Gainwell Technologies · 2 hours ago
Senior Business Analyst - Healthcare EDI
United States
Full-time
Remote
Mid, Senior Level
$69K/yr - $99K/yr
6+ years expGainwell Technologies is a company focused on improving the health and well-being of vulnerable communities through technology. The Senior Business Analyst - Healthcare EDI will play a critical role in ensuring client objectives are met by leveraging expertise in healthcare EDI transactions and maintaining compliance with regulations.
Health CareInformation Technology
Responsibilities
Demonstrating specific and in-depth knowledge of ANSI X12 transactions to support accurate and efficient data exchange
Applying expertise in WEDI SNIP edits to ensure compliance and data integrity
Effectively working within a trouble ticket application to resolve trading partner questions and issues promptly
Being self-motivated and capable of working independently with minimal supervision
Exhibiting excellent verbal and written communication skills for clear and professional interactions
Building and maintaining positive, effective work relationships with coworkers, clients, members, providers, and customers
Maintaining confidentiality and ensuring compliance with HIPAA regulations
Troubleshooting EDI files and issues with precision and efficiency
Leveraging analytical and creative problem-solving skills to address complex challenges
Qualification
Required
6 or more years of experience in an Healthcare EDI Business Analyst position with 3 or more years of Medicaid and Medicare experience
Must possess a strong proven, hands-on experience and understanding of the Healthcare EDI X12N transactions formats that govern healthcare Electronic Data Interchange (EDI)
In depth knowledge of and experience with HIPAA/EDI X12 5010 healthcare-related transactions including 270-271, 276-277, 277CA, 277U, 278, 820, 834, 835, 837, 999, 824, and 277CA including NCPDP D.0
Expert with commonly used EDI concepts, practices, and procedures within a healthcare field
Medicaid domain knowledge
Knowledge of industry standard health data code sets such as ICD-9/ICD-10, CPT/HCPCS, revenue codes
4 or more years of experience providing technical support for ANSI X12 trading partners
Preferred
Experience with ITXA or EDIFECS Suite is a plus
Benefits
Generous, flexible vacation policy
A 401(k) employer match
Comprehensive health benefits
Educational assistance
A variety of leadership and technical development academies
Company
Gainwell Technologies
Gainwell Technologies is a provider of Information Technology & Services. It is a sub-organization of Veritas Capital.
10001+ employees
H1B Sponsorship
Gainwell Technologies has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (90)
2024 (78)
2023 (56)
2022 (96)
2021 (33)
Funding
Current Stage
Late StageTotal Funding
$1M2023-06-06Grant· $1M
Leadership Team
Paul N. Saleh
President and Chief Executive Officer
Gary Call
Chief Medical Officer
Recent News
bloomberglaw.com
2025-12-12
GlobeNewswire
2025-12-11
Company data provided by crunchbase