains beyond claims (e.g., provider management, member services, customer service portals).
  • Experience working in Agile/Scrum environments is a plus.
  • Edifecs experience is a plus.

Job Tags

Local area,

Similar Jobs

Best Western Beachside Inn South Padre

Hotel Night Auditor Job at Best Western Beachside Inn South Padre

 ...bookings. Prepare and distribute nightly reports, ensuring accurate financial and operational records. Address guest inquiries about hotel services, amenities, and local attractions, ensuring guest satisfaction. Qualifications Experience in hospitality is... 

Regency Group

Activity Director (78977) Job at Regency Group

 ...Primary Responsibilities The Activity Director will be responsible for planning, coordinating, and directing the resident's activity program and the maintenance of necessary documentation. Essential Functions Organize both individual and group activities... 

Drury Hotels

Laundry Attendant Job at Drury Hotels

 ...You Belong At Drury Hotels Getting a job is just the beginning. Finding a place where you belong is what truly matters. Who you are and what you do makes a difference at Drury Hotels. There's a place for you here today and tomorrow. Just as our guests deserve more... 

CoxPHIT, LLC

Social Media Coordinator Job at CoxPHIT, LLC

 ...Training & development CoxPHIT provides in-home and community-based resources for...  ...enrichment and exercise. We are seeking a Social Media Coordinator who is ready to lead our...  ...in the field as a Respite Provider , working directly with our youth and families. By... 

City of Jacksonville

Patrol Officers Job at City of Jacksonville

 ...Patrol Officers The Chief of Police shall determine the number of Patrol Officers assigned to each squad. The Patrol Officer's immediate...  ...including but not limited to the identification of all passengers, vehicles, witnesses, location, injuries, date and time, and issues...