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The EDI Business Analyst designs and supports practice and provider constructs within the clearinghouse while monitoring data feeds to mitigate systemic risks. They collaborate with RCM leadership to optimize business processes and implement clearinghouse enhancements based on industry trends.
Preferred candidates hold a bachelor's degree and have over 5 years of experience as an EDI or business analyst in a healthcare setting. Proficiency in EDI document types (e.g., 837, 835) and familiarity with EHR systems like eClinicalWorks are highly desired.
POSITION SUMMARY:
The EDI Business Analyst Specialist designs, implements, supports, and validates practice and provider constructs within the clearinghouse. This position includes monitoring of data feeds and related loads to ensure systemic risks are identified and corrected across all Pediatrica Health Group practices.
Success in this position includes assisting in the growth and maintenance of our clearinghouse solutions by researching industry changes and data sets, analyzing data trends, identifying areas of opportunity, and aiding in the implementation of these enhancements. Ideal candidates have a naturally analytical way of thinking, can quantitatively and qualitatively analyze information, are process-oriented, and enjoy research and team collaboration.
ESSENTIAL FUNCTIONS
Clearinghouse & EDI Operations
Process Analysis & Optimization
Collaboration & Communication
Testing, Projects & Documentation
KNOWLEDGE, SKILLS & ABILITIES
EDUCATION & EXPERIENCE
SUPERVISORY RESPONSIBILITIES
No direct supervisory responsibilities.
WORKING CONDITIONS
General office working conditions.
PHYSICAL DEMANDS
The physical demands described here are representative of those an associate must meet to perform the essential functions of this job successfully. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
While performing this job, the associate may need to stand, walk, sit, handle objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch, or crawl; and talk or hear. The associate must occasionally lift or move up to fifteen pounds. Required vision abilities include close, distance, and peripheral vision; depth perception; and the ability to adjust focus. Occasional travel may be required. Manual dexterity is required to operate desktop computers or laptops. The employee may be exposed to varying weather conditions.
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an associate must meet to perform the essential functions of the job successfully. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually moderate.
TRAVEL
Minimal travel may be required for training, meetings with the clearinghouse partner, or visits to PHG practice locations.
SAFETY HAZARDS OF THE JOB
Minimal Hazards
Focused Care From Tots to Teens
Pediatrica... Providing next generation care for the next generation. Dedicated to providing equitable access to innovative pediatric primary care, Pediatrica Health Group empowers and supports providers and health care teams with modern technologies and the administrative resources needed to provide exemplary, tailored patient care. Focused pediatric care for families with children from birth to 18 years of age. Learn more at Pediatrica.com
Offices: 75 Valencia Avenue, Suite 709, Coral Gables, FL 33134, US
Based on 152 listings with disclosed salaries, most data & analytics jobs in Miami, FL pay between $60k–$177k per year. Individual offers vary with seniority, company size, and specialization.
There are currently 514 open data & analytics positions in Miami, FL listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include University of Miami Health System, Royal Caribbean Group, Carnival Corporation, Norwegian Cruise Line, Félix, among others. Browse the listings above to see every active employer.
Yes — 225 of the 514 open data & analytics positions offer remote or hybrid work (89 remote, 136 hybrid).
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.
