Senior EDI Testing Analyst

Job not on LinkedIn

🔥 0 minutes ago

🚗 Michigan – Remote

🚗 Michigan – Remote

💵 $47k - $112.2k / year

⏰ Full Time

🟠 Senior

🧐 Analyst

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Support onboarding and implementation of EDI partners • Coordinate system setup, configuration, testing, and production readiness activities • Partner with internal and external stakeholders to gather business requirements and document implementation needs • Develop and execute test cases to validate system functionality and requirements • Ensure accurate end-to-end processing across test and production environments • Review and interpret technical specifications, healthcare EDI formats, and related documentation • Educate and support clients through implementation activities • Support production preparation and changes to communication protocols, file formats, or software

🎯 Requirements

• 2+ years of comprehensive knowledge of EDI transactions, including testing standard X12 transactions such as 837P, 837I, 837 Outgoing, 999, TA1, and U277 • 2+ years of experience using crosswalks, HIPAA implementation guides, and requirements documents to validate data mapping to database fields • 2+ years of understanding of privacy rules and HIPAA compliance • 2+ years of experience working with clients on issue resolution and problem-solving discussions • 2+ years of experience in a client-facing environment partnering directly with clients on EDI-related issue resolution, testing, root-cause analysis, and problem-solving discussions • Ability to present ideas in business-friendly and user-friendly language • Highly motivated and self-directed • Strong analytical and problem-solving skills • Ability to prioritize and execute tasks effectively in a high-pressure environment • Ability to work independently and collaboratively • Strong verbal and written communication skills • Associate degree required • Background in healthcare preferred

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to the base pay range • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being, based on eligibility