EDI Implementation Analyst III

Availity

EDI Implementation Analyst managing complex healthcare technology integrations at Availity. Leading EDI implementations and mentoring junior analysts in a fast-paced environment.

Posted 7/30/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing complex EDI implementations, leveraging advanced Availity system knowledge and strong stakeholder engagement. Proficient in healthcare operations, HIPAA compliance, and developing effective implementation and testing strategies.

Highest-signal resume keywords

EDI Implementation ManagementHealthcare Operations KnowledgeHIPAA Compliance UnderstandingX12 Transaction KnowledgeStakeholder Relationship Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

EDIAvaility System KnowledgeClaims ProcessingX12 TransactionsTest Plan DevelopmentDocumentation CreationRisk IdentificationDefect ResolutionImplementation PlanningCustomer Workstream Initiation

Soft Skills

Excellent Communication SkillsInfluencing Cross-Functional PartnersFlexibilityProblem-SolvingRelationship Management

Industry Keywords

Healthcare EnvironmentHIPAA Implementation GuidesB2B TransactionsAPI TransactionsProvider Office Workflows

About the role

Key responsibilities & impact

Own complex, high-visibility EDI implementations from a receiver perspective
Apply advanced Availity system knowledge, independent judgment, and cross-functional partnership to analyze, design, implement, and improve scalable solutions
Manage payer, vendor, partner, and cross-functional relationships to meet Program Management objectives
Lead complex, high-impact implementations across submitters, partners, vendors, and receivers/payers for EDI, B2B, web, API, and other transaction methods
Develop implementation plans, initiate customer workstreams, create required tickets, identify risks and dependencies, recommend mitigation strategies
Manage multiple complex implementations, including timelines, dependencies, stakeholder alignment, issue resolution, escalations, and results delivery
Lead pre-production testing with internal and external stakeholders, including test plan execution, defect resolution, and readiness validation
Engage business, technical, internal, and external stakeholders on implementation solutions while representing Availity professionally

Requirements

What you’ll need

Bachelor’s degree or the equivalent work experience
6+ years of related experience in a technology, information exchange, EDI, and/or healthcare environment
6+ years managing moderate to highly complex implementations with independence, accountability, and sound judgment
Knowledge of healthcare operations, including claims processing, provider office workflows, and customer service processes
Understanding of HIPAA implementation guides for claim and other transactions
Knowledge of HIPAA-mandated ANSI transaction formats
Working knowledge of X12 transactions specifically 837P, 837I, 835, 270/271, 276/277, 278
Ability to develop and guide test plans, evaluate results, and resolve defects or dependencies
Ability to create documentation such as training resources and reference materials
Ability to establish and maintain effective working relationships, supporting internal and external partners
Ability to influence cross-functional partners, identify risks, recommend solutions, and drive alignment
Excellent written and verbal communication skills including strong presentation skills and the ability to present executive summaries in a concise manner
Ability to translate complex information into clear recommendations and actionable plans
Ability to effectively manage multiple priorities in a fast-paced environment
Flexibility and ability to embrace change
Experience with Submitters, Vendors and/or Receivers/Payers is a plus
Customer service and/or relationship management experience is a plus
Experience in software implementations is a plus

Benefits

Comp & perks

Competitive salary
Bonus structure
Generous HSA company contribution
Healthcare, vision, dental benefits
401k match program
Unlimited PTO for salaried associates + 9 paid holidays
Reimbursement up to $250/year for gym memberships, racing events, weight management programs, etc.
Education reimbursement
Paid Parental Leave for both moms and dads
Opportunities for community engagement and volunteering