Infinite Computer Solutions is a global leader in digital engineering and IT services, seeking a Healthcare EDI Business Analyst with strong X12 HIPAA expertise. The role involves supporting complex healthcare payer initiatives by acting as a subject matter expert in EDI transactions and ensuring compliance with healthcare regulations.
Responsibilities:
- Act as SME for X12 HIPAA EDI transactions (837, 835, 270/271, etc.)
- Translate business requirements into BRDs, user stories, and test scripts
- Lead requirements gathering, impact analysis, and change management
- Support EDI as a Service (EDIaaS) implementations and enhancements
- Ensure compliance with Medicaid, CMS, CAQH, and HIPAA guidelines
- Facilitate client meetings, walkthroughs, and solution validations
- Perform and support testing, defect management, and production deployment
- Maintain traceability from requirements through testing and release
- Provide leadership updates and impact assessments
Requirements:
- Strong expertise in X12 HIPAA EDI transactions
- Experience in Healthcare Payer / Medicaid domain
- Hands-on experience with BRDs, WRDs, UAT, and test documentation
- Proficiency in MS Word, Excel, PowerPoint
- Excellent communication and stakeholder management skills
- Knowledge of IBM Sterling
- Experience with QNXT / EDI Gateway
- Experience with JIRA, ServiceNow, ALM