Claims Analyst
Southfield, MI ยท On-site
Requirement:Strong understanding of EDI transactions and claims processingProficiency in SQL and data analysisKnowledge of Edifecs Smart-Trading platform, Availity Essentials, Informatica, and ...
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Southfield, MI ยท On-site
Requirement:Strong understanding of EDI transactions and claims processingProficiency in SQL and data analysisKnowledge of Edifecs Smart-Trading platform, Availity Essentials, Informatica, and ...
Quick apply
Southfield, MI ยท On-site
Requirement:Strong understanding of EDI transactions and claims processingProficiency in SQL and data analysisKnowledge of Edifecs Smart-Trading platform, Availity Essentials, Informatica, and ...
Southfield, MI ยท Remote
Knowledge of Edifecs Smart-Trading platform, Availity Essentials, Informatica, and Apigee * Familiarity with CBH systems, including Connects and Flexicare * Excellent problem-solving and analytical ...
Southfield, MI ยท Remote
Knowledge of Edifecs Smart-Trading platform, Availity Essentials, Informatica, and Apigee * Familiarity with CBH systems, including Connects and Flexicare * Excellent problem-solving and analytical ...
Lake Saint Louis, MO ยท On-site
Strong Knowledge on EDIFECS is Preferred. * Knowledge of various EDI transactions such as 834,837,270/271,835 * Knowledge of FACETS modules such as Claim, Medical/Plan, Subscriber/Family, Provider
Lake Saint Louis, MO ยท On-site
Strong Knowledge on EDIFECS is Preferred. * Knowledge of various EDI transactions such as 834,837,270/271,835 * Knowledge of FACETS modules such as Claim, Medical/Plan, Subscriber/Family, Provider
Company Description Pyramid is a leading Information Technology Consulting services company headquartered in metropolitan Atlanta, GA with prime emphasis on the following service offerings: Staff ...
Company Description Pyramid is a leading Information Technology Consulting services company headquartered in metropolitan Atlanta, GA with prime emphasis on the following service offerings: Staff ...
Strong Knowledge on EDIFECS is Preferred. * Knowledge of various EDI transaction such as 834,837,270/271,835 * Knowledge on FACETS modules such as Claim, Medical/Plan, Subscriber/Family, Provider
Strong Knowledge on EDIFECS is Preferred. * Knowledge of various EDI transaction such as 834,837,270/271,835 * Knowledge on FACETS modules such as Claim, Medical/Plan, Subscriber/Family, Provider
Irvine, CA ยท On-site
$64/hr
UML and/or familiarity with Agile methodologies (RUP, SCRUM, XP, MSF) - a strong plus. - Hands-on experience with EDI X12 a strong plus - Hands-on experience with EDIFecs and Pervasive a plus ...
Irvine, CA ยท On-site
$64/hr
UML and/or familiarity with Agile methodologies (RUP, SCRUM, XP, MSF) - a strong plus. - Hands-on experience with EDI X12 a strong plus - Hands-on experience with EDIFecs and Pervasive a plus ...
Metairie, LA ยท On-site
Edifecs v9.1, BizTalk 2016, SSIS,* and their components Working knowledge of X12N transactions, HL7 messages, and FHIR WCF, Web Services, Java, C#, .NET framework, SQL/SSIS *development related to ...
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Metairie, LA ยท On-site
Edifecs v9.1, BizTalk 2016, SSIS,* and their components Working knowledge of X12N transactions, HL7 messages, and FHIR WCF, Web Services, Java, C#, .NET framework, SQL/SSIS *development related to ...
Newark, DE ยท On-site
Proficiency in computer systems, database applications, Microsoft Office, SQL, MS Azure, Databricks, and/or Edifecs * Experience with business process needs analysis and requirements gathering
Newark, DE ยท On-site
Proficiency in computer systems, database applications, Microsoft Office, SQL, MS Azure, Databricks, and/or Edifecs * Experience with business process needs analysis and requirements gathering
Newark, DE ยท Remote
Proficiency in the use of computer systems, database applications, Microsoft Office, structured query language (SQL), MS Azure, Databricks, and/or Edifecs * Experience with business process needs ...
