We9re hiring an EDI Implementation Analyst to join a small, highly specialized team that supports production health plan integrations. In this role, you9ll manage complex configuration changes for health plan partners, ensuring claims data flows accurately and reliably through Availity9s platform. This is a hands-on role that blends technical configuration work with strong analytical thinking and cross-team collaboration.
Sponsorship, in any form, is not available for this position.
To be qualified for this position you will have:
• Minimum of 4 years related experience in a technology (information exchange) and/or health care environment
• Bachelor9s Degree or equivalent work experience
• Experience analyzing, interpreting, and validating business requirements, not just executing instructions
• Ability to balance technical execution with thoughtful problem-solving
• Ability to collaborate with external partners and internal partners including production support teams and information technology
• Understanding of HIPAA implementation guides for claim and other transactions
• Knowledge of the health care industry HIPAA mandated ANSI transaction formats.
• Working knowledge of the X12 transactions specifically 837P, 837I, 835, 270/271, 276/277, 278, CCR/CCD, and HL7 transaction sets
• Proven ability to work in a team environment
• Ability to prepare documented customer requirements
You will set yourself apart with:
• A background working with health plans, clearinghouses, or payer systems
• Experience in environments with production releases and structured change management.
• Strong troubleshooting and analytical abilities.
What you will be doing:
• Managing and executing change request tickets from premium health plan partners using JIRA
• Analyzing and validating business requirements, ensuring requests are accurate, complete, and make sense before implementation
• Configuring receiver configurations, including edits and enrichments, using Availity9s internal tool EPDM
• Coordinating with development teams when changes require code-level updates
• Serving as a key point of contact for connectivity and data issues, acting as 44air traffic control45 to route and resolve issues effectively
• Performing functional testing and support production releases
• Participating in monthly production releases and occasional minor releases
• Working closely with internal teams such as Health Plan Analysts, Account Management, and Payment Accuracy
Availity culture and benefits:
• Availity is a certified 44Great Place to Work45! Culture is important to us and there are many ways for you to make your mark here!
• We have several Culture teams, a Young Professionals Group, and various ways to engage with fellow Availity associates – if you9re near Jacksonville, we have lots of pop up lunches where lunch is provided for everyone when we can see meetings are taking place and we9ve got teams in the office.
• Availity is a culture of continuous learning. We have many resources and experts in our tech stack and in our industry that can help get you there too!
• Don9t feel like wearing business attire? Cool, you can wear jeans – we are a casual place.
• We offer a competitive salary, bonus structure, generous HSA company contribution, healthcare, vision, dental benefits and a 401k match program that you can take advantage of on day one!
• We offer unlimited PTO for salaried associates + 9 paid holidays. Hourly associates start at 19 days of PTO and go up from there with all the same holiday benefits.
• Interested in wellness? We allow our associates to reimburse up to $250/year for gym memberships, participation in racing events, weight management programs, etc.
• Interested in furthering your education? We offer education reimbursement!
• Availity offers Paid Parental Leave for both moms and dads, both birth parents and adoptive parents.
• Want to work for an organization that gives back to the community? You9re at the right place! Availity partners with various organizations, both locally and nationally, to raise awareness, funds and morale as our staff members volunteer their time and funds to engage the organizations campaign.
Interview process:
• Recruiter Video Interview
• Manager Video Interview
• Panel Video Interview
• Panel Video Interview
Video Camera Usage:
Availity fosters a collaborative and open culture where communication and engagement are central to our success. As a remote first company, we are also camera-first and provide all associates with camera/video capability to simulate the office environment. If you are not able to use your camera for all virtual meetings, you should not apply for this role.
Having cameras on helps create a more connected, interactive, and productive environment, allowing teams to communicate more effectively and build stronger working relationships. The usage of cameras also enhances security and protects sensitive company information. Video participation is required to ensure that only authorized personnel are present in meetings and to prevent unauthorized access, data breaches, preventing social engineering, or the sharing of confidential information with non-participants.
Location: , ,
Salary: 70000 – 95000
Ladders: Apply Here