Title:EDI Business Analyst with Healthcare
Location-Los Angeles, CA
Visa-Any
Job description:
What You'll Do:
Partner with business teams to define and document requirements for EDI-related initiatives.
Work across claims, provider portal, and customer service portal projects.
Translate business needs into functional specs for technical teams.
Review EDI transactions (837, 835, 270/271, etc.) for accuracy and compliance.
Support testing and validate solutions before go-live.
Qualifications:
5+ years of Business Analyst experience in health care insurance working for a healthcare payor
Strong understanding of EDI (HIPAA 5010, X12)
Working experience with FACETS
Excellent communication skills with a business-first mindset.
Familiarity with multiple health plan operations beyond claims.
Agile/Scrum experience a plus.
Edifecs experience a plus
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