IS Business & EDI Analyst - Denver Health Medical Plan (Must Live in Colorado. Weekly On Site Requirement)

Job description

We are recruiting for a mission-driven IS Business & EDI Analyst - Denver Health Medical Plan (Must Live in Colorado. Weekly On Site Requirement) to join our team! We're with you for life’s journey. At Denver Health, purpose isn’t just something we believe in—it’s something we live every day, for life’s journey. Our Values Respect | Belonging | Accountability | Transparency Department Managed Care Administration * Must live in Colorado * This is a hybrid role located in Denver, Colorado with a requirement of being in the office 2 days per week. Job Summary Under minimal supervision, the Business/EDI Analyst plays a dual role at the intersection of business analysis and electronic data interchange, supporting the operational, technical and project needs of a nonprofit health plan. In this position, the analyst will gather and document business requirements, facilitate cross-functional communication between clinical, operational, and technical stakeholders, and support complex workflows into clear, actionable specifications. Equal weight is placed on the EDI side of the role, where the analyst will monitor, troubleshoot, and support the processing of HIPAA-compliant electronic transactions — including 837 claim files and 835 remittance advices — ensuring accurate and timely data exchange between the health plan and its trading partners. The ideal candidate has experience in a healthcare or managed care environment, with working exposure to both business analysis disciplines and EDI file formats and standards. A strong attention to detail, comfort navigating ambiguity across business and technical teams, and a foundational understanding of HIPAA transaction sets are essential to success in this role. This individual will be expected to grow in both domains simultaneously, making it well-suited for someone who is analytically curious, process-minded, and motivated by the operational backbone that keeps a health plan running accurately and compliantly. Essential Functions : EDI Focus Area • X12 EDI file monitoring and processing • SQL-based data analysis and triage • Vendor integration testing and validation • Technical documentation and change management • API - Integration Support as needed • Monitor daily EDI file movement and X12 data load processes • Review data quality reports and job logs; triage and resolve issues • Maintain and update job schedules for EDI workflows • Perform UAT support testing 834, 837, 820, and related transaction sets • Ad-Hoc SQL queries to analyze data trends and assist in issue triage • Map data between database tables and EDI file structures • Test vendor integrations using Postman or SOAP UI • Support change management — test and validate before production • Assist in translating business requirements into technical extract designs • Document technical specifications, data mappings, and process procedures • Support Config changes, certificate renewals, PGP keys etc. (35%) Business Analyst Focus Area • Application support ticketing and incident resolution • User onboarding, offboarding, and vendor setup • Automated file management and daily system health checkout • Workflow analysis and user acceptance testing • Serve as the primary IS contact for support tickets across the business application portfolio • Triage and resolve application incidents submitted by DHMP staff and external vendors • Facilitate user onboarding and offboarding across supported platforms • Set up new vendors and configure automated file management workflows • Participate in weekly rotation of daily system health checkout • Assist customers with application implementation, workflow identification, and issue resolution • Collaborate with users to gather requirements and support UAT • Coordinate with Denver Health IT and IS team members as needed • Document solutions — technical specs, process notes, and incident responses • Support project and upgrade activities alongside daily operations (65%) Education : Bachelor's Degree Computer Science required - Or - High School Diploma or GED and 2-4 years of equivalent experience required Work Experience : 1-3 years experience with ITSM/ticketing and incident management concepts required - And - 1-3 years experience with EDI file types (834, 837, 820) or healthcare data required - And - 1-3 years Project management experience required - And - 1-3 years experience with Edifecs, BizTalk, or similar integration tools and Healthcare payer background preferred Licenses : Knowledge, Skills and Abilities : Foundational knowledge of HL7 & EDI/X12 formats • Basic T-SQL skills — query writing for analysis and troubleshooting • Familiarity with relational databases and data mapping between systems • Ability to manage multiple priorities with minimal supervision • Strong analytical and diagnostic skills across multiple systems • Excellent communication — technical concepts to non-technical audiences • Highly organized; adapts to shifting workloads and priorities • Strong interpersonal skills; quickly builds rapport with staff and vendors • Comfortable with ambiguity — knows when to act and when to ask * Must live in Colorado * This is a hybrid role located in Denver, Colorado with a requirement of being in the office 2 days per week. Shift Days (United States of America) Work Type Regular Salary $83,800.00 - $130,000.00 / yr Benefits At Denver Health, we take care of the people who take care of our community. Our benefits are built to support your life, your family, and your future — with generous paid time off, fully paid parental leave, exceptional retirement contributions, comprehensive health coverage, and nationally recognized well-being programs. We invest in your growth through tuition assistance, career advancement pathways, and professional development — while also offering meaningful financial advantages through loan forgiveness eligibility and employer contributions. When you join Denver Health, you’re joining a mission-driven organization that invests in you. Here is a small list of our benefit programs: Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays 100% paid parental leave up to 6 weeks Immediate eligibility for retirement plans with employer contribution up to 9.5% Generous medical, dental, vision plans in addition to employer paid disability and life insurance. Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center Free RTD EcoPass (public transportation) Childcare discount programs & exclusive perks on large brands, travel, and more Tuition reimbursement & assistance Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways Professional clinical advancement program & shared governance Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer About Denver Health Denver Health is an integrated, high-quality academic healthcare system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver’s 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, the Public Health Institute at Denver Health, Denver Health Medical Plan and Denver Health Foundation. As Colorado’s primary, and essential, safety-net healthcare system, Denver Health is a mission-driven organization that has provided millions in uncompensated care for the uninsured each year. Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer. Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community. All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made. Applicants will be considered until the position is filled.