EDI & Claims Operations Analyst

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a EDI & Claims Operations Analyst based in United States.

This is a highly visible individual contributor role focused on optimizing the lifecycle of healthcare claims from submission through payer processing.
You will monitor claim activity across clearinghouses and payer systems, identifying transmission, acceptance, rejection, and processing issues.
The role combines healthcare revenue cycle expertise with analytics, root-cause investigation, process improvement, and automation.
You will work across Billing Operations, Coding, Engineering, Configuration, Automation, and other teams to resolve complex claim workflow challenges.
Your analysis will help improve claim acceptance rates, reduce manual intervention, accelerate reimbursement, and prevent downstream denials.
You will also serve as a subject matter expert on EDI transactions, payer connectivity, clearinghouse operations, and claims status management.
This opportunity is ideal for an analytical and resourceful professional who enjoys solving complex operational problems and turning data into scalable improvements.