ADITYA SHARMA
@adityasharma34
I’m a Senior EDI Operations Analyst specializing in healthcare benefits administration, integrations, and SLA-driven customer support.
What I'm looking for
I’m a results-driven Operations and EDI Integration professional with 5+ years of experience in healthcare benefits administration, EDI/API integrations, and customer-facing operations. I focus on translating customer requirements into reliable integrations, with a strong emphasis on quality, accuracy, and operational excellence.
In my current role as a Benefit Operations Senior Analyst, EDI, I develop EDI solutions for trading partners using industry standards such as X12, EDIFACT, and XML. I manage end-to-end EDI integrations (requirements gathering, file mapping, testing, validation, production deployment, and post-production support) while monitoring transactions for errors and performing root cause analysis on transmission issues.
I lead escalations for complex Enrollment and eligibility discrepancies, partnering with Operations, Business Analysts, Product, Engineering, QA, and external stakeholders to resolve issues quickly and improve the customer experience. I also mentor, coach, and support new hires and upcoming contractors through knowledge transfer sessions, role-based training programs, and performance management guidance.
Previously, as an EDI Analyst, I built and managed healthcare-focused EDI file structures (including 834 enrollment/eligibility-related work) and collaborated with internal teams and trading partners to design, develop, and deploy integrations for B2B and B2C transactions. Across roles, I drive continuous improvement through SOP/process documentation, quality audits, discrepancy analysis, KPI reporting, and automation initiatives that reduce turnaround time and strengthen service consistency.
Experience
Work history, roles, and key accomplishments
Developed and supported healthcare EDI integrations, including enrollment and eligibility processes (EDI 834). Owned end-to-end integration activities (requirements, file mapping, testing, validation, deployment, and post-production support) and handled escalations with root-cause analysis to resolve discrepancies.
EDI Analyst
Plan Source
May 2021 - Oct 2024 (3 years 5 months)
Developed and managed healthcare EDI integrations for transportation and logistics solutions, translating business requirements into integration maps. Supported implementations, documentation, and troubleshooting across the development lifecycle, including launch support for UKG.
Administrative Officer & COO
ACHS
Apr 2015 - Apr 2020 (5 years)
Managed administrative operations and implemented administrative policies, including day-to-day team oversight and coordination across facility and general administration functions. Supported operational problem-solving and contributed to facility/operational roadmaps and team performance improvements.
Graduate Fire Apprentice
Airports Authority of India
May 2017 - May 2018 (1 year)
Supported daily operational functions related to fire and safety services and gained knowledge in fire safety and facilities management. Conducted equipment inspections following fire calls and educated the public/community on fire safety and prevention methods.
Mechanical Engineer Trainee
Eicher Tractors Tafe Motors
May 2014 - Jul 2014 (2 months)
Worked as a mechanical engineer trainee on a project to improve the safety aspects and gain hands-on experience on assembly line improvements in the tractor main line paint booth area. Focused on improvement efforts within the G1 and FD areas and related assembly line processes.
Mechanical Engineer Intern
Toyota Kirloskar Auto Parts Pvt. Ltd
Jul 2013 - Sep 2013 (2 months)
Assisted engineers with product testing and studied manufacturing processes used in production. Read and interpreted blueprints and supported learning around TPS and machine maintenance during the internship.
Education
Degrees, certifications, and relevant coursework
IIM Sirmaur
Executive MBA, Business Administration
2025 -
Executive MBA program at IIM Sirmaur started in 2025 and is ongoing.
Narsee Monjee Management Institute of Studies
Post Graduate Diploma in Management (PGDM), Supply Chain Management
Completed a PGDM in Supply Chain Management in 2020 from Narsee Monjee Management Institute of Studies.
Amity University
Bachelor of Technology (B.Tech), Mechanical and Automation Engineering
Activities and societies: Gold Medalist (as stated).
Earned a B.Tech in Mechanical and Automation Engineering from Amity University (Gold Medalist noted).
Holy Family Convent Sr. Sec. School, Bhopal
Higher Secondary (XII), Higher Secondary Education
Completed XII (Higher Secondary) education at Holy Family Convent Sr. Sec. School in 2011.
Holy Family Convent Sr. Sec. School, Bhopal
Secondary (X), Secondary Education
Completed X (Secondary) education at Holy Family Convent Sr. Sec. School in 2009.
Availability
Location
Authorized to work in
Job categories
Skills
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