Note: The job is a remote job and is open to candidates in USA. Cognizant is a company that engineers modern businesses and helps clients modernize technology and transform experiences. They are seeking a Senior Healthcare Claims Integration Analyst to support system integration activities for healthcare claims processing, collaborating with various teams to ensure data accuracy and integrity across systems.
Responsibilities
- Gather, analyze, and document business and technical requirements related to healthcare claims (837) and remittance (835) processing
- Support data mapping activities for claims and historical claims datasets across integrated systems
- Assist with data validation, reconciliation, and parity checking to ensure accuracy and completeness of claims data
- Collaborate closely with EDI and System Integration teams to analyze, troubleshoot, and resolve data flow and quality issues
- Support defect analysis, root cause identification, and remediation related to claims and data validation
- Contribute to POC deliverables by ensuring alignment between requirements, data, and system behavior
Skills
- Healthcare payer domain experience with a strong focus on claims processing
- Solid understanding of the end‑to‑end claims lifecycle and adjudication processes
- Experience working with HIPAA EDI transactions, specifically 837 and 835
- Strong SQL and data analysis skills for validation, reconciliation, and issue investigation
- Proven experience supporting data validation, reconciliation, and defect analysis activities
- Ability to work collaboratively with cross-functional technical and business teams
- Experience working with Facets or similar core claims platforms
- Prior experience supporting system integration initiatives or POCs
- Familiarity with data mapping tools, parity testing, or large-scale data migrations
Benefits
- Medical/Dental/Vision/Life Insurance
- Paid holidays plus Paid Time Off
- 401(k) plan and contributions
- Long-term/Short-term Disability
- Paid Parental Leave
- Employee Stock Purchase Plan
- Cognizant’s discretionary annual incentive program, based on performance and subject to the terms of Cognizant’s applicable plans
Company Overview
Cognizant is a professional services company that helps clients alter their business, operating, and technology models for the digital era. It was founded in 1994, and is headquartered in Teaneck, New Jersey, USA, with a workforce of 10001+ employees. Its website is https://www.cognizant.com.