Serve as a primary resource for intake of new Healthcare EDI data, including but not limited to:
Matching claims submissions and remittances
Helping define a target population through exclusions in the data
Lead investigation of anomalies across payer, provider and clearinghouse feeds
Ownership of data onboarding, mapping logic, and integrity validation pipelines
Collaborate cross-functionally with Product, Engineering, and Client Success to troubleshoot ingestion or matching issues
Participate in ad-hoc data analysis (claims-based research)
Define and improve EDI data intake and validation frameworks
Assist with review and documentation of our existing code base and data flow
Requirements
5+ years of experience in Healthcare EDI data
Proficiency working with Healthcare EDI transactions: 837 (I and P); 835
5+ years of experience querying and analyzing Healthcare Data (EDI required, but preference given to candidates who also have experience with EHR/EMR data out of a provider practice management system such as Epic or Cerner)
Working knowledge of EDI healthcare transactions, including split transactions and claim numbering
Experience defining or improving EDI intake pipelines, including data validation rules, matching logic, and exception handling
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
Healthcare EDI dataEDI transactions837 transactions835 transactionsdata analysisdata validationmapping logicexception handlingqueryinganalyzing Healthcare Data