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Cambia Health Solutions

Systems/Quality Analyst II-III (EDI Enrollment)

Cambia Health Solutions

full time · Mid

$80,200 – $109,000

Listed on Cambia Health Solutions’s own careers site. You apply with them directly — we never stand between you and the employer.

What this role is

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. The full posting is on their site.

Skills this role names

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What they ask for

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)

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