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Newark, DE ยท Remote
Proficiency in the use of computer systems, database applications, Microsoft Office, structured query language (SQL), MS Azure, Databricks, and/or Edifecs * Experience with business process needs ...
Washington, DC ยท On-site
... Edifecs, and other EDI and data analytical products. Work in close collaboration with the Scrum Team to ensure compliance with proposed architecture and industry development standards and best ...
Washington, DC ยท On-site
... Edifecs, and other EDI and data analytical products. Work in close collaboration with the Scrum Team to ensure compliance with proposed architecture and industry development standards and best ...
Linthicum Heights, MD ยท On-site
Six (6) years of experience with EDI validation tools such as Edifecs, WTX, EDI X12 files. Six (6) years of experience with transactions sets such as 834, 999 and TA1, SOA, EDI and EAI Applications.
Linthicum Heights, MD ยท On-site
Six (6) years of experience with EDI validation tools such as Edifecs, WTX, EDI X12 files. Six (6) years of experience with transactions sets such as 834, 999 and TA1, SOA, EDI and EAI Applications.
Chicago, IL ยท On-site +1
$99K - $136K/yr
Edifecs v9.1, BizTalk 2016, SSIS, and their components Working knowledge of X12N transactions, HL7 messages, and FHIR WCF, Web Services, Java, C#, .NET framework, SQL/SSIS development related to EDI ...
Chicago, IL ยท On-site +1
$99K - $136K/yr
Edifecs v9.1, BizTalk 2016, SSIS, and their components Working knowledge of X12N transactions, HL7 messages, and FHIR WCF, Web Services, Java, C#, .NET framework, SQL/SSIS development related to EDI ...
Strong proficiency in using Edifecs tools to map, validate, and troubleshoot HIPAA X12 transactions (e.g., 837, 835, 270/271). Apply today for immediate consideration. I look forward to hearing from ...
Strong proficiency in using Edifecs tools to map, validate, and troubleshoot HIPAA X12 transactions (e.g., 837, 835, 270/271). Apply today for immediate consideration. I look forward to hearing from ...
Irvine, CA ยท On-site
$48.50 - $66.50/hr
UML and/or familiarity with Agile methodologies (RUP, SCRUM, XP, MSF) - a strong plus. - Hands-on experience with EDI X12 a strong plus - Hands-on experience with EDIFecs and Pervasive a plus ...
Irvine, CA ยท On-site
$48.50 - $66.50/hr
UML and/or familiarity with Agile methodologies (RUP, SCRUM, XP, MSF) - a strong plus. - Hands-on experience with EDI X12 a strong plus - Hands-on experience with EDIFecs and Pervasive a plus ...
Newark, NJ ยท On-site
ANSI 837 P - with COB/ADJ VA and medicare claim experience EDIFECS editing - SNIP levels 1-7 Interpretation of the 999; 277 and TA1 transactions Communication skills - to be able to communicate with ...
Newark, NJ ยท On-site
ANSI 837 P - with COB/ADJ VA and medicare claim experience EDIFECS editing - SNIP levels 1-7 Interpretation of the 999; 277 and TA1 transactions Communication skills - to be able to communicate with ...
Linthicum Heights, MD ยท On-site
Six (6) years of experience with EDI validation tools such as Edifecs, WTX, EDI X12 files. Six (6) years of experience with transactions sets such as 834, 999 and TA1, SOA, EDI and EAI Applications.
Linthicum Heights, MD ยท On-site
Six (6) years of experience with EDI validation tools such as Edifecs, WTX, EDI X12 files. Six (6) years of experience with transactions sets such as 834, 999 and TA1, SOA, EDI and EAI Applications.
Lake Forest, IL ยท On-site
Secure data exchange and EDI platforms (EDIFecs, file transfer systems) * Document & Communication (CCM) Platforms * xPression, OpenText Communications * xPresssion Compuset conversions * Opentext ...
