EDI Implementation Analyst

Availity

EDI Implementation Analyst managing health plan integrations and configuration changes within Availity’s platform. Collaborating with external partners for accurate claims data flow and system integrity.

Posted 4/18/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

Manage complex configuration changes for health plan partners
Ensure claims data flows accurately and reliably through Availity’s platform
Analyze and validate business requirements, ensuring requests are accurate and complete
Configure receiver configurations using Availity’s internal tool EPDM
Serve as a key point of contact for connectivity and data issues
Perform functional testing and support production releases
Participate in monthly and minor production releases
Work closely with internal teams such as Health Plan Analysts, Account Management, and Payment Accuracy

Requirements

What you’ll need

Minimum of 4 years related experience in a technology (information exchange) and/or health care environment
Bachelor’s Degree or equivalent work experience
Experience analyzing, interpreting, and validating business requirements
Ability to balance technical execution with thoughtful problem-solving
Ability to collaborate with external partners and internal partners
Understanding of HIPAA implementation guides for claim and other transactions
Knowledge of the health care industry HIPAA mandated ANSI transaction formats
Working knowledge of X12 transactions specifically 837P, 837I, 835, 270/271, 276/277, 278, CCR/CCD, and HL7 transaction sets
Proven ability to work in a team environment
Ability to prepare documented customer requirements

Benefits

Comp & perks

Competitive salary
Bonus structure
Generous HSA company contribution
Healthcare benefits
Vision benefits
Dental benefits
401k match program available from day one
Unlimited PTO for salaried associates + 9 paid holidays
Hourly associates start at 19 days of PTO
Wellness reimbursement of up to $250/year for gym memberships, racing events, weight management programs, etc.
Education reimbursement
Paid Parental Leave for both moms and dads

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

configuration managementdata analysisfunctional testingbusiness requirements validationX12 transactions837P837I835270/271HIPAA compliance

Soft Skills

problem-solvingcollaborationcommunicationteamworkattention to detailanalytical thinkingcustomer requirements documentationinterpersonal skillsadaptabilityorganizational skills

Certifications

Bachelor's DegreeHIPAA certification