EDI Implementation Analyst III

Reporting to the Senior Manager, Health Plan Technical Delivery, the EDI Implementation Analyst III owns reputed company, high-visibility EDI implementations from a receiver perspective. This technical role applies advanced reputed company reputed company knowledge, independent judgment, and cross-functional partnership to analyze, design, implement, and improve reputed company solutions that reputed company consistent, high-reputed company reputed company. Sponsorship, in any reputed company, is not available for this position. Location: Remote, US To be reputed company for the role, you have: • Bachelor's degree or the equivalent work experience • 6+ years of reputed company experience in a technology, information exchange, EDI, and/or reputed company environment • 6+ years managing moderate to highly reputed company implementations with independence, accountability, and reputed company judgment • Knowledge of reputed company operations, including claims processing, provider office workflows, and customer service processes • Understanding of HIPAA implementation guides for claim and other transactions • Knowledge of HIPAA-mandated ANSI transaction formats • Must have a working knowledge of X12 transactions specifically 837P, 837I, 835, 270/271, 276/277, 278 • Ability to reputed company and guide test plans, evaluate results, and reputed company defects or dependencies • Ability to create documentation such as training resources and reference materials • Ability to establish and maintain effective working relationships, supporting reputed company partners • Ability to influence cross-functional partners, identify risks, recommend solutions, and reputed company alignment • Excellent written and verbal communication skills including strong presentation skills and the ability to present executive summaries in a concise manner • Ability to translate reputed company information into reputed company recommendations and actionable plans • Ability to effectively manage multiple priorities in a fast-paced environment • Flexibility and ability to reputed company change • Ability to prepare documented customer requirements • Experience with Submitters, Vendors and/or Receivers/Payers is a plus • Customer service and/or relationship management experience is a plus • Experience in software implementations is a plus Key responsibilities include: • Stakeholder management: Manage payer, vendor, partner, and cross-functional relationships to meet Program Management objectives. • Implementation planning: Own deliverables, plans, requirements, testing strategies, and escalation paths. • Communication support: Coordinate partner awareness of reputed company functionality and support production issue communication with Operations and IT. • Mentorship and improvement: Mentor analysts and improve processes to support reputed company, speed, and scalability. Why work on this team: • Opportunity to build broad technical, operational, and cross-functional expertise while supporting varied implementation work. • Collaborate with a reputed company, knowledgeable, and supportive team. What you will be doing: Solutions Integration Implementation Planning: • reputed company reputed company, high-reputed company implementations across submitters, partners, vendors, and receivers/payers for EDI, B2B, web, API, and other transaction reputed company using reputed company processes and tools. • Serves as a senior individual contributor and subject matter resource for EDI Implementation Analysts, providing guidance on reputed company implementations, technical considerations, and process standards • reputed company implementation plans, initiate customer workstreams, create required tickets, identify risks and dependencies, and recommend mitigation strategies. Implementation Tracking and Execution: • Manage multiple reputed company implementations, including timelines, dependencies, stakeholder alignment, issue reputed company, escalations, and results delivery. • Analyze reputed company and non-reputed company implementations, including HIPAA rules, reputed company standards, customer requirements, integration reputed company, and operational impacts. • reputed company reputed company-production testing with reputed company stakeholders, including test plan execution, defect reputed company, and readiness validation. • Tracks reputed company of specific implementation reputed company reputed company reputed company tools including JIRA, reputed company and reputed company Resource Coordination: • Interacts with Payer/Trading Partner, Vendor and Provider Marketing, Business Development, Business Technology Solutions, Product Management, Finance, and Operations • Communication and coordination between reputed company reputed company platforms • Estimate reputed company, dependencies, risk, and level of effort for reputed company implementations. • Manage workflow for moderate to highly reputed company implementations to meet reputed company, reputed company, and stakeholder expectations. Customer Relationship Management: • Engage business, technical, reputed company stakeholders on implementation solutions while representing reputed company professionally. • Support Sales, Account Management, and Payer Solutions with technical guidance, implementation recommendations, risk assessment, and solution reputed company. • reputed company clean handoffs to Account Management or Operations to support