EDI Implementation Analyst III

About this role

Availity delivers revenue cycle and related business solutions for health care professionals who want to build healthy, thriving organizations. Availity has the powerful tools, actionable insights and expansive network reach that medical businesses need to get an edge in an industry constantly redefined by change. At Availity, we're not just another Healthcare Technology company; we're pioneers reshaping the future of healthcare! With our headquarters in vibrant Jacksonville, FL, and an exciting office in Bangalore, India, along with an exceptional remote workforce across the United States, we're a global team united by a powerful mission.

We're on a mission to bring the focus back to what truly matters – patient care. As the leading healthcare engagement platform, we're the heartbeat of an industry that impacts millions. With over 2 million providers connected to health plans, and processing over 13 billion transactions annually, our influence is continually expanding.

Join our energetic, dynamic, and forward-thinking team where your ideas are celebrated, innovation is encouraged, and every contribution counts. We're transforming the healthcare landscape, solving communication challenges, and creating connections that empower the nation's premier healthcare ecosystem.Reporting to the Senior Manager, Health Plan Technical Delivery, the EDI Implementation Analyst III owns complex, high-visibility EDI implementations from a receiver perspective. This technical role applies advanced Availity system knowledge, independent judgment, and cross-functional partnership to analyze, design, implement, and improve scalable solutions that deliver consistent, high-quality outcomes. Sponsorship, in any form, is not available for this position. Location: Remote, US To be qualified for the role, you have:

Bachelor’s degree or the equivalent work experience

6+ years of related experience in a technology, information exchange, EDI, and/or healthcare environment

6+ years managing moderate to highly complex implementations with independence, accountability, and sound judgment

Knowledge of healthcare operations, including claims processing, provider office workflows, and customer service processes

Understanding of HIPAA implementation guides for claim and other transactions

Knowledge of HIPAA-mandated ANSI transaction formats

Must have a working knowledge of X12 transactions specifically 837P, 837I, 835, 270/271, 276/277, 278

Ability to develop and guide test plans, evaluate results, and resolve defects or dependencies

Ability to create documentation such as training resources and reference materials

Ability to establish and maintain effective working relationships, supporting internal and external partners

Ability to influence cross-functional partners, identify risks, recommend solutions, and drive alignment

Excellent written and verbal communication skills including strong presentation skills and the ability to present executive summaries in a concise manner

Ability to translate complex information into clear recommendations and actionable plans

Ability to effectively manage multiple priorities in a fast-paced environment

Flexibility and ability to embrace change

Ability to prepare documented customer requirements

Experience with Submitters, Vendors and/or Receivers/Payers is a plus

Customer service and/or relationship management experience is a plus

Experience in software implementations is a plus

Key responsibilities include:

Stakeholder management: Manage payer, vendor, partner, and cross-functional relationships to meet Program Management objectives.

Implementation planning: Own deliverables, plans, requirements, testing strategies, and escalation paths.

Communication support: Coordinate partner awareness of Availity functionality and support production issue communication with Operations and IT.

Mentorship and improvement: Mentor analysts and improve processes to support quality, speed, and scalability.

Why work on this team:

Opportunity to build broad technical, operational, and cross-functional expertise while supporting varied implementation work.

Collaborate with a collaborative, knowledgeable, and supportive team.

What you will be doing: Solutions Integration Implementation Planning:

Lead complex, high-impact implementations across submitters, partners, vendors, and receivers/payers for EDI, B2B, web, API, and other transaction methods using Availity processes and tools.

Serves as a senior individual contributor and subject matter resource for EDI Implementation Analysts, providing guidance on complex implementations, technical considerations, and process standards

Develop implementation plans, initiate customer workstreams, create required tickets, identify risks and dependencies, and recommend mitigation strategies.

Implementation Tracking and Execution:

Manage multiple complex implementations, including timelines, dependencies, stakeholder alignment, issue resolution, escalations, and results delivery.

Analyze standard and non-standard implementations, including HIPAA rules, Availity standards, customer requirements, integration options, and operational impacts.

Lead pre-production testing with internal and external stakeholders, including test plan execution, defect resolution, and readiness validation.

Tracks progress of specific implementation projects via Availity tools including JIRA, Confluence and Salesforce

​Resource Coordination:

Interacts with Payer/Trading Partner, Vendor and Provider Marketing, Business Development, Business Technology Solutions, Product Management, Finance, and Operations

Communication and coordination between all Availity platforms

Estimate scope, dependencies, risk, and level of effort for complex implementations.

Manage workflow for moderate to highly complex implementations to meet quality, timeline, and stakeholder expectations.

Customer Relationship Management:

Engage business, technical, internal, and external…