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Electronic Data Interchange Analyst, Bakersfield, CA

Organization: Kern Health Systems
Category: Professional
Location: Bakersfield, CA
Date Job Posted: November 15, 2021
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Electronic Data Interchange Analyst IV

Kern Family Health Care, 2900 Buck Owens Blvd., Bakersfield, California, United States of America Req #1657

We appreciate your interest in our organization and assure you that we are sincerely interested in your qualifications. A clear understanding of your background and work history will help us potentially place you in a position that meets your objectives and those of the organization. Qualified applicants are considered for positions without regard to race, color, religion, sex (including pregnancy, childbirth and breastfeeding, or any related medical conditions), national origin, ancestry, age, marital or veteran status, sexual orientation, gender identity, genetic information, gender expression, military status, or the presence of a non-job related medical condition or disability (mental or physical).

Our Mission.. Kern Health Systems is dedicated to improving the health status of our members through an integrated managed health care delivery system.

General Purpose:

This position is responsible for basic data processing and detailed technical analytics for simple process automation procedures and limited core system changes for the company. The position works with the business teams and understands some aspects of technical application development; electronic data interchange (EDI) operations, and core system operations.

The EDI Analyst I solicits basic business requirements through interviews, observation, and/or existing systems documentation. This role assists the EDI team with basic documentation of the technical requirements in a format that facilitates communication and understanding amongst the business department or individuals. The EDI Analyst I must have the ability to analyze data, draw sound conclusions, and is able to interpret and follow detailed and precise written and oral instructions such as checklists. The EDI Analyst I will effectively communicate the documented findings and results from an analytical engagement. The position will be required to work with people of various professional, vocational, and educational backgrounds

Essential Duties and Responsibilities:

  • Must exhibit knowledge of the American National Standards Institute (ANSI) formats that govern healthcare Electronic Data Interchange (EDI).
  • Requires at least two (2) years of Healthcare EDI X12N transactions, including analytics, mapping, developing, testing and deployment.
  • Independently, or under the direction of a Project Manager or an EDI Analyst III/IV, works with Executives, Management, Staff, or Business representatives to identify basic business concepts or processing conflicts.
  • Exhibits understanding of HL-7 and NCPDP File Formats, QNXT Healthcare Core Systems, including QNXT EDI Manager and QNXT Connect (MS BizTalk).
  • Must possess an understanding of SDLC (Software Development Life Cycle) and Agile Scrum Methodologies.
  • Has the ability to cross-train and provide knowledge exchange to educate team members in Analytical roles in support of team redundancy.
  • Shows a knowledge of software productivity tools such as Microsoft Office or Visio to document business or process requirements related to a technology system.
  • Capable of understanding the structure query language (SQL) for analytical data mining, software development, TFS, and business reporting.
  • Successfully engages in multiple initiatives simultaneously.
  • Under direction, evaluates information gathered from multiple sources for reconciliation conflicts.
  • Possesses excellent verbal and written communication skills and the ability to interact professionally with a diverse group, executives, managers, and subject matter experts.
  • Has an understanding of technological resources and the ability to utilize various forms of electronic resources in everyday communications.
  • Capable of work directly with managed care core system software to process data transactions for business functions such as eligibility, claims, authorizations, and case management.
  • Processing of Kern Health Systems (KHS) programs and applications to support departmental activities through predefined checklists.

Employment Standards

Bachelor’s degree in Computer Science, Mathematics, or related field AND two (2) years progressive experience in an EDI Analyst capacity or similar Analytical position for a medium to large organization with a structured IT department preferably in healthcare.


Six (6) years progressive experience in an EDI Analyst capacity or similar Analytical position for a medium to large organization with a structured IT department preferably in healthcare.

Experience may be substituted on a year by year basis.

Position is suited for an entry level to early-career analytics or technical person.

The incumbent must have basic technical skills that come from a Degree in Information Systems or 2-4 years of general analytical experience.

We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis.

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