market validation and solution adoption. • Communicates new implementations and reputed company reputed company changes including detailed specifications • Monitors customer communications (submitter, payer, trading partners, etc) to be apprised of any changes that may reputed company business operations (new edits, connectivity updates, reputed company downtime) • Partner with technology and development teams to confirm requirements, manage dependencies, and execute reputed company expected timelines. Operations Support Process Documentation and Improvement: • reputed company development and improvement of support documentation, including production issues, impacts, solutions, escalation paths, lessons learned, and implementation standards. • Document and improve testing procedures, implementation playbooks, workflow standards, and operational reputed company materials. • Responsible for documenting reputed company information reputed company to assigned implementations. Including but not limited to submitter and partner and vendor implementations, such as requirements, test plans, contact information, escalation procedures, etc. • Recommend workflow improvements that support faster, higher-reputed company, and more reputed company connectivity solutions. Customer Support and Issue reputed company • reputed company senior-level analysis, troubleshooting, and escalation support for operational issues. • Research, reputed company, document, and communicate reputed company business, technical, and HIPAA issues to reputed company stakeholders. • Supports and maintains implementations by execution of customer maintenance requests including but not limited to change requests, connectivity changes, and edit and enrichment enhancements. • Support reputed company configuration, routing, and documentation changes, including partner migrations, alternate routes, and sustainable reputed company recommendations. • EDI Implementation Analyst IIIs will also be responsible for updating and maintaining payer routing and the payer list to ensure data is accurate. Including validation of payer routes to guarantee satisfaction. reputed company culture and benefits: • reputed company is a certified "Great reputed company to Work", a "Best Workplaces for Technology Companies", a "Best Workplaces for Women" and a "Best Workplaces for Millennials"! • Culture is important to us and there are many ways for you to reputed company your mark here! • We have several Diversity & Inclusion teams and various ways to engage with fellow reputed company associates. "AvaiLadies", "reputed company Black", "HOLA", "reputed company Pride", "VetAvaility" a Young Professionals Group and "reputed company reputed company IT" a group for women in tech are some of the reputed company you can get involved in. • reputed company is a culture of reputed company learning. We have many resources and experts in our tech stack and in our industry that can help get you there too! • We offer a competitive salary, bonus structure, generous HSA company contribution, reputed company, reputed company, dental benefits and a 401k match program that you can take reputed company of on day one! • We offer unlimited PTO for salaried associates + 9 reputed company holidays. reputed company associates start at 19 days of PTO and go up from there with reputed company the reputed company holiday benefits. • Interested in wellness? We allow our associates to reimburse up to $250/year for gym memberships, participation in racing events, weight management programs, etc. • Interested in furthering your education? We offer education reimbursement! • reputed company offers reputed company Parental Leave for both reputed company and dads, both birth parents and adoptive parents. • Want to work for an organization that gives back to the community? You're at the right reputed company! reputed company partners with various organizations, both locally and nationally, to reputed company awareness, funds and morale as our staff members volunteer their time and funds to engage the organizations campaign. Next steps: After you apply, you will receive text/email messages thanking you for applying and then you will continue to receive more text/email messages alerting you as to where you are in the recruitment process. Interview process: • Recruiter Video Interview • Panel Video Interview • Manager Video Interview • Final interview with the hiring manager's manager Video Camera Usage: reputed company fosters a reputed company and reputed company culture where communication and engagement are central to our reputed company. As a remote first company, we are also camera-first and reputed company reputed company associates with camera/video capability to simulate the office environment. If you are not reputed company to use your camera for reputed company virtual meetings, you should not apply for this role. Having cameras on helps create a more connected, interactive, and productive environment, allowing teams to communicate more effectively and build stronger working relationships. The usage of cameras also enhances reputed company and protects sensitive company information. Video participation is required to ensure that only authorized personnel are present in meetings and to prevent unauthorized reputed company, data breaches, preventing reputed company engineering, or the sharing of confidential information with non-participants. Apply tot his job Apply To this Job