Top 7 Edi analyst developer Jobs in Pittsburgh, Pa

Business Configuration Solutions Analyst Senior -Cognizant Implementations (Hybrid)
UPMC —Pittsburgh, PA
- $32.85 - $56.83 an hour
- Full-time
- Hybrid work
- 6 years
- Office
- SQL
Junior Software Developer
Bizowie —Pittsburgh, PA
- Full-time
- Remote
- Bachelor of Science
- AWS
- Bachelor's degree
- Opportunities for advancement
Quick Apply
7h
Analyst, Bridges Interface - II Epic
Quest Diagnostics —Pittsburgh, PA
- Full-time
- Computer science
- Computer Science
- Laboratory experience
Quick Apply
System Integration Engineer - Project Senior Consultant Managed Services
Deloitte —Pittsburgh, PA
- $91,100 - $143,600 a year
- Full-time
- Computer Science
- System design
- HIPAA
Oracle Utilities Market Transaction Framework (MTF) Functional Lead
Accenture —Pittsburgh, PA
- $59,100 - $196,000 a year
- Full-time
- Oracle
- Mentoring
- US work authorization
- Paid holidays
- Disability insurance

More jobs to discover

Find similar jobs that you might be interested in.

Junior Software Developer
Bizowie —Pittsburgh, PA
The Junior Software Developer role will develop new features for our software application, research and build innovations with new technologies, and collaborate…
Quick Apply
7h
Junior Application Developer
True Helix —Delmont, PA
Either a bachelor’s degree in a relevant field or equivalent practical work experience. Additionally, they will be entrusted with conducting system testing, and…

Show more similar jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Business Analyst: EDI
Archents —Dublin, OH
With an emphasis on learning in action and the flexibility to operate as an intrapreneur and an entrepreneur. Demonstrated ability to gather and interpret data…
System Integration Engineer - Project Senior Consultant Managed Services
Deloitte —Columbus, OH
Epic Bridges certification (current/active, per organization requirements). Prior Epic implementation/upgrade/go-live experience and strong stakeholder…
$91,100 - $143,600 a year

Show more jobs in cities nearby

I want to receive the latest job alert for edi analyst developer in pittsburgh, pa

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

edi analyst developer jobs near pittsburgh, pa

Junior Software Engineer jobs in Pittsburgh, PA

Configuration Analyst jobs in Pittsburgh, PA

Systems Integration Engineer jobs in Pittsburgh, PA

Senior Analyst jobs in Pittsburgh, PA

Junior Software Engineer jobs in Pennsylvania

Junior Software Engineer jobs in Portland, OR

Junior Software Engineer jobs in Dublin, OH

Junior Software Engineer jobs in Florida

Configuration Analyst jobs in Denver, CO

Configuration Analyst jobs in Albuquerque, NM

Policy Analyst jobs in Houston, TX

Configuration Analyst jobs in Las Vegas, NV

Configuration Analyst jobs in Mason, OH

Kyc Analyst jobs in New York, NY

Data Analyst jobs in Edwardsville, IL

Healthcare Analyst jobs in Arlington, VA

Market Leader jobs in Bellevue, WA

Cardenas Market jobs in San Jacinto, CA

Whole Foods Market jobs in Rochester, NY

Market Leader jobs in North Carolina

Business Configuration Solutions Analyst Senior -Cognizant Implementations (Hybrid)

UPMC -
Pittsburgh, PA

Apply Now

Job Details

Full-time
$32.85 - $56.83 an hour

Qualifications

Jira
X12 EDI
Systems integration
Internal controls
Vendor selection
6 years
Defect resolution root cause analysis
EDI
Requirements specification
Requirements design
Working with clients on health informatics projects
Data migration
Data validation techniques
XML
IT transformation
Operations coordination
Coaching
Testing and evaluation
Regulatory compliance in claims processing
Operations transformation
Internal compliance auditing
Software implementation
IT auditing
Configuration management
Enterprise solutions implementation
Medical claims processing software
SQL
System design for system development
Production systems
Bachelor's degree

Full Job Description

Are you passionate about solving complex system challenges, leading transformational change, and serving as the go-to expert for business and technical partners? As a Senior Business Configuration Solutions Analyst, you’ll play a critical role in shaping how UPMC Health Plan’s core systems support its products, members, and operations—today and into the future.

