Program Analyst, EDI Production Issue Coordinator

📋 Description

• Act as the primary coordinator for EDI production issues, managing incoming defects and discrepancies related to X12 EDI transactions (e.g., 837, 835, 270/271, 278) and guiding them to resolution in accordance with VA program timelines and SLAs.

• Employ Agile methodologies and JIRA to log, track, prioritize, and oversee EDI production issues throughout the entire defect lifecycle, ensuring thorough documentation of root cause analysis, resolution steps, and communication with stakeholders.

• Perform data analysis using SQL queries and searches across cloud-based platforms (e.g., AWS) and VA-managed systems to examine production anomalies, validate transaction data, and resolve reporting discrepancies.

• Work closely with VA contracting officers, program managers, EDI trading partners, and technical development teams to identify systemic EDI data mapping problems and suggest corrective measures or process enhancements.

• Create and maintain clear written documentation, including issue logs, status reports, root cause analyses, and standard operating procedures (SOPs) to ensure program transparency and the retention of institutional knowledge.

• Track EDI transaction volumes and processing trends to proactively detect emerging production risks, highlight patterns that require escalation, and promote continuous improvement of EDI operations across the CCN NG and VFMP programs.

⛳️ Requirements

• At least 4 years of hands-on experience in EDI operations, healthcare technology troubleshooting, or Agile delivery practices within a healthcare or federal IT context.

• A Bachelor's degree in Information Systems, Health Informatics, Computer Science, or a closely related discipline is mandatory.

• Previous experience with VA, CMS, or similar federal healthcare payer systems is highly preferred; demonstrated knowledge of VA EDI workflows, Community Care programs, or federal health IT contracting environments is advantageous.

• Must be able to obtain and retain a VA Personal Identity Verification (PIV) credential and meet VA background investigation requirements for system access; the ability to secure a Public Trust clearance may be necessary.

• Must be legally authorized to work in the United States without current or future sponsorship; this position does not offer visa sponsorship.

• Proficiency in EDI X12 transaction sets and data mapping standards, experience executing SQL queries for data validation and troubleshooting, along with strong verbal and written communication skills to effectively convey technical findings to non-technical audiences.

🏝️ Benefits

• Health insurance

• Retirement plans