Systems Analyst

General Dynamics Information Technology

. Administer Electronic Data Interchange (EDI) activities, including COBA Crossover Process, Section 111, and Data Sharing Agreements .

Posted 9/18/2026full-timeRemote • United StatesJuniorMid-Level💰 $55,806 - $74,750 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Electronic Data Interchange (EDI) processes, including troubleshooting and managing data file transmissions, while providing exceptional customer support and stakeholder education. Proficient in maintaining compliance with HIPAA regulations and managing relationships with trading partners.

Highest-signal resume keywords

Electronic Data Interchange (EDI)HIPAA ComplianceCustomer Support SpecialistAmazon Web Services (AWS)Data Analysis

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

EDI AdministrationFile Transfer TroubleshootingData Processing Systems837 Flat File AnalysisEDI Data TranslationClaim File MonitoringError ReportingUser Acceptance TestingTechnical SupportWorkflow Management

Soft Skills

Effective CommunicationInterpersonal SkillsAnalytical SkillsCustomer Relationship ManagementProblem-Solving

Tools & Technologies

Microsoft OfficeSterling GentranIngenix FacilediNDM (Connect Direct)FTP

Industry Keywords

MedicareHealth InsuranceCOBA Crossover ProcessData Sharing AgreementsSLAs

Tech Stack

Tools & technologies

AWSDistributed Systems

About the role

Key responsibilities & impact

Administer Electronic Data Interchange (EDI) activities, including COBA Crossover Process, Section 111, and Data Sharing Agreements
Troubleshoot and diagnose direct file transfer and COBSW issues
Provide front-line customer service and stakeholder education through the EDI Hotline
Monitor file processing between mainframe and distributed systems
Compile error reports and communicate with trading partners, programmers, insurers, employers, Medicare contractors, and CMS to resolve issues
Resolve stakeholder issues within SLAs, returning emails, voicemails, and work items within two business days
Provide EDI Hotline support while maintaining schedule adherence, monitoring AUX code limits, and minimizing missed calls
Troubleshoot data file transmission and transaction errors and verify communication links and interfaces
Manage daily workflow queues across MIRA, BCRS, ECRS, and internal tracking spreadsheets
Establish, document, and maintain EDI procedures and reconcile EDI transactions
Maintain the EDI Inquiry Problem database through issue resolution with standardized documentation
Audit EDI transactions and maintain EDI maps and business rules for HIPAA validation software
Monitor and resolve claim file transmission or content problems
Analyze claim crossover inquiries related to eligibility files and billing
Lead or interface with management, technical application teams, and business partners to define project specifications, timelines, and deliverables
Initiate and facilitate client meetings for ongoing and prospective projects
Identify new business opportunities, systems, processes, and operational improvements
Establish and maintain relationships with internal and external trading partners
Train customers and employees on data exchange processes and systems
Coordinate tasks with BCRC partners to ensure correctly formatted EDI information
Assist with User Acceptance Testing of system enhancements
Develop and update educational material for the COBSW site
Support customers transitioning from testing to production
Respond to CMS Central Office and Regional Office inquiries
Perform other EDI mission duties as directed by management

Requirements

What you’ll need

5+ years of related experience
Bachelor’s Degree or appropriate combination of post-secondary education and relevant work experience
Experience as a Customer Support Specialist or similar CS role
Strong analytical and research skills
Effective communication with all levels of management and communities
Excellent verbal and written communication skills
PC skills, including proficiency with Microsoft Office products
Designated office space in order to work from home
Technical support experience desired
Proficiency in Amazon Web Services (AWS) desired
Experience researching and analyzing file layouts, specifically 837 flat files, desired
Knowledge of Medicare Part A, B, C, and D desired
Knowledge of health insurance concepts and/or HIPAA EDI 837 desired
Knowledge of data processing systems and hardware, particularly personal computers, desired
Knowledge of Professional and Institutional file structures and guidelines desired
Knowledge of NDM (Connect Direct), FTP, dedicated connections, and telecommunications software/concepts desired
Experience maintaining trading partner accounts in a high-volume operation desired
Working knowledge of EDI data translation/validator support, including Sterling Gentran/Ingenix Faciledi, desired
Excellent interpersonal and customer relationship skills desired
Ability to learn new concepts quickly and independently while maintaining effective communications desired
Past experience working remotely in an at-home office desired

Benefits

Comp & perks

Medical plan options, including plans with Health Savings Accounts
Dental plan options
Vision plan
401(k) plan with pre-tax and post-tax contributions and company match
Full flex work weeks where possible
Paid vacation, sick, personal, holiday, parental, military, bereavement, and jury duty leave
Typically 15 days of paid leave per calendar year
10 paid holidays per year
Up to 160 hours of paid family leave in a rolling 12-month period for eligible employees
Short- and long-term disability benefits
Life insurance
Accidental death and dismemberment insurance
Personal accident insurance
Critical illness insurance
Business travel and accident insurance
Remote work opportunity
Identity verification process using biometrics and artificial intelligence