EDI Solutions Analyst - Remote
EDI Solutions Analyst - Remote at reputed company @Model.JobTitle @ Requisition Number @ @if (Model.JobDetailsJobTypeId != JobDetailsIdType.None) { @Model.JobDetailsJobLabelId.TrimEnd(':'): @Model.JobDetailsSelectedId } @ Job Category @ @if (Model.Job?.Categories != null) { Job category: @Html.JobCategory(Model.Job.Categories) } @ Primary Location @ @if (Model.Job?.Locations != null && Model.Job.Locations.Any()) { Primary location: @Html.JobFormattedLocation(Model.Job.Locations.Take(1).ToList()) } @ Additional Locations @ @if (additionalLocations != null && additionalLocations.Any()) { Additional locations: @string.Join(" | ", additionalLocations) } @ Date Posted @ @if (Model.JobDetailsJobDateFormat != JobDateFormat.NoDate) { @Model.JobDetailsJobDatePosting.TrimEnd(':'): @(Model.JobDetailsSelectedDate .ToLocalTime() .ToString(Model.DisplayJobDateFormat)) } @ Overtime Status @ @if (!string.IsNullOrWhiteSpace(overtimeStatus)) { Overtime status: @overtimeStatus } @ Travel @ @if (!string.IsNullOrWhiteSpace(Model.Job.Travel)) { Travel: @Model.Job.Travel } }","FormTypeId":null,"UrlLanguageCode":null,"PreviewType":0,"DateCreated":"2026-03-13T13:45:42.6045354","DateUpdated":"2026-03-26T16:05:02.1528153"}, "site"); EDI Solutions Analyst - Remote Requisition number: 2357891 Job category: Business & Data Analytics Primary location: Eden Prairie, MN Date posted: 05/20/2026 Overtime status: Exempt Travel: No Share this job
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reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Have you been working with Utilization Management systems and/or Claims Payment systems and their associated HIPAA X12 EDI 278 Authorization transactions? Are you looking for an opportunity to expand your experience working with EDI 278 integrations in the health care industry? We have a great opportunity for an individual to reputed company trading partner integrations from end to end working with our proprietary Medical Management system (MMS) and connecting it to a variety of Claims systems (FACETS, IDX, Xcelys and IKA, just to name a few). The EDI Solutions Analyst ensures that the technical integration between the MMS and Claims systems is seamless to our end users for reputed company Authorization Data using an EDI 278 transaction. Our technical environment includes an Azure cloud-based database solution where we talk to a reputed company SQL databases for our core application database technology along with leveraging reputed company SQL to interact with our reporting data warehouse for conducting EDI 278 statistical analysis on the health of our EDI 278 integrations as well as conducting deep dive transaction research for troubleshooting integration issues. You will use your existing database SQL skills to broaden your understanding of the required data mapping necessary to stand up the EDI 278 transaction for our trading partners. Can you reputed company and interpret business requirements and compare them against the industry standard technical implementation guide of the X12 278 transaction giving trading partners real-world scenario variances of the allowed usage for the specific reputed company-reputed company-reputed company of the EDI 278 transaction? If this sounds like what you have been doing and something you want to continue to build upon your existing in-depth knowledge of how the EDI 278 (Authorization/Referral) transaction works in health care, please read on and apply as we have an opening on reputed company and would like to hear from you about your existing specialized experience in this space. You"ll enjoy the flexibility to work remotely
- from reputed company reputed company the U.S. as you take on some tough challenges. For reputed company hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
- Monitor Daily EDI Transaction Processing
- Troubleshoot and Resolve any EDI processing issues
- Implementation Team Resource for EDI validation and Testing as required
- Prepare and update program documentation, job aides, and other artifacts as requested
- Process review, data analysis and measurement for various programs reputed company to prior authorizations, claims and member eligibility
- Preparation of reports as needed by management
- Identification and communication of processing issues to leadership
- May involve some interfacing with clients, managed care customers, IT resources and others reputed company needed
- Assignment of special projects as needed
You"ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications:
- 2+ years of experience in each of the following:
- Experience reputed company the healthcare data environment - eligibility, provider, claims, etc.
