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Edi Implementation Analyst Jobs in Florida (NOW HIRING)

Inovalon, Inc.

Implementation Advocate

Tampa, FL · On-site

Troubleshoot issues using an analytical approach and escalate following defined procedures ... EDI standards (ANSI X12, 835, 837, 270/271); * Demonstrated experience with SaaS platforms and the ...

Stefanini

eCommerce Analyst

Boca Raton, FL · On-site

Stefanini provides the IT contract resources you need to implement crucial projects, handle short ... Must have working knowledge with EDI ANSI X12 as well as the cXML and xCBL Standards. * 4 Years ...

Inovalon

Implementation Advocate

Tampa, FL · On-site

Troubleshoot issues using an analytical approach and escalate following defined procedures ... EDI standards (ANSI X12, 835, 837, 270/271); * Demonstrated experience with SaaS platforms and the ...

Refresco

SAP Functional Analyst SD

Tampa, FL · On-site

Support large initiatives such as the implementation of new technologies and application of ... Experience with EDI Orders, ASNs and other SD/EDI-related messages * Extensive knowledge of ...

iDeal Aluminum

IT Business Analyst

Saint Augustine, FL

$65K - $80K/yr

Implementation amp; Lifecycle Support: Collaborate with external consultants during implementation ... Evaluate, test, and support the integration of third-party applications (e.g., EDI, WMS, or Payroll ...

iDeal Aluminum

IT Business Analyst

Saint Augustine, FL · On-site

Implementation & Lifecycle Support: Collaborate with external consultants during implementation ... Evaluate, test, and support the integration of third-party applications (e.g., EDI, WMS, or Payroll ...

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Edi Implementation Analyst information

What is the difference between Edi Implementation Analyst vs Edi Support Specialist?

AspectEdi Implementation AnalystEdi Support Specialist
Primary RolePlans and executes EDI system implementations and integrationsProvides ongoing support and troubleshooting for EDI systems
Skills & CertificationsKnowledge of EDI standards, project management, certifications like Certified EDI ProfessionalStrong troubleshooting skills, customer service, familiarity with EDI protocols
Work EnvironmentProject-based, collaborative with IT and business teamsSupport-focused, often customer-facing or internal support teams
Industry UsageUsed during system rollouts and upgradesUsed for ongoing system maintenance and issue resolution

The Edi Implementation Analyst focuses on deploying and integrating EDI systems, requiring project management skills and implementation expertise. In contrast, the Edi Support Specialist handles day-to-day troubleshooting and support tasks. Both roles are essential in EDI operations but differ mainly in their focus and responsibilities.

What are the key skills and qualifications needed to thrive as an EDI Implementation Analyst, and why are they important?

To thrive as an EDI Implementation Analyst, you need a solid understanding of Electronic Data Interchange (EDI) standards, data mapping, and business processes, often supported by a degree in information technology or a related field. Familiarity with EDI translation software, data integration tools, and knowledge of common transaction sets like ANSI X12 or EDIFACT are typically required, along with relevant certifications such as EDI Professional. Strong analytical thinking, problem-solving ability, and effective communication skills are crucial for collaborating with clients and internal teams. These competencies enable efficient integration of EDI systems, minimize errors, and ensure seamless data exchange between business partners.

What are some common challenges faced by EDI Implementation Analysts during the onboarding of new trading partners?

EDI Implementation Analysts often encounter challenges such as differing technical standards between organizations, incomplete or inconsistent data from trading partners, and tight project timelines. Clear communication and strong project management skills are essential, as analysts must collaborate closely with both internal IT teams and external partners to resolve issues. Being proactive in identifying potential integration obstacles and thoroughly testing data exchanges can help ensure a smooth onboarding process.

What is an EDI Implementation Analyst?

EDI Implementation Analysts are professionals responsible for overseeing the integration and setup of Electronic Data Interchange (EDI) systems between organizations and their business partners. They analyze business requirements, design EDI solutions, map data, test transactions, and troubleshoot issues to ensure smooth electronic communication. Their role is crucial in streamlining data exchange processes, improving accuracy, and supporting compliance with industry standards.
What are popular job titles related to Edi Implementation Analyst jobs in Florida? For Edi Implementation Analyst jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Edi Implementation Analyst jobs in Florida look for? The top searched job categories for Edi Implementation Analyst jobs in Florida are:
Edi Implementation Analyst jobs near you
Infographic showing various Edi Implementation Analyst job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 11% Part Time, and 4% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Senior Data Engineer EDI Claims Processing

NationsBenefits, LLC

Plantation, FL • On-site

$105K - $143K/yr

Full-time

Medical

Posted 14 days ago

NationsBenefits rating

6.6

Company rating: 6.6 out of 10

Based on 16 frontline employees who took The Breakroom Quiz

309th of 481 rated business services

Job description

NationsBenefits is recognized as one of the fastest-growing companies in America and a Healthcare Fintech provider of supplemental benefits, flex cards, and member engagement solutions. We partner with managed care organizations to provide innovative healthcare solutions that drive growth, improve outcomes, reduce costs, and bring value to their members.Through our comprehensive suite of innovative supplemental benefits, fintech payment platforms, and member engagement solutions, we help health plans deliver high-quality benefits to their members that address the social determinants of health and improve member health outcomes and satisfaction.Our compliance-focused infrastructure, proprietary technology systems, and premier service delivery model allow our health plan partners to deliver high-quality, value-based care to millions of members.We offer a fulfilling work environment that attracts top talent and encourages all associates to contribute to delivering premier service to internal and external customers alike. Our goal is to transform the healthcare industry for the better! We provide career advancement opportunities from within the organization across multiple locations in the US, South America, and India.
Location: Plantation, FL (On-site)
Senior Data EngineerAbout the Role

We are seeking an experienced Senior Data Engineer EDI Claims Processing to join our growing Data Engineering team. This role is responsible for designing, developing, and maintaining enterprise-scale healthcare data integration solutions focused on HIPAA X12 EDI transactions, Medicaid encounters, and CMS compliance.