In this role, you’ll oversee and optimize administrative and system processes that power our transactional platforms across all UPMC Health Plan products. You’ll take a leadership role in major system initiatives, including the modernization of the Core Administration Processing System (CAPS) and the migration from our legacy platform to Cognizant QNXT. Your work will ensure accurate configuration, business readiness, and operational stability throughout the transition.

As a trusted subject matter expert, you’ll partner closely with business leaders, technical teams, vendors, and external stakeholders to identify opportunities, design solutions, and guide execution. You’ll also mentor team members—helping develop talent, sharing expertise, and driving consistent, high-quality outcomes.

This is a hybrid role with a 3 day a week in office requirement.

What You’ll Do

Lead the administration, configuration, testing, auditing, and implementation of transactional claims processes for internal clients and TPA business
Support CAPS modernization and migration to Cognizant QNXT, including configuration buildout, testing, conversion validation, and go-live readiness
Translate business requirements into system designs and enhancements, ensuring alignment with operational and customer needs
Drive solution selection by conducting vendor research, supporting RFPs, facilitating demos, and defining evaluation criteria
Collaborate across business, IT, security, compliance, legal, and contracting teams to review requirements and ensure alignment
Audit business requests to confirm configurations comply with plan design, schedules of benefits, and reimbursement requirements
Analyze data to identify risks, trends, or gaps that may impact client satisfaction, compliance, or financial outcomes—and propose actionable solutions
Work closely with developers and testers to ensure requirements are accurately translated into functional technical solutions
Manage requirements gathering, prioritization, and negotiation to ensure delivered solutions meet or exceed expectations
Support system integration activities related to CAPS-to-QNXT migration, including coordination, testing validation, and production readiness
Identify root causes of issues, assess member and financial impact, and implement effective resolution strategies
Ensure controls are in place and monitored to meet regulatory standards and UPMC policies
Maintain and annually review departmental policies and procedures, making updates as needed
Take an active mentorship role by coaching, developing, and supporting team members
Participate in enterprise-wide initiatives and perform additional duties as assigned

What You Bring

Hands-on experience with Core Administration Processing Systems, specifically Cognizant QNXT
Proven experience supporting or leading system migrations (legacy platforms to QNXT), including data mapping, configuration, testing, and validation
Strong understanding of claim adjudication logic, pricing methodologies, coordination of benefits (COB), and payment integrity
Proficiency in SQL or similar query tools for research, validation, and troubleshooting
Working knowledge of EDI transactions (837, 835, 834, 820, 270/271)
Experience using requirements and work management tools such as Jira, Azure DevOps, ServiceNow, and Confluence
The ability to communicate complex technical concepts clearly to both technical and non-technical audiences
A collaborative mindset paired with the confidence to lead, influence, and drive change

Why This Role Matters

This is more than a configuration role—it’s an opportunity to shape enterprise-scale systems, influence how critical healthcare operations function, and help guide a major platform transformation. If you’re energized by complex problem-solving, cross-functional leadership, and mentoring others while driving meaningful impact, this role was built for you.

Bachelor's Degree or equivalent work experience.
Minimum of 6 years general business experience.
Understanding of XML data structure.
3 or more years of experience with Core Administration Processing Systems, specifically Cognizant QNXT is highly preferred.
Hands-on experience supporting or leading a system migration (e.g., legacy platform QNXT), including data mapping, configuration buildout, conversion validation, and parallel testing.
Strong understanding of claim adjudication logic, pricing methodologies, COB, and payment integrity functions highly preferred.
Proficient in SQL or similar query tools for data validation, research, and troubleshooting.
Familiarity with EDI transactions (837, 835, 834, 820, 270/271) highly preferred.
Experience using requirements management tools (Jira, Azure DevOps, ServiceNow, Confluence) highly preferred.

.

Licensure, Certifications, and Clearances:

Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran

Apply Now

Refine Your Search

edi analyst developer jobs in pittsburgh, pa

Business Configuration Solutions Analyst Senior -Cognizant Implementations (Hybrid)

Junior Software Developer

Analyst, Bridges Interface - II Epic

System Integration Engineer - Project Senior Consultant Managed Services

Oracle Utilities Market Transaction Framework (MTF) Functional Lead

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for edi analyst developer in pittsburgh, pa

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected