Key Facts

Remote From:

Massachusetts (USA)

Category: Business Analyst

Full time

English

Roles & Responsibilities

Strong experience with healthcare claims processing
Deep expertise in EDI transactions, specifically 837
Experience implementing 837 and proprietary claims files
Experience with root cause analysis and data issue resolution

Requirements:

Lead implementation of EDI 837 and proprietary claims files for multiple health plans
Analyze claims data and identify issues
Perform root cause analysis to resolve ingestion errors
Recommend and implement changes for accurate claims processing

Georgia IT, Inc.

About Georgia IT, Inc.

Georgia IT, Inc. provides IT Consulting for a wide range of IT services and custom build turn-key enterprise solutions. GIT specializes in improving business scalability and efficiency through BSM and SBA Solutions. GIT transforms business with service management and service automation solutions. We are BMC & HP partners. GIT Services include custom built enterprise software and customer-centric web portals, network design and implementation, remote and site-to-site VPN, network and server security assessment and setup, server and desktop virtualization, and many others. GIT also provides IT Consulting in many areas such as Disaster Recovery Planning, Enterprise Data Backup Strategy, Long Term Strategic IT Planning and Augmentation Professional Services Solutions. Professional Services Specialties: Business Process Integration, Software Integration & Development, Web portal, Networking, Remote and site-to-site VPN, Virtualization Solutions, Product Development Please contact us Hrus@georgiait.com / uthay@georgiait.com/470-798-5000 x 1010 / (732) 890-2535 direct

Founded: 2018

Company size: 51 - 200

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Job description

Title: Business Analyst (Claims / 837 / Encounters)
Location: Boston, MA
Position Type: Contract (05-18-2026 to 10-31-2026)
Rate: DOE

Job Description:

Experienced Business Analyst with expertise in EDI and healthcare claims
Support large-scale implementation initiative
Focus on implementation and optimization of 837 and proprietary claims files
Ensure accurate ingestion and processing across systems
Hands-on role requiring assessment of current challenges
Perform root cause analysis
Drive improvements to claims data and processes

Key Responsibilities:

Lead implementation of EDI 837 and proprietary claims files for multiple health plans
Analyze claims data and identify issues
Perform root cause analysis to resolve ingestion errors
Recommend and implement changes for accurate claims processing
Understand business rules, core platforms, and applications supporting EDI exchanges
Design and support end-to-end frameworks for encounter and claims data exchanges
Facilitate discussions with health plans and stakeholders
Gather and clarify requirements
Create and maintain documentation (business requirements, process flows, technical specifications)
Communicate across business and technical teams