# Systems/Quality Analyst II-III (EDI Enrollment)

Hiring organization: [Cambia Health Solutions](https://career.thegoodapps.co/organizations/cambia-health-solutions)

Canonical page: https://career.thegoodapps.co/jobs/27a99fb8-c5b2-418a-a6d6-e870db7d06de

Listed on Cambia Health Solutions's own careers site. Applications go to them directly.

- Employment type: full time
- Seniority: Mid
- Salary: 80200 – 109000 USD per year

## Summary

This hybrid role supports the development and maintenance of EDI enrollment systems and data integrations within a healthcare insurance organization's analytics team. It suits candidates with a background in systems analysis, healthcare payer operations, or data management who want to work on healthcare eligibility and enrollment processes.

_Our summary, not Cambia Health Solutions's wording._

## Skills named

Data Analysis, ETL, JSON, SQL, XML

## Required

- Bachelor's degree in Computer Science, Mathematics, Business Administration, or related field
- 2–5 years of business or systems experience developing requirements for software projects (depending on level)
- Knowledge of common software development methodologies
- Ability to gather, translate, and document system requirements
- Ability to work with teammates and business partners
- Critical thinking and problem-solving skills
- Clear written and verbal communication
- Ability to manage own work with minimal supervision

## Nice to have

- HIPAA 834 EDI enrollment processing
- Healthcare eligibility and membership management
- Facets enrollment and membership systems
- Data analysis, validation, and reconciliation
- ETL and data integration concepts
- Enrollment error analysis and resolution
- Trading partner and vendor coordination
- Edifecs knowledge
- Healthcare payer domain experience
- Medicare and Commercial enrollment processes
- Spreadsheet-based data analysis and automation
- Production support and issue triage
- AI tools and technologies (Level III: ability to lead small teams, define QA plans, coach junior analysts)

Apply on Cambia Health Solutions's site: https://cambiahealth.wd504.myworkdayjobs.com/en-US/External/job/Oregon/Systems-Quality-Analyst-II-III--EDI-Enrollment-_R-6794
