EDI Systems Analyst Sr
Summary
Senior EDI Systems Analyst who defines, analyzes, and supports complex healthcare system integrations focused on EDI, interoperability, and healthcare data exchange. Works in a regulated healthcare technology environment using EDI/ANSI transactions, HL7, CCDA, FHIR, SQL, Power BI, and API/SFTP troubleshooting; mostly virtual with on-site attendance twice per month.
- Define system scope, objectives, and functional requirements aligned with organizational business plans and healthcare industry standards.
- Act independently or as part of cross-functional project teams, providing expert analysis on business and technical implications of system applications.
- Provide consulting support on complex systems analysis, EDI, and interoperability projects.
- Serve as the primary technical and business subject matter expert for EDI systems.
- Coordinate with vendors and major accounts on EDI implementations, connectivity, and ongoing system support.
- Troubleshoot EDI conversions, system integrations, and data exchange issues in collaboration with vendors and internal teams.
- Partner closely with Information Technology, data, and integration teams to ensure system performance, reliability, and data integrity.
- Exercise independent judgment in developing methodologies, techniques, and evaluation criteria to achieve project outcomes.
- Perform Project Lead responsibilities when assigned, including planning, execution, and stakeholder coordination.
- Facilitate project, technical, and cross-functional meetings.
- Mentor and guide less experienced analysts, promoting best practices and knowledge transfer.
- Ensure adherence to data security, confidentiality, and regulatory requirements, including PHI and PII.
Requirements
- Strong expertise in healthcare interoperability standards and data formats: HL7, CCDA, JSON, XML.
- Experience with healthcare data platforms and repositories such as FHIR, EDH, and Excelicare.
- Proven experience supporting Corolar ADT processing, including monitoring, error/rejection investigation, and trend analysis.
- Advanced data extraction and transformation skills using SQL and Power Query (M).
- Dashboard and report development.
- DAX calculations.
- Optimized data models.
- On-demand and scheduled operational reporting (ADT, LAB, RAD, CCDA).
- Experience with integrations and troubleshooting using Postman (or equivalent tools), SFTP, and API-based data transfers.
- Strong root-cause analysis capabilities related to data quality, integrations, and system issues.
- Solid knowledge of EDI, ANSI transactions, and healthcare data exchange workflows.
Soft Skills:
- Strong analytical and problem-solving skills with a high attention to detail.
- Excellent verbal and written communication skills, with the ability to translate technical concepts into business language.
- Proven stakeholder management and collaboration skills in cross-functional environments.
- Ability to work independently, manage multiple priorities, and meet deadlines in a fast-paced environment.
- High level of professionalism, accountability, and commitment to compliance and data governance.