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EDI Analyst

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Position: EDI Analyst

Location: Remote

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Job Description:

  • The EDI Analyst at Evolent will serve as a key technical expert to analyze, monitor and remediate EDI X12 Transaction data issues, working with tools such as but not limited to the following: Edifecs Healthcare Suite, Edifecs Transaction Manager, Edifecs Specbuilder, SQL, PowerBI, Microsoft suite/tools (e.g. Office, PowerBI, Teams), Atlassian products (e.g. Confluence, JIRA) and several internal built applications etc. Continual focus working on developing process optimization solutions to better meet the EDI Gateway and organizational needs.

Collaboration Opportunities:

  • This position serves as a technical operational point-of-contact for the mentioned functional areas and collaborating with several other teams and/or departments to further operationalize tasks which may require building new processes, solution, documentation etc. along with communicating vital information to key stakeholders related to status of monitored processes. Assisting with Tier 2 and Tier 3 internal support teams to remediate complex data issues.

Qualifications Required and Preferred:

  1. Bachelor's degree or equivalent combination of education and experience
  2. 1 or more years of experience with EDI Data exchanges like 278 Auth, 837, 835, 270, 271, 276, 277, 999 and 834 Enrollment, ICD 10, HCPCS codes fundamentals and advanced skills (e.g. Claims correction, 835 Payment corrections, troubleshooting EDI errors)
  3. Substantial knowledge of Claims, Authorization and Eligibility and Claims status information along with Microsoft Suite applications (e.g. Word, Excel) and their functions
  4. Strong interpersonal and communication skills, with experience working directly with internal and external stakeholders
  5. Strong ability to apply problem solving and critical thinking skills with experience succeeding in ambiguous situations and solution design/implementation
  6. Knowledge of Healthcare Standards and CMS Rules and regulations is preferred
  7. Experience developing, refining and documenting business related SOPs with minimal oversight is preferred
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
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