Position: EDI Quality Assurance Analyst – Carrier Operations
Practice: Health and Welfare Advantages Administration
Job Title: EDI Quality Assurance Analyst (Carrier Operations)
Reporting To: Lead
Experience: 2+ Years
Role Overview:
The Vendor Quality Assurance Analyst (EDI QA Analyst – Carrier Operations) is responsible for validating vendor file outputs to ensure they meet defined business and carrier requirements. This role supports Health & Welfare (H&W;) benefits administration by performing comprehensive testing and validation of outbound carrier files and associated data workflows prior to transmission to external vendors.
The EDI QA Analyst works closely with external vendors during implementations to communicate testing expectations, coordinate validation activities, and address vendor feedback. Operating in a production-adjacent environment, the role ensures data accuracy, file integrity, and carrier readiness through structured test planning, test data preparation, scenario validation, defect identification and classification,
and thorough documentation within the carrier file/EDI delivery lifecycle.
In addition, the analyst collaborates cross-functionally with requirements, development, and implementation teams to develop comprehensive test plans, manage testing activities, and work through ticketing queues to ensure timely and high-quality file delivery.
Post-production, the EDI QA Analyst is responsible for ongoing monitoring, review, and resolution of carrier error reports, while identifying trends and opportunities for continuous process improvement.
Key Responsibilities and Duties
Carrier/Vendor File Validation
Validate outbound carrier/vendor files (ANSI/HIPAA 834 and related formats) for structural integrity, format compliance, eligibility accuracy, and carrier-specific requirements before transmission.
Collaborate with external carriers/vendors and internal teams, including development and operations, to validate file behavior and resolve discrep