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Healthcare Edi Analyst Jobs (NOW HIRING)

Avani Technology Solutions, Inc.

EDI Analyst

Orange, CA · On-site

Minimum three years of Managed Health Care background preferred. Exposure and understanding of utilization of analytical development concepts and methodologies. Minimum 1-2 years experience with EDI ...

Ulta Beauty

EDI Analyst

Bolingbrook, IL · On-site

$66K - $85K/yr

Full-time positions are eligible for paid time off, health, dental, vision, life and disability ... care products, hair care products and salon services. We bring possibilities to life through the ...

Ulta Beauty, Inc.

EDI Analyst

Bolingbrook, IL · Hybrid

$66K - $85K/yr

Full-time positions are eligible for paid time off, health, dental, vision, life and disability ... care products, hair care products and salon services. We bring possibilities to life through the ...

Cobalt Benefits Group LLC

EDI Analyst Level 1

Exeter, NH · On-site

$50K - $60K/yr

The ideal candidates will have experience in a healthcare setting with a keen eye for detail. Reporting to the EDI Team Manager. The EDI Analyst, Level 1 will act as a resource for enrollment and ...

A-Line Staffing Solutions

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Healthcare EDI Enrollment Specialist

Louisville, KY · On-site

$23/hr

If interested in this Healthcare EDI Enrollment Specialist position APPLY NOW for IMMEDIATE consideration HEALTHCARE EDI ENROLLMENT SPECIALIST | DETAILS AND COMPENSATION: * Location: Louisville KY ...

Perfict Global, Inc.

EDI/API Business Analyst

EDI/API Business Analyst Fully Remote - must be in CA, OR, WA, CO, VA, DC, GA, MD (CO or CA ... Must have healthcare EDI files experience * API workflow/integration experience * Experience ...

ConsultAdd, Inc.

EDI Analyst

OR · Remote

We are serving more than 50 different companies in Financial, Healthcare, Insurance and other niche ... EDI Analyst / Very urgent Requirment Job Type: 100% Remote job / C2C / W2 Interview Mode:

Quantix

C# / EDI Developer

Phoenix, AZ · On-site +1

Duties will include working on a variety of client implementations and developing C# and SQL code for healthcare EDI processes. This is in maintenance and enhancement of existing applications as well ...

Penumbra

Electronic Data Interchange (EDI) Analyst

$100K - $150K/yr

The Electronic Data Interchange (EDI) Analyst will be responsible for managing Penumbra's EDI ... healthcare industry. • Adhere to the Company's Quality Management System (QMS) as well as ...

TecTammina

EDI Project Manager:

Pasadena, CA

$107K - $127K/yr

Substantial experience, typically 8+ years in systems analysis and application program development ... in Healthcare, EDI and Claims Processing Experience Required : Healthcare, EDI and Claims ...

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Healthcare Edi Analyst information

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$38.5K

$85.1K

$135K

How much do healthcare edi analyst jobs pay per year?

As of Jun 24, 2026, the average yearly pay for healthcare edi analyst in the United States is $85,086.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,500.00 and $100,500.00 per year, depending on experience, location, and employer.

What are the typical challenges a Healthcare EDI Analyst faces on the job?

Healthcare EDI Analysts frequently encounter challenges such as troubleshooting complex data discrepancies, ensuring compliance with changing industry regulations, and managing the demands of multiple stakeholders or trading partners. Adapting to new EDI standards or software updates requires continual learning and flexibility. The role often involves collaborating with IT, billing, and healthcare operations teams to resolve integration issues and maintain seamless data flow. Successfully navigating these challenges is key to supporting accurate claims processing and efficient healthcare administration.

How much does an EDI analyst make in the US?

An EDI analyst in the US typically earns between $60,000 and $85,000 annually, depending on experience, location, and certifications. Entry-level positions may start around $50,000, while experienced analysts with specialized skills can earn over $90,000. Knowledge of healthcare data standards and EDI tools is often required for higher-paying roles.

Will AI replace EDI jobs?

Healthcare EDI analysts manage electronic data interchange systems that facilitate secure data exchange between healthcare providers and payers. While AI can automate routine tasks like data validation and processing, EDI analysts' roles also require oversight, troubleshooting, and understanding complex healthcare regulations, making complete replacement unlikely in the near term. Skills in EDI standards, healthcare compliance, and system management remain essential for the role.

What is a Healthcare EDI Analyst job?

A Healthcare EDI Analyst is responsible for managing and optimizing the electronic data interchange (EDI) processes in the healthcare industry. They ensure the accurate and secure exchange of healthcare transactions, such as insurance claims, enrollments, and payment remittances, between providers, payers, and clearinghouses. Their role includes troubleshooting data transmission issues, maintaining compliance with HIPAA regulations, and collaborating with IT and business teams to improve EDI workflows. They also analyze transaction errors, implement system upgrades, and support business operations by enhancing data integration and automation.

What are the key skills and qualifications needed to thrive in the Healthcare Edi Analyst position, and why are they important?

