ShiftCode Analytics, Inc. · 1 month ago
EDI Business Analyst
Boston, MA
Full-time
Hybrid
Senior Level
5+ years expShiftCode Analytics, Inc. is seeking a business-focused EDI Business Analyst to serve as a critical link between the business and IT teams. In this role, you'll work directly with operational stakeholders to gather and translate requirements into clear, actionable deliverables, supporting EDI initiatives across multiple functional areas.
AnalyticsConsultingInformation Technology
Responsibilities
Partner with business stakeholders to define, document, and refine requirements for EDI-related projects and enhancements
Serve as the liaison between business users and technical teams, translating business needs into functional specifications and user stories
Analyze and validate HIPAA EDI transactions (including 837, 835, 270/271, 275, etc.) to ensure accuracy, compliance, and alignment with business rules
Work across cross-functional areas—not limited to claims, but also provider portal and customer service portal initiatives
Participate in testing efforts: create test scenarios, validate EDI data and outputs, and support user acceptance testing (UAT)
Troubleshoot issues, identify root causes, and recommend corrective actions
Ensure deliverables meet project timelines, scope, and quality standards
Qualification
Required
5+ years of Business Analyst experience within the healthcare payer / health insurance industry
Strong understanding of EDI standards, including HIPAA 5010 / X12 transactions
Hands-on experience reviewing and interpreting EDI transaction sets (837, 835, 270/271, 275, etc.)
Working knowledge of FACETS (Facets Claims Processing system)
Excellent communication, facilitation, and documentation skills with a business-first mindset
Experience collaborating across multiple operational domains beyond claims (e.g., provider management, member services, customer service portals)
Preferred
Experience working in Agile/Scrum environments is a plus
Edifecs experience is a plus
Company
ShiftCode Analytics, Inc.
ShiftCode Analytics Inc is a Tampa, FL based firm formed with one sole purpose of delivering best and quick services to its clients nationwide.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase