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Electronic Data Interchange Edi Manager Jobs (NOW HIRING)

American Vision Partners

EDI Analyst

Phoenix, AZ · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Install and Configure healthcare electronic data interchange applications on provider's network and ... Manage payer website logins, grant new access, deactivate access and provide password resets for ...

Circle K

EDI Analyst

Columbus, IN · On-site

The EDI Analyst will support the implementation and maintenance of Electronic Data Interchange (EDI ... Communicate effectively with internal and external teams to address process issues, manage testing ...

Uniting Holding

SAP EDI Consultant

Charlotte, NC · On-site

$85 - $120/hr

Set up and maintain Electronic Data Interchange (EDI) trading partners in SAP S/4 HANA environment per customer requests. * Monitor and analyze SAP IDOCs. * Review SAP segments for different EDI maps ...

Circle K Stores, Inc.

EDI Analyst

Tempe, AZ · On-site

The EDI Analyst will support the implementation and maintenance of Electronic Data Interchange (EDI ... Communicate effectively with internal and external teams to address process issues, manage testing ...

H R PUNDITS INC

EDI Consultant

Renton, WA · On-site

... and supporting electronic data interchange (EDI) processes and systems. They collaborate with ... oriented with the ability to manage multiple tasks and prioritize workload. * - Strong ...

smp

IT - EDI Programmer Analyst

Lewisville, TX · Hybrid

Develop and integrate Electronic Data Interchange (EDI) software applications to facilitate ... Manage daily EDI operations, including monitoring and troubleshooting. * Understand and analyze ...

CompTech Computer Technologies

Linux Administrator

  • Retirement

  • PTO

CompTech is a service-oriented program management and technical company working to build lasting ... Analyze and troubleshoot Electronic Data Interchange (EDI) processing and translation issues ...

CompTech Computer Technologies

OR · On-site

  • Retirement

  • PTO

Analyze and troubleshoot Electronic Data Interchange (EDI) processing and translation issues ... Strong experience using the Linux command line and managing Linux file systems. * Experience ...

Gritter Francona

VA Project Manager

Washington, DC · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... from Electronic Data Interchange (EDI) or other technical dependencies. Lead the planning ... Identify, manage, and mitigate project risks, dependencies, and issues that may impact project ...

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Electronic Data Interchange Edi Manager information

What are some common challenges faced by an Electronic Data Interchange EDI manager, and how can they be addressed?

One common challenge for EDI Managers is ensuring seamless integration of EDI systems with diverse partner platforms, which often requires troubleshooting compatibility issues and customizing data mappings. Additionally, keeping up with evolving EDI standards and regulations can be demanding, as non-compliance may disrupt critical business transactions. Effective communication with both internal teams (like IT and operations) and external trading partners is crucial for resolving errors quickly and maintaining data integrity. Proactively investing in ongoing training and leveraging automation tools can help address these challenges and improve efficiency.

What is an Electronic Data Interchange EDI manager?

An Electronic Data Interchange (EDI) Manager is responsible for overseeing the electronic exchange of business documents and data between organizations using standardized formats. They manage the setup, maintenance, and troubleshooting of EDI systems to ensure smooth and secure communication with trading partners. EDI Managers also coordinate with IT teams and business stakeholders to implement new EDI solutions and ensure compliance with industry standards. Their role is vital for automating processes, reducing manual errors, and improving business efficiency.

What are the key skills and qualifications needed to thrive as an Electronic Data Interchange EDI manager?

To thrive as an EDI Manager, you need a solid background in IT, business process analysis, and knowledge of data mapping and integration standards, typically supported by a bachelor’s degree in computer science or a related field. Familiarity with EDI platforms (such as IBM Sterling, SPS Commerce), data formats (X12, EDIFACT), and experience with ERP systems are commonly required, along with relevant certifications. Strong project management, problem-solving, and communication skills help manage cross-functional teams and ensure smooth data exchanges with partners. These skills are crucial for maintaining efficient, secure electronic transactions and ensuring seamless business operations between organizations.
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Electronic Data Interchange Edi Manager jobs near you
Infographic showing various Electronic Data Interchange Edi Manager job openings in the United States as of August 2026, with employment types broken down into 93% Full Time, and 7% Contract. Highlights an 86% In-person, 7% Hybrid, and 7% Remote job distribution.

Principal Information Systems Analyst - Lead EDI Developer (N387)

Heluna Health

Los Angeles, CA • On-site

$47.94 - $69.18/hr

Full-time

Re-posted 17 days ago

Job description

Salary Range: $47.94-$69.18 per hour
SUMMARY
The Los Angeles County Department of Homeless Services and Housing (HSH) consolidates our countywide response to homelessness. The driving force behind HSH is increasing accountability and transparency, improving care for people experiencing or at risk of homelessness, and streamlining collaboration with partners including services providers, the County's 88 cities, and unincorporated areas to deliver high-quality, life-saving care. Staff schedules are based on business need and may include the option of a hybrid work schedule where employees work remotely and from the office.
The Principal Information Systems Analyst (Lead Electronic Data Interchange - (EDI) Developer) serves as the HSH technical lead for transforming data on homelessness services into Medicaid claims and managing the end-to-end Electronic Data Interchange - (EDI) workflow for claims billing. This role owns the production claims pipeline, ensuring accurate, compliant submission of claims, timely ingestion of acknowledgements and remittances, and rapid diagnosis of data quality and denial issues as services move through the claiming lifecycle.
The position combines hands-on technical oversight with operational leadership, working closely with program partners, clearing houses, finance, and internal data engineering staff to maintain a reliable, auditable, and evolving claims process for non-traditional Medicaid services.
ESSENTIAL FUNCTIONS
  • Operate and maintain the (existing) production pipeline that transforms homelessness service data into ANSI X12 837P transactions using Python-based workflows and clearinghouse translation tools.
  • Work with Data Engineering team to enhance or extend existing Python-based workflows as claiming requirements or program needs change.
  • Integrate eligibility and enrollment data, including bulk eligibility checks, into the charge capture and claim construction process
  • Submit claims through healthcare clearinghouses and monitor end-to-end transaction flow
  • Ingest, track, and manage EDI acknowledgements and remittances, including ANSI X12 999, 277, and 835 transactions, maintaining clear lineage from service records through payment outcomes
  • Identify, flag, and diagnose data quality issues, claim drop-off points, and denial patterns; coordinate and generate claim corrections and resubmissions
  • Ensure compliance with HIPAA transaction standards and applicable Medicaid claiming rules throughout the claims lifecycle
  • Lead technical discussions with program partners to refine service definitions, documentation standards, and claims workflows as program requirements evolve
  • Provide technical direction and day-to-day oversight to a direct report responsible for remittance analysis and billing-related data quality efforts
  • Collaborate with finance, analytics, and data engineering teams to support reconciliation, reporting, and continuous improvement of claims performance
  • Maintain clear technical and process documentation for claims workflows, controls, and system dependencies.
  • Support testing, validation, and onboarding of new service types or program configurations.
  • Contribute to process automation, monitoring, and quality assurance improvements across the claims pipeline.
  • Participate in cross-departmental initiatives related to Medicaid data, reporting, or system modernization.

JOB QUALIFICATIONS
Graduation from an accredited college with a bachelor's degree in Computer Science, Information Systems, or a closely related field, and four (4) years of progressively more responsible, full-time, paid experience in a centralized Information Technology organization performing information systems analysis and design for complex systems. -OR- Two (2) years of experience, within the last three years at the level of a Senior Information Systems Analyst -OR - Five (5) years of progressively responsible, full-time, paid experience in a centralized Information Technology organization performing information systems analysis and design for complex systems.
Certificates/Licenses/Clearances
  • A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions.
  • Successful clearance of the Live Scan process with the County of Los Angeles.

Other Skills, Knowledge, and Abilities
  • Substantial experience working with healthcare claims data and Electronic Data Interchange (EDI) in a production environment
  • Demonstrated experience with ANSI X12 transaction sets, including 837, 835, 999, and 277
  • Working knowledge of HIPAA transaction standards and Medicaid claiming rules
  • Experience operating or supporting claims workflows involving non-traditional or non-clinical services, such as community-based, housing, or social support programs, is strongly preferred
  • Experience using code-based data pipelines (Python, SQL, Scala, R, etc.) and modern cloud-based data platforms to cleanse and transform data
  • Experience collaborating with others and version controlling (e.g. GitHub) code-based pipelines
  • Proven ability to diagnose complex data and process failures, explain root causes to non-technical partners, and drive corrective action
  • Experience providing technical leadership, mentoring staff, or leading workstreams in a complex, cross-functional environment

PHYSICAL DEMANDS
Stand: Frequently
Walk: Frequently
Sit: Frequently
Reach Outward: Occasionally
Reach Above Shoulder: Occasionally
Climb, Crawl, Kneel, Bend: Occasionally
Lift / Carry: Occasionally - Up to 15 lbs
Push/Pull: Occasionally - Up to 15 lbs
See: Constantly
Taste/ Smell: Not Applicable
Not Applicable = Not required for essential functions
Occasionally = (0 - 2 hrs/day)
Frequently = (2 - 5 hrs/day)
Constantly = (5+ hrs/day)
WORK ENVIRONMENT
General Office Setting, Indoors Temperature Controlled
EEOC STATEMENT
It is the policy of Heluna Health to provide equal employment opportunities to all employees and applicants, without regard to age (40 and over), national origin or ancestry, race, color, religion, sex, gender, sexual orientation, pregnancy or perceived pregnancy, reproductive health decision making, physical or mental disability, medical condition (including cancer or a record or history of cancer), AIDS or HIV, genetic information or characteristics, veteran status or military service.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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