Liviniti · 22 hours ago
EDI Analyst II
United States
Full-time
Remote
Mid LevelLiviniti is a company focused on electronic data interchange solutions, and they are seeking an EDI Analyst II to coordinate and implement files between their system and external vendors. The role involves analyzing specifications, resolving issues, and managing EDI testing and implementations with various stakeholders.
RetailPaymentsProperty & Casualty InsuranceBillingInsurance
Responsibilities
Responsible for the integration of any new vendor relationship using Electronic Data Interchange and file layouts for eligibility, accumulator, claim detail, and other files by obtaining EDI file specifications, file encryptions and transmission information from vendor
Build and maintain relationships with Liviniti' partners and other vendors; serve as liaison to bridge gaps between system partners and internal outward-facing staff
Document and provide scope of work to all parties involved in all stages of integration; noting customizations, routing rules, data mapping, etc. to ensure seamless integration process on client side
Has solid technical understanding of different file types (fixed width, delimited, 834)
Computer proficiency and technical aptitude with the ability to utilize various connectivity solutions (FTP/Secure FTP, Webfolders (WebDAV), VPN), and use of MS Office applications
Research, analyze, and understand data elements in Liviniti systems, as well as inbound and outbound vendor systems
Develop mapping and translations between data elements for file feeds
Coordinate and test EDI feeds with external vendors and internal file developers
Maintain extensive knowledge of claims adjudication system requirements
Assist with any and all production EDI issues
Maintain awareness of and ensure adherence to Liviniti standards regarding privacy
Work on assignments that are complex in nature in which judgment and initiative are required in resolving problems and making recommendations
Thorough knowledge of company and departmental policies and procedures
Abide by all obligations under HIPAA related to Protected Health Information (PHI)
Attend, complete, and demonstrate competency in all required HIPAA Training offered by the company
Flexibility to understand, appreciate and embrace that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice
Qualification
Required
Responsible for coordinating and implementing files between the Liviniti system and outside vendors, clients, and brokers
Responsible for analyzing various specifications to work in conjunction with reports, interfaces, and mappings provided by data-trading partners
Coordinate and work with internal teams to complete EDI testing, implementations, and modifications of EDI files
Analyze file and system data to address and resolve any issues or errors
Implement and configure file feeds for existing or newly added vendors
Main EDI point of contact for assigned clients
Build and maintain relationships with Liviniti's partners and other vendors
Serve as liaison to bridge gaps between system partners and internal outward-facing staff
Document and provide scope of work to all parties involved in all stages of integration
Has solid technical understanding of different file types (fixed width, delimited, 834)
Computer proficiency and technical aptitude with the ability to utilize various connectivity solutions (FTP/Secure FTP, Webfolders (WebDAV), VPN), and use of MS Office applications
Research, analyze, and understand data elements in Liviniti systems, as well as inbound and outbound vendor systems
Develop mapping and translations between data elements for file feeds
Coordinate and test EDI feeds with external vendors and internal file developers
Maintain extensive knowledge of claims adjudication system requirements
Assist with any and all production EDI issues
Maintain awareness of and ensure adherence to Liviniti standards regarding privacy
Work on assignments that are complex in nature in which judgment and initiative are required in resolving problems and making recommendations
Thorough knowledge of company and departmental policies and procedures
Abide by all obligations under HIPAA related to Protected Health Information (PHI)
Attend, complete, and demonstrate competency in all required HIPAA Training offered by the company
Superior organization skills
Passionate problem solver
Fast-paced temperament
Attention to detail is unprecedented
Ability to analyze data and provide a detailed well written or oral response in a timely manner
Prioritize work responsibilities and be able to maintain a proper balance between work and life duties while working remote
Fast learner that's constantly looking to improve their knowledge, skills, and their overall job responsibilities
Preferred
Bachelor's Degree
Familiarity with multiple file types including 834, csv, pipe-delimited, fixed-width, xlsx, etc
Ability to read an 834 is a bonus
Familiarity with file transfer protocols, specifically sFTP
Experience with Microsoft Office, particularly Excel
Understanding of SSH and PGP keys
Experience with ticketing systems such as Zendesk
Familiarity with HIPAA compliance
Any familiarity with adjudication systems is a plus
Organization, multitasking, and project management skills
Benefits
Medical, Dental and Vision Insurance
Disability and Life Insurance
Employee Assistance Program
Remote Work Options
Generous Paid-Time Off
Annual Reviews and Development Plans
Retirement Plan with Company Match Immediately 100% Vested
Company
Liviniti
Liviniti specializes in pharmacy benefit management, offering services like prior authorization and drug price look-up.
Founded in 2011
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
LeAnn Boyd
CEO & Founder
Mike Stevens
Chief Financial Officer
Recent News
New Orleans CityBusiness
2025-09-23
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2025-09-19
2025-07-16
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