Systems Analyst - EDI in Nashville, TN at APEX Systems

Date Posted: 2/12/2018

Job Snapshot

  • Employee Type:
  • Location:
    Nashville, TN
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:

Job Description

Job #:  821193

Apex Systems, the 2nd largest IT Consulting and Staffing Firm in the Nation, is searching for qualified candidates an EDI Systems Analyst opportunity with our largest healthcare client in Nashville, TN. This role is a 6 to 12 month contract to hire with compensation based on experience.


If you are interested in this EDI Systems Analyst opportunity please send Caitlyn Smith your most up to date resume as well as the best phone number to reach you via


EDI Systems Analyst

Industry: Healthcare

Location: Nashville, TN

Pay Rate: Negotiable based on experience

Length: 6-12 month contract to hire


EDI Systems Analyst Responsibilities:

  • Work on Medicaid related projects, tasks, and enhancements
  • Research and Resolve Medicaid production Issues
  • Create and maintain Incident and Change Requests in HPSM for Resolution
  • Knowledge of IBM Sterling Gentran mapping
  • Work with MS BizTalk Application team to resolve data issues
  • Work with Edifecs team to resolve data validation and translation issues
  • Ensure all Medicaid data exchanges are received/sent and processed
  • Perform daily reconciliation of all Medicaid data exchanges, identify exceptions and any variances with explanation
  • Research and respond to all questions related to Medicaid data exchanges
  • Work with IT OPS, PPM and Edifecs teams with data exchange setups
  • Assist Information Management (ODMS) team with implementations and processing of Medicaid data exchanges (both inbound and outbound)
  • Other duties as assigned


EDI Systems Analyst Requirements:

  • Need to have 5+ years of experience in the following:
    • Healthcare EDI transactions
    • Research and Analysis utilizing SQL knowledge to write simple queries to understand and pull data to create ad hawk reports
    • Working with 837 coding (I,P,D) for X12 transactional sets related to healthcare
    • Working in an Agile/SCRUM environment
    • Working Medicaid data exchange issues
    • Understanding of HIPAA X12 Transactional Implementation Guides
    • Regulatory Management (HIPAA, CAQH/CORE, ACA, AS3, State/Federal mandates, etc.)
    • Creating and maintaining Incident and Change Requests in a ticketing system for resolution
    • Knowledge of IBM Sterling Gentran mapping and MS BizTalk (these are translators for X12 files 
  • Not required/but a plus: Edifecs experience for inbound and outbound data/information









EEO Employer

Apex is an Equal Employment Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Employee Services Department at or 844-463-6178.