EDI Systems Analyst

Summary
Apex Health Solutions is leading a healthcare transformation through our partnerships with
physicians and healthcare insurers. Through our unique models, Apex empowers physicians to truly
manage a patient’s health, delivering high quality, affordable care in a modern, patient focused
approach.
The EDI Systems Analyst is responsible for ensuring EDI transmissions meet platform specifications
in terms of business requirements, application design and infrastructure requirements. Collaborate
with project managers and business analysts to define product development tasks and estimates.
Develop, implement and/or modify business processes to support automation with new or existing
trading partners and/or customers. Work closely with EDI development staff to provide break fix
analysis on existing processes. Troubleshoot all reported errors and provide proper documentation
and feedback. Resolve auditing errors and determine if customer audit procedure changes are needed.
Communicate with management and/or plan operations to understand any changes or concerns in
auditing procedures. Provide management with insight into any customer specific issues or trends
that adversely affect the auditing process. Proactively work to assist others in achieving the
organization's objectives.

Essential Functions
• Design, develop and implement X12 EDI solutions for healthcare transactions such as claims,
eligibility, and remittance advice (834, 835, & 837).
• Conduct thorough testing of EDI transactions to identify and resolve any issues, ensuring data
integrity and compliance with standards.
• Use a combination of analysis and experience to define, validate, and combine data across
multiple sources.
• Create and maintain documentation for EDI processes, mappings, and configuration, facilitating
knowledge transfer and ensuring system understanding.
• Ensures that project requests are clear, concise, measurable, and marketable with well- defined
acceptance criteria.
• Drives resolution of issues related to production issues, escalating when appropriate.
• Utilize EDI mapping tools to transform data between different formats, ensuring accurate and
secure exchange of healthcare information.
• Provide mapping information and processing input to SQL developers to enable the appropriate
database design best suited to the data.
• Work with developers to present data in a meaningful and appealing manner that provides the most
decision support value to the users.
• Participates with technical and data analysis teams to troubleshoot defects (technical and
functional) during post-release support.
• Monitor the production environment and proactively prioritize, communicate, and help to resolve
any operational EDI process or system issues.
• Proven SQL query skills and knowledge of SQL database concepts such as tables, data
types, keys, joins, indexes, transactions.

Education
• Bachelor’s Degree in Computer Science or equivalent experience.
Experience
• Minimum 3+ years of experience working as an EDI Systems Analyst in a technical environment with
responsibilities in design, implementing and maintaining data interchange systems.
• Additionally, experience in developing business requirements, data analysis, developing
solutions, supporting both business and technical teams.
• Axiom TransSend experience a plus.
• Agile Methodologies domain experience a plus.