Senior EDI Analyst

Job not on LinkedIn

🔥 12 hours ago

⚔️ Virginia – Remote

⚔️ Virginia – Remote

💵 $63.4k - $119.4k / year

⏰ Full Time

🟠 Senior

🧐 Analyst

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Dominion National

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1996

⚕️ Healthcare Insurance

💸 Finance

👥 B2C

Healthcare Insurance • Finance • B2C

Dominion National is your trusted choice for the Federal Employee Dental and Vision Insurance Program (FEDVIP). They offer a range of Exclusive Provider Organization (EPO) dental plans specifically designed for federal employees and TRICARE retirees, focused on providing cost-effective dental care and additional wellness benefits. Members enjoy features such as price transparency, flexible coverage options, tele-dentistry services, and rewards for preventive care, ensuring optimal oral health without the burden of annual maximums or waiting periods.

📋 Description

• Lead analysis, design, and implementation of complex data integrations, including but not limited to 834, 837, 999, and 277 transactions • Serve as primary SME and escalation point for EDI-related production issues and enrollment data discrepancies • Perform advanced data analysis and validation using SQL to troubleshoot high-volume transactional systems • Own end-to-end production oversight of inbound and outbound data exchanges, ensuring SLA compliance and minimizing operational risk • Develop and maintain detailed technical specifications, data mapping documentation, and process workflows • Identify and lead automation initiatives to reduce manual processing, improve accuracy, and increase operational efficiency • Conduct root cause analysis for systemic issues and implement long-term corrective solutions • Partner with external vendors, strategic clients, and internal business stakeholders to manage integrations and production timelines • Evaluate and recommend enhancements to data architecture, controls, and governance practices • Mentor junior analysts and provide technical guidance across projects and operational initiatives • Manage multiple concurrent projects with minimal supervision in a deadline-driven environment • Ensure compliance with regulatory requirements and internal audit standards related to data exchange processes

🎯 Requirements

• 5 years of experience in data analysis, business systems analysis, or EDI operations • 3 years of hands-on EDI experience, preferably in healthcare or insurance environments • Experience working with membership systems and high-volume transactional data • Proven experience supporting production environments with SLA accountability • Experience managing vendor relationships and cross-functional stakeholders • Advanced SQL querying skills (complex joins, subqueries, data reconciliation, performance analysis) • Strong working knowledge of relational databases (SQL Server, Oracle, or equivalent) • Deep understanding of EDI file structures, transaction sets, mapping logic, and validation tools • Experience with automation tools, scripting, or workflow optimization • Strong understanding of data governance, data controls, and audit practices • Ability to independently prioritize and execute high-impact initiatives • Strong analytical and problem-solving skills with attention to data accuracy • Excellent written and verbal communication skills, including technical documentation • Familiarity with Azure DevOps / Azure Boards or other enterprise ticketing systems • Ability to manage competing priorities in a high-volume production environment

🏖️ Benefits

• Medical, Dental & Vision coverage • Retirement Plan • Generous time off including Paid Time Off, Holidays, and Volunteer time off • Incentive Plan • Tuition Reimbursement