The ideal candidate has extensive experience building high-volume data pipelines using Databricks and SQL Server, a deep understanding of HIPAA X12 transaction standards, and hands-on experience supporting healthcare claims processing, clearinghouse integrations, and regulatory compliance.

This is an excellent opportunity for a healthcare data engineering professional who enjoys solving complex integration challenges while delivering reliable, scalable, and compliant data solutions.

Key ResponsibilitiesEDI Data Pipeline Engineering
  • Design, develop, and optimize enterprise-grade ingestion, parsing, validation, transformation, and delivery pipelines for HIPAA X12 transactions, including:
    • 837 (Professional, Institutional, Dental Claims)
    • 277CA (Claims Acknowledgment)
    • 999 (Implementation Acknowledgment)
    • 834 (Member Eligibility)
    • 835 (Remittance Advice)
  • Build scalable, high-performance ETL/ELT workflows using Databricks, PySpark, Delta Lake, and SQL Server.
Claims & Encounter Processing
  • Manage Medicaid encounter submissions, reconciliation, and error remediation with state Medicaid agencies.
  • Support CMS encounter processing by implementing regulatory updates, schema changes, and compliance requirements.
  • Collaborate with internal teams to ensure accurate and timely claims submissions.
Data Integration & Validation
  • Develop automated validation frameworks to ensure HIPAA compliance, SNIP validation, and business rule enforcement.
  • Maintain secure and reliable integrations with healthcare clearinghouses and trading partners.
  • Analyze and troubleshoot complex EDI processing issues across multiple systems.
Operational Excellence
  • Build monitoring, alerting, logging, and SLA reporting for production EDI workflows.
  • Continuously improve pipeline performance, scalability, and reliability.
  • Maintain technical documentation, mapping specifications, companion guide implementations, and data dictionaries.
Cross-Functional Collaboration
  • Partner with Claims Operations, Compliance, Product, IT Security, and external healthcare partners to support enterprise data integration initiatives.
  • Participate in architecture discussions and recommend best practices for healthcare data engineering.
Required Qualifications
  • Bachelor's degree in Computer Science, Information Technology, Engineering, or a related field (or equivalent experience).
  • 58+ years of experience as a Data Engineer, Integration Engineer, or Healthcare Data Engineer.
  • Strong expertise with HIPAA X12 EDI transaction standards, including:
    • 837 (Professional, Institutional, Dental)
    • 277CA
    • 999
    • 834
    • 835
  • Hands-on experience with Medicaid encounter processing and state Medicaid submissions.
  • Experience implementing CMS encounter regulations, schema updates, and compliance changes.
  • Strong experience with Databricks, PySpark, Delta Lake, and SQL Server.
  • Experience with healthcare claims validation platforms such as HIPAA Suite or similar EDI processing tools.
  • Strong understanding of:
    • HIPAA regulations
    • PHI security and data privacy
    • SNIP validation levels
    • EDI mapping, loops, segments, and companion guides
  • Experience integrating with healthcare clearinghouses such as Availity, Change Healthcare, or similar platforms.
  • Excellent troubleshooting, analytical, and problem-solving skills.
Preferred Qualifications
  • Experience with Azure Databricks or other cloud-based data engineering platforms.
  • Knowledge of healthcare interoperability standards such as FHIR and HL7.
  • Experience with encounter error remediation and state-specific Medicaid edit codes.
  • Background supporting Medicaid Managed Care, Medicare Advantage, or Accountable Care Organization (ACO) environments.
  • Experience building automated reconciliation, validation, and quality assurance frameworks for healthcare EDI transactions.
  • Familiarity with CI/CD pipelines and DevOps practices for data engineering.
Technical Skills
  • Databricks
  • PySpark
  • Delta Lake
  • SQL Server
  • T-SQL
  • Azure Databricks (Preferred)
  • HIPAA X12 EDI
  • Medicaid Encounters
  • CMS Encounter Processing
  • HIPAA Suite (or equivalent)
  • ETL / ELT Development
  • Data Validation & Reconciliation
  • Healthcare Claims Processing
  • Azure (Preferred)
What You'll Bring
  • Strong ownership mindset with the ability to work independently on complex technical initiatives.
  • Excellent communication and collaboration skills across technical and business teams.
  • Passion for building scalable, reliable, and compliant healthcare data solutions.
  • Commitment to delivering high-quality data engineering solutions in a fast-paced healthcare environment.
Why Join Us?

Join a collaborative team where you'll help build mission-critical healthcare data platforms that support millions of healthcare transactions. You'll work with modern data technologies, contribute to large-scale integration initiatives, and play a key role in ensuring secure, compliant, and high-quality healthcare data processing.
NationsBenefits is an Equal Opportunity Employer.

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