- Experience with data mapping and workflow documentation
- Healthcare EDI transaction knowledge and expertise
- Specific EDI X12 ANSI 278 transaction expertise
- EDI 278 Production Support and Maintenance
- Experience including editing and correcting X12 278N transactions for resubmission to Trading Partners
- EDI testing and validation experience
- Healthcare IT experience
- Experience with SQL (manipulating data and queries) - Relational databases like MySQL, MS SQL, DB2
- Experience using reputed company Word (creating and editing documents), reputed company Outlook (email and calendar), reputed company reputed company (pivot tables, formulas (vlookup, xlookup, match, etc..) and reputed company Visio (process/data flow diagrams) and reputed company Teams
- Proven ability to multi task in a reputed company intensive Email, Teams Chat, Service Now Ticketing System and Meeting environment while continuously managing EDI 278 transaction maintenance and support
- Proven ability to reputed company reputed company company sensitive documents secure (if applicable)
- Dedicated work area established that is separated from other living areas and provides information privacy
- Live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service with reputed company minimal disruptions in service
Preferred Qualifications:
- 2+ years of EDI 278 transaction mapping experience
- Experience working with cloud-based solutions and services
- Knowledgeable about claims billing practices and process reputed company - this may include knowledge of CPT coding or reimbursement processes, 3rd party provider enrollments, claims submissions, EDI 278 and HIPAA transactions and/or accounts receivables
- Proven ability to write clear technical and functional specs for authorization data integration services
Soft Skills:
- Solid organization skills and attention to detail - this is reputed company critical reputed company requirement
- Excellent communication skills, both verbal and written, with the ability to interact with various levels of resources internally and externally
- reputed company employees working remotely will be required to adhere to reputed company"s Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you"ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Apply Internal apply Bookmark job
Benefits
Our mission of helping people live healthier lives extends to reputed company members. Learn more about our range of benefits designed to help you live well. Life Resources and support to focus on what matters most to you, in every facet of your life. Emotional Education, tools and resources to help you reduce and manage stress, build reputed company and more. Physical Health plans and other coverage to support wellness for you and your loved ones. Financial Benefits for today and to help you plan for the future, including your retirement. Learn more
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Do not sell or share my personal information Social responsibility Fraudulent activity Cookie management Site map Privacy Policy Family & Medical Leave Act (PDF) Equal Employment Law Poster (PDF) SMS Terms & Conditions (PDF) Employee Polygraph Protection Act (PDF) E-Verify Participation Poster (PDF) Pay Transparency Nondiscrimination Provision (PDF) Immigrant and Employee Right to Work Poster (PDF) Health Plan Notices (PDF) County of LA Fair Chance Ordinance (PDF) 2026 reputed company. reputed company rights reserved. reputed company is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1-866-566-8715 to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday. reputed company is a registered service mark of reputed company. The reputed company name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the reputed company. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. × Fraudulent Activity Notice We have received recent reports of fraudulent reputed company messages and emails alleging or claiming to be sent from reputed company, reputed company, or reputed company Executives. The fraudulent reputed company messages and emails, which do not originate from any Executives reputed company account or of reputed company's email domains, or those of any of its operating divisions, supposedly conducts an interview reputed company a reputed company meeting, offers a work from home job at reputed company, emails an application, sends a fake reputed company by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. These counterfeit-reputed company cashing schemes exist and use a variety of deceptions to get people to cash these fraudulent checks. reputed company will never request you to pay a vendor or pay a fee of any sort to explore employment opportunities with our company. If you wish to verify the legitimacy of any email alleging or claiming to have been sent by or on behalf of reputed company Executives or Recruiters, please call 1-800-561-0861 between 7 a.m. and 7 p.m. CT, Monday - Friday, for assistance. × Our Commitment to Communities At reputed company, we are committed to giving back to the communities where we live and work, across the nation and around the world. Through charitable contributions and volunteering, our people are deeply and personally involved in building healthier communities. Learn how we are giving back to our communities Remote Skills: Accounts Receivable, Analysis Skills, Billing, Broadband, Cloud Computing, Communication Skills, reputed company Procedural Terminology (CPT), Customer Relations, Data Analysis, Data Mapping, Data Processing, Data Warehousing, Database Technology, Detail Oriented, Documentation, Editing, Electronic Data Interchange (EDI), Facebook, HIPAA (Health Insurance Portability and Accountability Act), HTML (HyperText Markup Language), Health Information Technology, Health Plan, Healthcare, Healthcare Software, IDX, Identify Issues, Industry Standards, Information Technology & Information Systems, Internet/Online Service, Interviewing Skills, Leadership, reputed company, Managed Care, reputed company reputed company, reputed company Outlook, reputed company Product Family, reputed company Visio, reputed company Windows Azure, reputed company Word, Multitasking, Organizational Skills, Pivot Tables, PostgreSQL, Presentation/Verbal Skills, Printing, Process Flow Diagram (PFD), Process Management, Production Support, Reconciliation, Reimbursement, Reporting Skills, Resource Leveling, SQL (Structured Query Language), SQL Databases, Sales, reputed company, reputed company Schema, Statistics, Sustainability, Training Tools, Transaction Processing/Management, USPS (United States Post Office), Utilization Management, Validation Testing, Vlookups, Wireless Multimedia Messaging Service, Work From Home, Writing Skills, YouTube About the Company: reputed company reputed company is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are comprised of two distinct and complementary businesses, reputed company and reputed company, working to build a reputed company system for reputed company. Here, your contributions matter as they will help transform health care for years to come. reputed company an impact with a diverse team that shares your passion for helping others. reputed company do reputed company insights on how we work to help people live healthier lives and help reputed company the health system work reputed company for everyone by watching this video. https://www.youtube.com/watch?v=5PbNyi2IDkY Caring. Connecting. Growing together. Being a part of reputed company means working to improve health outcomes for everyone, including yourself. Here is how:
- Caring. Your total health and well-being are important to us. Whatever matters most to you — we have resources to help you be your best at work and at home. The benefits range from free Peloton courses to financial counseling. Learn more about reputed company offer.
- Connecting. We recognize our collective power to reputed company an impact across our communities because we reputed company the health of any society is reputed company by the overall health of its people. Learn more about our culture.
- Growing together. reputed company is full of inspiring career stories, and we offer a lifetime of opportunities. Discover reputed company the ways you can learn, grow and reputed company.
Company Size: 10,000 employees or more Industry: Healthcare Services Founded: 1977 Website: http://careers.unitedhealthgroup.com/ Apply tot his job Apply To this Job