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.