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EDI Advisor Business Analyst

Date:  Mar 17, 2023

Any city, OH, US, 99999

Req ID:  16461

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.



As a EDI Advisor Business Analyst at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.

Your role in our mission

  Play a critical part in ensuring Gainwell is meeting our clients’ objectives in important areas.
•    Evaluating business processes, anticipating requirements, uncovering areas for improvement, and developing and implementing solutions.
•    Leading ongoing reviews of business processes and developing optimization strategies.
•    Staying up-to-date on the latest process and IT advancements to automate and modernize systems.
•    Conducting meetings and presentations to share ideas and findings.
•    Performing requirements analysis.
•    Documenting and communicating the results of your efforts.
•    Effectively communicating your insights and plans to cross-functional team members and management.
•    Gathering critical information from meetings with various stakeholders and producing useful reports.
•    Oversees relationships between business stakeholders and development teams to ensure that product development and implementation are coordinated. 
•    Ensuring solutions meet business needs and requirements.
•    Performing quality and user acceptance testing.

What we're looking for

•    Must possess a strong proven, hands-on experience and understanding of the Healthcare EDI X12N transactions formats that govern healthcare Electronic Data Interchange (EDI).
•    In depth knowledge of and experience with HIPAA/EDI X12 5010 healthcare-related transactions including 270-271, 276-277,277CA,277U, 278, 820, 834, 835, 837, 999, 824, and NCPDP.
•    Must possess advanced, working knowledge of SDLC (Software Development Life Cycle) and Agile Scrum Methodologies.
•    Knowledge of EDI applications such as IBM Sterling / ITXA suite, Edifecs suite and QNXT.
•    Expert with commonly used EDI concepts, practices, and procedures within a heath care field.

What you should expect in this role

All US locations may be considered, including remote










The pay range for this position is $63,100.00 - $90,200.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.


We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.


Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.

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