Lake Forest, IL ยท On-site
Secure data exchange and EDI platforms (EDIFecs, file transfer systems) * Document & Communication (CCM) Platforms * xPression, OpenText Communications * xPresssion Compuset conversions * Opentext ...
Coral Gables, FL ยท On-site
Experience with Edifecs, Health Suite. * Knowledge of healthcare regulatory requirements. Typical Daily Activities: * Monitor overnight encounter processing. * Review encounter acceptance and ...
Coral Gables, FL ยท On-site
Experience with Edifecs, Health Suite. * Knowledge of healthcare regulatory requirements. Typical Daily Activities: * Monitor overnight encounter processing. * Review encounter acceptance and ...
Atlanta, GA ยท On-site +1
... EDIFECS - XEngine) * Good experience in implementing end-to-end solutions using a COTS product * Good experience in providing solutions to complex problems using customizations of COTS tools * Good ...
Atlanta, GA ยท On-site +1
... EDIFECS - XEngine) * Good experience in implementing end-to-end solutions using a COTS product * Good experience in providing solutions to complex problems using customizations of COTS tools * Good ...
Atlanta, GA ยท On-site
... EDIFECS - XEngine) * Good experience in implementing end-to-end solutions using a COTS product * Good experience in providing solutions to complex problems using customizations of COTS tools * Good ...
Atlanta, GA ยท On-site
... EDIFECS - XEngine) * Good experience in implementing end-to-end solutions using a COTS product * Good experience in providing solutions to complex problems using customizations of COTS tools * Good ...
$9.13 - $15.89
2% of jobs
$15.89 - $22.64
5% of jobs
$22.64 - $29.39
0% of jobs
$29.39 - $36.15
0% of jobs
$36.15 - $42.90
3% of jobs
$49.53 is the 25th percentile. Wages below this are outliers.
$42.90 - $49.65
15% of jobs
$49.65 - $56.40
22% of jobs
The median wage is $57.21 / hr.
$56.40 - $63.16
22% of jobs
$65.69 is the 75th percentile. Wages above this are outliers.
$63.16 - $69.91
15% of jobs
$69.91 - $76.66
11% of jobs
$76.66 - $83.41
5% of jobs
$9
$56
$83
An Edifecs job typically refers to roles within Edifecs, a healthcare technology company specializing in interoperability, compliance, and data exchange solutions. Positions at Edifecs can range from software development and product management to consulting and customer support. Employees work on healthcare IT solutions that help organizations streamline data integration and ensure regulatory compliance. Skills in healthcare EDI, HL7, and FHIR standards are often beneficial for roles at Edifecs.
To thrive in an Edifecs-focused role, candidates typically need strong analytical skills, expertise in healthcare data integration, and a background in health information technology or computer science. Familiarity with Edifecs software solutions, EDI standards (such as X12, HL7), and relevant certifications like Edifecs Certified Associate or similar industry credentials is highly beneficial. Excellent problem-solving abilities, communication, and collaborative teamwork further distinguish top professionals in this space. These competencies ensure accurate data integration, compliance with healthcare standards, and effective collaboration with business and technical stakeholders.
Professionals using Edifecs solutions are generally responsible for implementing and maintaining healthcare data exchange systems, ensuring compliance with regulatory standards, and troubleshooting integration issues between payers and providers. Their daily tasks often include analyzing data files, configuring Edifecs applications, collaborating with IT and business teams, and supporting project rollouts. Team structure can vary, but roles frequently involve cross-functional communication with analysts, developers, and compliance specialists. This collaborative work environment allows professionals to continually develop both their technical and business skillsets while directly contributing to improved healthcare data accuracy and process efficiency.
The most popular types of Edifecs jobs are:
States with the most job openings for Edifecs jobs include:
The top searched job categories for Edifecs jobs are:

Southfield, MI โข On-site
Full-time
Re-posted 28 days ago