EDI Technical Analyst – Claims

HJ Staffing

. Support, troubleshoot, and resolve EDI production issues related to claims and trading partner transactions .

Posted 10/2/2026full-timePhoenix • Arizona • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare EDI transactions, including 270/271, 834, 835, and 837, while ensuring compliance with HIPAA and EDI standards. Proficient in SQL query writing and data analysis to support production and reporting needs.

Highest-signal resume keywords

Healthcare EDI ExperienceSQL Query WritingData AnalysisQNXT ExperienceHIPAA Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data MappingData ManagementData ExtractionData ValidationEDI File TestingTroubleshootingAPI IntegrationETL ProcessesDashboard DevelopmentProduction Support

Soft Skills

Strong Communication SkillsProblem-SolvingAbility to Work Under Pressure

Tools & Technologies

Microsoft SQL ServerSplunkApp InsightsSOAP UIPostman

Industry Keywords

HIPAA RequirementsTR3CAQH COREBlue Exchange GuidelinesHealthcare Data Exchange

Tech Stack

Tools & technologies

ETLMS SQL ServerSOAPSplunkSQL

About the role

Key responsibilities & impact

Support, troubleshoot, and resolve EDI production issues related to claims and trading partner transactions
Participate in on-call support rotations
Analyze, map, and validate healthcare data exchanges including 270/271, 834, 835, and 837 transactions
Write and maintain SQL queries for production support, reporting, testing, and data validation
Use Splunk, App Insights, SOAP UI, and Postman to monitor and validate system performance
Create and execute test plans, process test files, document results, and resolve defects
Develop technical specifications, mapping documents, and process flows
Support API integrations, ETL processes, and enterprise data exchange initiatives
Develop dashboards to monitor data quality
Maintain compliance with HIPAA requirements and healthcare EDI standards including TR3, CAQH CORE, and Blue Exchange guidelines
Partner with business and technical teams to troubleshoot production issues and ensure successful data exchange between trading partners

Requirements

What you’ll need

Must currently reside in Arizona and be able to commute to the Phoenix office (85021) at least one day per week
Must be a U.S. citizen or Green Card holder
No sponsorship available now or in the future
3 years of experience in computer technology and/or information systems
2 years of experience in data analysis, data management and integration, data extraction, and reporting
2 years of healthcare EDI experience
Hands-on experience with 270/271, 834, 835, and 837 EDI transactions
Recent, hands-on QNXT experience within a healthcare payer environment is strongly preferred
Hands-on experience with Microsoft SQL Server and writing SQL queries for production support, testing, troubleshooting, and reporting
Experience with data mapping, flat-file analysis, EDI file testing, and production support
QNXT and Microsoft SQL Server is a must
Ability to quickly identify, troubleshoot, and resolve complex data and integration issues
Ability to work with large datasets and translate complex business requirements into technical solutions
Ability to work in a fast-paced environment with competing priorities and deadlines
Strong communication skills and ability to explain technical concepts to non-technical business stakeholders

Benefits

Comp & perks

Temp-to-hire opportunity
6-month temporary-to-hire position