Published date Posted on Indeed on Nov 21, 2022 (8 d ago)
Stefanini is looking for EDI Analyst (Remote Position): W2 Only

For quick Apply, please reach out to Anshu Singhal- call: (248) 728-2628/ email: Anshu.Singhal@stefanini.com

Job Summary:
  • Provides support for the EDI Operations department by interfacing with internal and external customers including business analysts, software developers, project managers, trading partners, and software vendors.
  • Responsible for responding to requests from users, both internal and external, related to updates, changes, and/or modifications related to the EDI system and its integrations.
  • Also responsible for managing a range of EDI transactions including enrollment, claims, financial, and eligibility transactions using ANSI X12 HIPAA compliant formats.
  • Provides technical support for the implementation of EDI connections with external parties; responds to inquiries related to EDI transactions; conducts analysis of EDI transactions; and provides issue resolution when necessary.
  • Acts as a consultant to identify operational procedures, define system requirements, and determine acceptable UAT results ultimately leading to Production implementation.
  • Handles multiple enhancement and project requests as well as day to day operations in addition to acting as a lead for the EDI Operations team.
Essential Functions:
  • Responsible for the implementation of electronic data interchange connections between Priority Health and external parties.
  • Perform application configuration, mapping and monitoring of EDI transactions and processes.
  • Support application testing effort by performing UAT and assisting in defect resolution.
  • Support ongoing implementations in post-production, including error identification/resolution, continuous improvement, and pro-active communication with the trading partners and providers to reduce/prevent errors.
  • Verify and monitor EDI processes.
  • Troubleshoot and resolve EDI related issues varying complexity.
  • Develop and maintain procedural documentation.
  • Follow-up comprehensively with all stakeholders during the issue remediation process to assure that delays are minimized and the process runs smoothly.
  • Act as a liaison and technical advisor between EDI Operations and various levels of personnel within the organization as well as external parties
  • Assist in managing application enhancements and upgrades as well as coordination of various tasks including day-to-day operations and project tasks.
  • Support compliance requirements and assist in making updates when/if necessary to ensure the EDI system and processes remain compliant.
  • Identify areas of opportunity and propose solutions to improve productivity and application performance.
  • Lead the team in the adoption of standard work processes.
  • Demonstrate the ability to be self-sufficient and to manage time and workload appropriately.
  • Recognizes when to make decisions independently and when management consultation is necessary.
  • Maintains appropriate office hours and provides on-call support as necessary.
  • Assist in leading the implementation of change and process improvements.
  • Lead the team in the adoption of change while emanating a positive attitude toward change.
  • Provide exceptional and responsive customer service to clients, both internal and external.
  • Assume ownership of tasks.
  • Demonstrate the desire to be collaborative and cooperative.
  • Encourage positive interaction, listens to others, is open-minded and is aware of the audience to allow for any communication adjustments that may be necessary.
  • Represent the EDI Operations team in a professional manner.



Skills:
  • Established knowledge of all healthcare EDI transactions
  • Strong knowledgebase in all Edifecs products and platforms
  • Strong skillset in Edifecs application configuration and/or development
  • Experience with transformational projects, migrating from existing EDI platform to Edifecs

Qualifications:
  • Required Bachelor's Degree or equivalent related field.
  • 5 Years of Edifecs configuration and/or development experience Required.
  • 5 years of relevant experience Analyzing data to identify content and/or formatting issues Required.
  • 5 years of relevant experience Using SQL queries to retrieve and/or display data Required.
  • 5 years of relevant experience Reading, formatting, and translating EDI data Required.
  • 5 years of relevant experience Implementing EDI setup and mapping Required.
  • 5 years of relevant experience In the healthcare industry Required.
  • 5 years of relevant experience With Facets Software or a similar healthcare enrollment/claims management software system Preferred.

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