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Spectrum Equity
Posted 40 days agoVerified live 1d ago

Data Integration Analyst II

Brief overview

Remote
5+ yrsMinimum
Healthcare EDI IntegrationX12 Transactions 834X12 Transactions 837PX12 Transactions 837IX12 Transactions 837DX12 Transactions 835X12 Transactions 278Healthcare Payer and Benefits Administration SystemsEligibility and Enrollment IntegrationClaims IntegrationHealthcare Data Exchange EDIHealthcare Data Exchange SFTPHealthcare Data Exchange APIInterface MappingHealthcare Integration Requirements GatheringIntegration Testing and File ValidationQuality Assurance

About the company

Spectrum Equity logo
Spectrum Equityspectrumequity.com

Spectrum Equity is a private equity firm, provides capital and strategic support to internet, software, and information services companies.

Job description

Summary

VBA provides integrated healthcare solutions spanning claims, benefits administration, revenue cycle management, provider and network management, care coordination, and automation. The Data Integration Analyst II supports healthcare client implementations and EDI integrations by gathering requirements, interpreting and validating X12 transactions, troubleshooting data issues, and coordinating delivery across clients, vendors, trading partners, and internal technical teams.

Responsibilities

  • Act as the primary liaison between healthcare clients, vendors, trading partners, internal implementation teams, and EDI Developers throughout integration projects
  • Lead requirements gathering sessions with clients and vendors to review file layouts, business rules, integration workflows, and implementation requirements
  • Interpret, map, validate, and troubleshoot X12 transactions including 834, 837P, 837I, 837D, 835, and 278 files
  • Support integrations related to eligibility, claims, enrollment, authorizations, accumulators, ID cards, and payment workflows
  • Review inbound and outbound integration files to identify formatting issues, mapping gaps, inconsistencies, and data quality concerns
  • Create and maintain interface mapping documentation and functional specifications for internal EDI Developers and technical teams
  • Coordinate integration testing efforts, validate file accuracy, and support quality assurance activities during implementation and production support
  • Troubleshoot integration and file transmission issues and work directly with clients, vendors, and internal teams to drive resolution
  • Translate technical integration requirements and data issues into clear communication for non-technical stakeholders
  • Support multiple concurrent client implementations and integration timelines in a fast-paced environment
  • Provide ongoing production and operational support for existing client integrations as needed
  • Collaborate closely with implementation, development, configuration, and support teams to ensure successful integration delivery and client outcomes
  • Maintain professional, responsive communication across all client, vendor, and internal interactions
  • All other duties as assigned

Skills

  • 5+ years of experience supporting healthcare EDI integrations, healthcare implementations, or healthcare systems analysis
  • Required hands-on experience working with 834 eligibility and enrollment files
  • Experience interpreting, mapping, validating, and troubleshooting X12 files including 834, 837P, 837I, 837D, 835, and 278 transactions
  • Experience supporting eligibility, enrollment, claims, authorization, accumulator, or payment integrations
  • Experience working with healthcare payers, TPAs, health plans, or healthcare administration platforms
  • Experience working with EDI, SFTP, API, or other healthcare data exchange methods
  • Experience gathering and documenting technical and business requirements for healthcare integrations and implementation workflows
  • Experience supporting implementation testing, file validation, quality assurance, and production issue resolution
  • Ability to identify and troubleshoot mapping issues, data discrepancies, and integration errors across multiple systems
  • Strong understanding of healthcare data workflows and how information moves between payer, vendor, and client systems
  • Ability to communicate technical integration concepts clearly to both technical and non-technical stakeholders
  • Strong organizational skills with the ability to manage multiple implementation and integration priorities simultaneously
  • Excellent analytical, troubleshooting, and problem-solving skills with strong attention to detail
  • Excellent verbal and written communication skills
  • Ability to work independently while collaborating effectively across cross-functional teams
  • Travel Requirements: 0%
  • Location : Remote
  • Experience with Microsoft SQL Server or data querying for validation and troubleshooting purposes preferred

Qualifications

Must Haves

  • 5+ years of experience supporting healthcare EDI integrations, healthcare implementations, or healthcare systems analysis
  • Required hands-on experience working with 834 eligibility and enrollment files
  • Experience interpreting, mapping, validating, and troubleshooting X12 files including 834, 837P, 837I, 837D, 835, and 278 transactions
  • Experience supporting eligibility, enrollment, claims, authorization, accumulator, or payment integrations
  • Experience working with healthcare payers, TPAs, health plans, or healthcare administration platforms
  • Experience working with EDI, SFTP, API, or other healthcare data exchange methods
  • Experience gathering and documenting technical and business requirements for healthcare integrations and implementation workflows
  • Experience supporting implementation testing, file validation, quality assurance, and production issue resolution
  • Ability to identify and troubleshoot mapping issues, data discrepancies, and integration errors across multiple systems
  • Strong understanding of healthcare data workflows and how information moves between payer, vendor, and client systems
  • Ability to communicate technical integration concepts clearly to both technical and non-technical stakeholders
  • Strong organizational skills with the ability to manage multiple implementation and integration priorities simultaneously
  • Excellent analytical, troubleshooting, and problem-solving skills with strong attention to detail
  • Excellent verbal and written communication skills
  • Ability to work independently while collaborating effectively across cross-functional teams
  • Travel Requirements: 0%
  • Location : Remote

Nice to Haves

  • Experience with Microsoft SQL Server or data querying for validation and troubleshooting purposes preferred

Benefits

  • Remote/Hybrid Schedules (depending on job role)
  • 12 Paid Holidays
  • Responsible Time Off
  • Volunteerism Day
  • Paid Parental Leave: 2 Weeks: Bonding Leave; 10 Weeks: Supplemental Medical Leave (for Birthing Parents Only)
  • Life insurance - $500,000 guaranteed issue
  • Short- and long-term disability insurance
  • Employer match on employee 401(k) contributions
  • Broadband Reimbursement up to $120
  • Health (2-Medical Plan Options), Dental, and Vision Insurance
  • Tools and support to grow your career

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