Healthcare EDI Integration Analyst

Zelis Healthcare, LLC
401(k), remote work
United States, New Jersey, Morristown
340 Mount Kemble Avenue (Show on map)
Apr 10, 2025
At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience for all by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts-driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview The Healthcare EDI Integration Analyst will play a critical role in our organization by ensuring seamless integration of Electronic Data Interchange (EDI) processes. The ideal candidate will have a strong technical background, excellent analytical skills, and a deep understanding of healthcare EDI transactions, specifically 837I and 837P. This role requires proficiency in reading and interpreting code written in SQL, Java, C#, and .NET, as well as experience with Jira for project management and story writing. What You'll Do Analyze and document EDI integration solutions to support business processes and requirements. Read and interpret code written in SQL, Java, C#, and .NET to troubleshoot and enhance EDI processes. Ensure full compliance with healthcare EDI standards, including 837I and 837P transactions. Collaborate with cross-functional teams to gather and document business requirements, translating them into detailed user stories and subtasks in Jira. Develop and maintain comprehensive documentation, including process flows, data mappings, and technical specifications. Utilize logical thinking and problem-solving skills to identify and address integration challenges. Leverage knowledge of webMethods to enhance EDI integration processes (preferred but not required). Develop use cases, technical research, and customer feedback into program/technical requirements for execution by our development group. Support and assist with the development of test cases and test plans. Write clear and concise documentation and project artifacts to facilitate ongoing operations. Lead customer Enterprise and trading community Ecosystem data integration activities. Properly document, communicate, and enforce project deliverables, roles, milestones, and timelines. Provide project management and operational support to the Development and Solutions Delivery team. Perform root cause analysis and design solutions for complex problems, leveraging SQL and other tools. Deep dive into different business areas to deliver workflow optimization through electronic data exchange. Continuously set and manage external and internal customer expectations. Lead integration requirements capture sessions with business and customer stakeholders. What You'll Bring to Zelis Requires 5 years EDI experience (Bachelor's degree preferred). EDI HealthCare industry with an in-depth understanding of healthcare EDI transactions, specifically 837I and 837P required. Proficiency in reading and interpreting code (SQL, Java, C#, .NET, C, or C++). Ability to write and run complex SQL queries. Experience across a range of integration approaches, including streaming, EDI, API, JSON, XML, and/or flat file integration. Knowledge of webMethods is a plus. Knowledge of Jira for project management, story writing, and task tracking. General understanding of the software development lifecycle and management of technology. A strong facilitator who can work with Subject Matter Experts (SMEs) to gain operational knowledge at a detailed level quickly. Awareness of healthcare regulations like HIPAA and ability to ensure EDI data exchange adheres to compliance standards. Knowledge and experience working in Agile development methodology, and an ability to meet release cadence milestones. Strong writing skills with the ability to create clear and concise documentation. Excellent analytical and logical thinking skills. Strong communication and interpersonal skills, with the ability to collaborate effectively with cross-functional teams. Detail-oriented with a commitment to accuracy and quality. Exceptional written communication skills for technical user story development. Ability to manage multiple priorities and adapt in a fast-changing environment. Familiarity with analytical tools, such as spreadsheets, business intelligence applications, and SQL. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Our Values and Culture We are always thinking about life beyond the laptop and how we can drive positive change for our clients, our associates, and our communities. Our IMPACT Value Behaviors are how we elevate that thinking and turn it into action: Drive Innovation Embrace a Growth Mindset Put People First Act With Agility Champion Collaboration Build Trust We look at the big picture when it comes to our associates and our culture. We work to effectively build a thriving, exciting experience for our associates. We leverage these values to continuously evolve an award-winning culture that has a longevity greater than the novelty of a ping pong table in the break room. Our idea of a great workplace is where we can show up as our authentic selves-which is the best way to bring together extraordinary talented people who feel empowered to make a positive IMPACT. A Lot of Respect This is a collaborative organization where everyone is on your team. Each person-from the newest intern to the CEO-is in their position because they are an expert, and they view you with the same lens. No matter who you are, where you sit in the organization, or the span of your tenure, everyone at Zelis is treated with respect. We respect your time (so much so that we aren't asking you to write a cover letter). We make sure you have time to focus by offering Meeting-Free Wednesdays as well as time for you with Zelis Cares Fridays early dismissal. We respect and prioritize work-life balance. With flexible PTO, a hybrid/remote work environment, and a culture that encourages disconnecting after hours, we ensure you have the time and space to manage life's surprises and fully engage outside of work. Working "9 to 5" isn't just a hit song; we respect business hours and promote wellness offerings to keep you at your best, both on and off the clock. We respect diverse opinions. There are always seats at the table, and we're eager to add more chairs. We continue to build our Diversity, Equity, and Inclusion initiatives including training, guest speakers, associate-led Business Resource Groups, in-office DEI events, and more. We respect that everyone has different needs. Zelis has built and continues to add to our benefits offerings by including medical, dental, 401k, fertility and family building, education assistance, pet insurance, menopause and midlife care, and more. We respect YOU. As an Equal Opportunity Employer, we believe that everyone's voice has a place in the chorus. We encourage members of traditionally underrepresented communities to apply. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email TalentAcquisition@zelis.com. Disclaimer We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law. The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.