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EDI Technical Analyst (Claims)

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Blue Cross Blue Shield of Arizona

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Location:
United States , Phoenix

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Category:
IT - Software Development

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Contract Type:
Not provided

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Salary:

Not provided
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Job Description:

Develops technical documentation, designs, analyzes, tests, provides end user support and training for new applications and data structures; and provides post-implementation review for systems and reporting to support customers and management. This position will be expected to assist with analysis required for all Trading Partner EDI and flat files.

Job Responsibility:

  • Develops technical documentation, designs, analyzes, tests, provides end user support and training for new applications and data structures
  • provides post-implementation review for systems and reporting to support customers and management
  • assist with analysis required for all Trading Partner EDI and flat files
  • Track and resolve basic or routine processing problems
  • Research, analyze, track and resolve basic production problems
  • Develop business objectives, processing requirements, and technical specifications
  • Analyze files and map data from one system to another
  • Responsible for production cycles, solving production incidents and notification of problems
  • Write SQL queries needed for production support
  • Ability to query Splunk and App insight for logging results
  • Develop basic test data
  • Process test files and analyze test results
  • Create test files
  • Able to use standard API testing tools like SOAP UI or Postman
  • Perform execution of test cases/scripts
  • document results, log defects, and regression testing of defects
  • Perform test execution and defect reporting utilizing testing tools
  • Assist with root cause analysis and triage of key/critical defects for quick turn-around
  • Monitor and track traceability of business requirements to text execution
  • Participate in defect review meetings
  • Develop and maintain SQL queries to test results and to create mock up data for testing and reporting
  • Assist with technical and data centered research required to produce and test Trading Partner files
  • Understand and apply TR3, Core CAQH and Blue Exchange rules
  • Learn business and systems data and process flows
  • Research and analyze application procedural problems and provide recommendations for improvements and changes
  • Develop functional & technical specifications, logic flows and other documentation
  • Create Mapping Documents to move data between systems
  • Synthesize complex or diverse information
  • Review computer system capabilities, workflow and scheduling limitations
  • Translate business needs into technical solutions
  • Participate in maintaining operational and disaster-recovery procedures
  • Write or modify procedures for internal use, operational procedures, and computer operations
  • General understanding of cloud platforms, including AWS, Azure, kubernettes
  • Participate on small to large scoped projects
  • Use sound project management methodology and demonstrate solid time management skills
  • Create and deliver presentations
  • Monitor and create priority list(s)
  • Participate in on-call rotation
  • Perform all other duties as assigned

Requirements:

  • 1 year of college-level coursework in system requirements design and interpretation and/or support of production systems (Level 1)
  • 3 years of experience in computer technology and/or information systems (Level 2 – 4)
  • 2 years of experience in data analysis, data management and integration, extracting and analysis reporting. (Level 2-4)
  • 2 years of EDI experience (Level 1)
  • High-School Diploma or GED in general field of study (All Levels)
  • Intermediate skill in use of office equipment
  • Intermediate PC proficiency
  • Intermediate proficiency in spreadsheet, database, flow charting, and word processing software
  • Intermediate knowledge of data mapping techniques and data analysis software
  • Intermediate knowledge of computer operating systems
  • Intermediate knowledge of Microsoft Applications and Suites, Windows Server, and Microsoft SQL databases
  • Strong analytical skills to support independent and effective decisions
  • Ability to rapidly pick up new technologies
  • Ability to prioritize tasks and work with multiple priorities
  • Perseverance in the face of resistance or setbacks
  • Effective interpersonal skills
  • Verbal and written communication skills
  • Systems research and analysis
  • Demonstrate the ability to stay current on global threats and vulnerabilities
  • Experience working with and managing third parties
  • Knowledge of business requirements development and user acceptance testing
  • Maintain confidentiality and privacy
  • Analytical knowledge necessary to generate reports
  • Understanding of data governance best practices and data quality improvement principles

Nice to have:

  • 2 years of experience in computer technology and/or information systems (Level 1 -2)
  • 2 years of experience working in healthcare-related systems as a business / systems analyst or programmer
  • 2 years of experience with 27X, 834, 835 and 837
  • 5 years of experience in data analysis, management, integration and reporting (Levels 3 – 4)
  • 3 years of experience working in corporate enterprise-level systems as a business or systems analyst or programmer
  • Bachelor’s Degree in Computer Science, Information Systems, Business, or related field
  • Knowledge of HIPAA regulations
  • Advanced proficiency in spreadsheet, SQL queries, database, flow charting, and word processing software
  • Advanced knowledge of data mapping techniques
  • Advanced knowledge of computer operating systems
  • Advanced knowledge of decision support systems
  • Advanced knowledge of programming, database systems, and data management
  • Advanced knowledge of the Edifecs EDI platform
  • Advanced systems research and analysis expertise
  • Impeccable project management skills
  • Solid technical ability and problem solving skills
  • Knowledge of internal departments and operations
  • Strong technical documentation skills
  • Ability to provide mentoring and peer review to junior team members
  • Ability to build lesson plans and deliver lessons to junior team members

Additional Information:

Job Posted:
March 19, 2026

Employment Type:
Fulltime
Work Type:
Hybrid work
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