To thrive as a Healthcare EDI Analyst, you need a solid understanding of healthcare data exchange, EDI standards (such as HIPAA, X12, and HL7), and the healthcare claims process, often supported by a degree in information systems or a related field. Experience with EDI mapping tools, clearinghouse platforms, and data integration software is highly valuable, and industry certifications like CAQH CORE or EDI Specialist are advantageous. Strong analytical thinking, attention to detail, and effective communication skills are key soft skills for resolving issues and collaborating across departments. These skills are crucial to ensure the accurate, timely, and secure transmission of sensitive data in compliance with healthcare regulations.

What is an EDI in healthcare?

In healthcare, EDI (Electronic Data Interchange) refers to the electronic exchange of standardized healthcare data between providers, payers, and other entities. Healthcare EDI analysts manage and ensure the accuracy, security, and compliance of these electronic transactions, which include claims, eligibility, and payment information, often using industry standards like ANSI X12. Proficiency with EDI software and understanding of healthcare regulations are essential for this role.

What does an EDI analyst do?

An EDI analyst manages electronic data interchange systems in healthcare, ensuring the secure and accurate exchange of data such as claims, eligibility, and payment information between providers and payers. They troubleshoot data issues, implement standards like HIPAA, and often use tools like EDI software and healthcare databases to support efficient data flow and compliance.
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What cities are hiring for Healthcare Edi Analyst jobs? Cities with the most Healthcare Edi Analyst job openings:
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What states have the most Healthcare Edi Analyst jobs? States with the most job openings for Healthcare Edi Analyst jobs include:
What job categories do people searching Healthcare Edi Analyst jobs look for? The top searched job categories for Healthcare Edi Analyst jobs are:
Healthcare Edi Analyst jobs near you
Infographic showing various Healthcare Edi Analyst job openings in the United States as of June 2026, with employment types broken down into 14% Locum Tenens, 78% Full Time, 5% Part Time, and 3% Contract. Highlights an 81% Physical, 8% Hybrid, and 11% Remote job distribution, with an average salary of $85,086 per year, or $40.9 per hour.
EDI Analyst

EDI Analyst

Avani Technology Solutions, Inc.

Orange, CA • On-site

Full-time

Posted 4 days ago

Job description

Position : EDI Analyst
Location : Orange County, CA
Duration : 6 Months
Top Three Skills:
  1. EDI
  2. IDX or (Epic, Facets, Easy Cap)
  3. HIPPA Standards( 277-999, 837, X12 Formats

Job Description:
Under minimal supervision, this position is responsible for administering all aspects of EDI setup, analysis, design, mapping, testing, troubleshooting and implementation. The position is responsible for the daily operational activities which will ensure successful and accurate inbound and outbound transmissions. Position is the primary contact for EDI Clearing houses and trading partners, and is responsible for EDI communication within the organization, to customers, and IT.
Essential Duty # 1 - Percent: 60
Administers all aspects of EDI and performs EDI setup, analysis, design, mapping, testing, troubleshooting, implementation and daily operational activities. Ensures all daily EDI and scripting processes are completed timely and accurately and accounts for all inbound and outbound files. Troubleshoots the EDI and scripting process for errors using EDI, 3rd party, communication (FTP) and application software. Reviews and monitors transmission notifications and resolves daily file errors and failures. Implements and coordinates routing changes requested by internal or external customers and determines necessary production turnover tasks, prepares required documents, and follows through to ensure smooth implementations are completed. Provides technical support to Business Units and other staff regarding EDI and scripting issues/inquiries. Uses scripting tools such as WinRunner, Boston Workstation, etc. to upload files to various databases.
Essential Duty # 2 - Percent: 25
Establishes and maintains open communications within the organization and with external clients and vendors. Answers client and vendor questions regarding file submission in a professional and timely manner and maintains EDI and scripting client transaction activities. Analyzes root cause of errors; communicates errors to the appropriate clients and trading partners; and escalates c errors, issues, or problems to Department Director. Works with IT to ensure effective infrastructure support is provided to maintain ongoing EDI operations.
Essential Duty # 3 - Percent: 10
Assists in the research and evaluation of additional Edi, file mapping, process improvement tools and capabilities required in support of clients needs. Identifies information requirements to improve business processes, and supports critical business strategies.
Essential Duty # 4 - Percent: 5
Completes varied projects of an analytical or tactical nature as assigned by management or identified through own work.
Performance Standards:
Support the vision, values, and mission of Prospect Medical Group. Be cooperative
and helpful to others within the employee's own department as well as support positive interdepartmental and programmatic communications and cooperation.
Qualification Requirements:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education/Experience:
Bachelor's degree in Information Systems or equivalent experience with at least 1-2 years related job experience or equivalent combination of education and experience. Minimum three years of Managed Health Care background preferred. Exposure and understanding of utilization of analytical development concepts and methodologies. Minimum 1-2 years experience with EDI, ANSI X12N 837 & 834 HIPAA standards, file layouts, scripting tools and ACCESS. IDX tool kit and HIPAA KIT for X12 translator experience preferred. Conceptual understanding and hands-on experience with various electronic trading mechanisms, such as FTP, PGP and FTPS. Working knowledge of relational databases and understanding of their application as it relates to EDI file upload. SQL preferred.
Extensive knowledge of all Microsoft software (Access, Excel, Word, Project, etc).
Syed Raza
585-532-7200 Ext 9002
syed.j@avanitechsolutions.com

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