What are the responsibilities and job description for the EDI Data Analyst position at Diversity Nexus?
Location: Mason, OH
Hybrid: 3x a week.
Duration: 02/28/2026, with potential extensions
work hours - 8:00am to 5:00pm
Who can apply for this position: US citizens and Green Card holders.
Specific Skills Needed:
Top 3-5 mandatory and/or minimum requirements
Ability to analyze claims data
Develop standard and custom testing plans to ensure compliance with requirements
Maintain detailed documentation and process flow of all EDI processes
Top 3-5 desirable attributes/qualifications
HIPAA X12 EDI Transactions experience
Experience with EDI mapping for 837, 999, 277CA, 835
Experience with Medicaid Claims processing
Job Description:
The Medicaid EDI Manager will play a critical role within the Business Data Solutions team to maintain and implement Medicaid encounter feeds. The Medicaid Manager will be the primary resource implementing new client and/or state outbound transactions. The Manager will develop requirements based on stakeholder meetings and interpretation of Companion Guides. The Manager will identify, recommend and implement process improvements in support of the EDI system based on observation, monitoring and external inquiries regarding EDI issues.
Secondary responsibilities include researching and analyzing encounter edits or rejections for Medicaid clients and work with internal/external teams to resolve. The Manager will work to improve overall encounter, member and provider data quality. As well they will track encounter submission quality and timeliness.
Job Type: Contract
Pay: $55.00 - $58.00 per hour
Expected hours: 40 per week
Schedule:
- Day shift
Experience:
- Claims: 5 years (Preferred)
Ability to Commute:
- Mason, OH 45040 (Required)
Work Location: In person
Salary : $55 - $58
