Job Description

The EDI Analyst designs, develops, coordinates, tests, implements, communicates and supports the Health Choice Electronic Data Interchange (EDI) requirements and systems. This position ensures that EDI-related production and procedures are maintained and properly executed, including development, change requests, and enterprise integration projects. Analyst will also coordinate research, validate, and troubleshoot issues and queries from various internal and external customers.

 

Primary Responsibilities:

  • Develop and design new EDI transactions and improvements to existing EDI communication
  • Test and troubleshoot errors with EDI transactions
  • Act as the liaison between IS and business partners on any EDI issues that arise
  • Support Business Analyst and Quality Analyst-with the functional requirements for EDI enhancement
  • Analyze current EDI processes and recommend improvement to department management
  • Develop and improve EDI scrubbing software
  • Ensure contract-specific guidelines are implemented
  • Develop, maintain, and distribute EDI policies and procedures, set-up EDI accounts, to include testing and maintenance
  • Ensure contract-specific guidelines are implemented

Health Choice exists to improve the health and well-being of the individuals we serve through our health plans, integrated delivery systems and managed care solutions. We strive to recruit and retain only the finest health care professionals with the highest levels of integrity, compassion and competency. If you are driven by your own personal commitment to these values and desire to work in a team-focused, collaborative and supportive environment - while still being valued for your individual strengths - Health Choice is the place for you.

 

Equal Opportunity Employer Minorities/Women/Veterans/Disabled



Qualifications

Qualifications:

  • High School Diploma or equivalent GED
  • Bachelor's degree in Computer Information Systems preferred
  • At least one (1) year experience in designing, developing and maintaining EDI Transactions in a health care environment
  • At least one (1) year experience with mapping, analyzing and designing EDI system
  • Proficiency in EDI Testing preferred
  • Knowledge of EDI Standard formats (ANSI X12, NSF, XML, etc.)
  • Knowledge of Claredi preferred
  • Software Development Lifecycle
  • Ability to work cooperatively, positively and collaboratively in an interdisciplinary team
  • Ability to manage multiple project and prioritize work tasks to adhere to deadlines and identified time frames

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

Apply Online