About Us
Headquartered in College Park, Maryland, ANGARAI is a professional management solution and services organization with a Project Management Office (PMO), specializing in Enterprise Transformation Services and Enterprise Oversight Services.
Job Description
The Senior Systems Analyst (EDI) is responsible for providing Electronic Data Interchange (EDI) data analysis, transaction support, error resolution, and related services for large-scale healthcare or eligibility-based systems. This role works closely with technical, business, and testing teams to analyze, resolve, and transmit EDI transactions accurately and efficiently.
Key Responsibilities
• Provide data analysis, transactional support, error detection, resolution, and ongoing support for EDI operations • Perform analysis and validation of Medicaid 8001 transaction files • Review and resolve data issues related to master data, master person identifiers, and other system data discrepancies • Perform system error analysis and root cause investigation • Validate 1095-A and 1095-B files and reconcile 8001 transactions • Analyze inbound and outbound EDI files exchanged with carriers, managed care organizations, and external partners • Identify EDI file rejections, analyze root causes, and recommend corrective actions • Analyze EDI 999 acknowledgment files and assist with resolving exceptions and data issues • Coordinate with development, business, and testing teams to analyze, fix, test, and transmit EDI files on a daily or as-needed basis • Perform data corrections to resolve consumer- or system-reported issues • Access databases and applications to perform root cause analysis and implement data fixes • Translate business needs into technical EDI data solutions • Communicate effectively with IT teams, business users, vendors, and stakeholders
Support Flexible Work Schedules, Including Off-Hours, Weekends, and Holidays as Required
Requirements
Minimum Qualifications
• Bachelor's degree in Computer Science, Information Systems, Engineering, Business, or a related field • Minimum 4 years of experience working with healthcare marketplace or eligibility-based EDI solutions • Minimum 4 years of experience creating and processing EDI X12 transaction sets such as 834, 999, and TA1 • Minimum 4 years of experience reviewing and interpreting EDI companion guides and implementation guides • Minimum 4 years of experience analyzing, testing, and providing data solutions for healthcare or eligibility systems • Minimum 2 years of experience working with SQL databases and writing SQL queries • Strong analytical and problem-solving skills • Excellent communication skills with the ability to translate technical concepts for business users • Ability to manage multiple priorities and meet tight deadlines
Preferred Qualifications
• 6+ years of experience using EDI validation tools such as Edifecs, WTX, or equivalent • 6+ years of experience working with EDI transaction sets including 834, 820, 999, and TA1 • Hands-on experience writing complex SQL scripts • Knowledge of Affordable Care Act (ACA) eligibility rules for Medicaid and Qualified Health Plans • Experience with or knowledge of Medicaid 8001 file processing or other inter-agency transactional file processing • In-depth understanding of EDI 834 enrollment transactions, including adds, changes, terminations, cancellations, and error processing