SAIC
SAIC
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Senior EDI Analyst, Healthcare Transactions

Manage healthcare EDI transaction workflows, validation, and partner integrations for SAIC’s mission technology services. Troubleshoot HIPAA transaction errors across payer and provider operations.

Description

  • Manage EDI workflows, partner requirements, and data validation rules.
  • Interpret and troubleshoot 270/271, 276/277, 278, 820, 834, 835, 837, and 999/277CA transaction sets.
  • Review SNIP compliance, companion guides, and partner-specific validation rules.
  • Document mappings and logic requirements for new partners and integration updates.
  • Work with business stakeholders to resolve issues and assess operational impact.
  • Support audits and compliance reviews while maintaining data quality controls.
  • Coordinate with EDI analysts, DevSecOps engineers, cloud teams, and business teams.
  • Find transaction error root causes and correct mapping mismatches.
  • Investigate payer or state system rejections and middleware or API issues.
  • Query SQL databases and reconcile raw EDI with stored records.

Requirements

  • A bachelor’s or master’s degree in computer science, engineering, or a related technical field; equivalent practical experience may be considered.
  • Edifecs certification.
  • At least 8 years of Edifecs product experience in EDI, healthcare, or enterprise application operations.
  • At least 8 years of EDI and HIPAA experience.
  • Strong understanding of payer and provider workflows.
  • Ability to interpret loop, segment, and element-level errors.
  • Familiarity with Edifecs Transaction Management or equivalent tools.
  • Strong command of X12 and HIPAA EDI structures, rules, and field details for 270/271, 276/277, 278, 820, 834, 835, 837, and 999/277CA transactions.
  • Understanding of X12 loop, segment, and element interpretation; SNIP validation Levels 1–7; companion guides; and segment- or element-level error analysis.
  • Experience interpreting Edifecs XEngine validation results, processing rules, and transaction profiles.
  • Experience with SpecBuilder maps and implementation guides.
  • Ability to identify issues in Edifecs routes, profiles, or rulesets.
  • Ability to interpret Edifecs logs and functional-layer error codes.
  • Proficiency in finding transaction error root causes, resolving mapping mismatches, troubleshooting payer or state system rejections, and reviewing parsed EDI structures in SQL databases.
  • Ability to understand inbound and outbound workflow architecture.
  • Experience with AS2, SFTP, and HTTPS flows.
  • Ability to validate data exchanged with non-X12 partners.
  • Ability to identify issues introduced by middleware layers or APIs.
  • Ability to query SQL for transaction details.
  • Ability to validate payloads, timestamps, statuses, and error flags.
  • Ability to reconcile discrepancies between raw EDI and stored data.
  • Ability to explain technical architecture decisions and trade-offs to nontechnical stakeholders.
  • Experience translating business reporting requirements into technical data models.
  • Experience with Agile methods such as Scrum or Kanban and with JIRA.
  • Strong documentation skills, including transaction flow documentation, error trend reports, escalations, standard operating procedures, and partner reference guides.
  • U.S. citizenship and the ability to obtain and maintain a Public Trust clearance.

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