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Evolent Healthposted 6 months ago
$62,300 - $80,000/Yr
Full-time - Entry Level
Frankfort, KY
Professional, Scientific, and Technical Services
About the position
The EDI Analyst at Evolent Health plays a crucial role in analyzing, monitoring, and resolving EDI X12 transaction data issues. This position requires technical expertise in EDI processes and collaboration with various teams to optimize operations and ensure effective communication of vital information to stakeholders. The role emphasizes continuous improvement and operational efficiency within the healthcare data exchange framework.
Responsibilities
- Monitor, execute, and remediate daily EDI Gateway operational processes related to enterprise-wide production interfaces.
- Provide EDI analysis expertise on 837 Claims, 835 Payments, and other X12 EDI data exchanges.
- Assist with data issues and initiatives related to Data Operations and EDI focus areas, including ticket triage and escalation support.
- Help operationalize tasks by defining procedures and creating SOPs for various teams and departments.
- Communicate vital information with internal and external stakeholders regarding daily operational tasks and monitored processes.
- Monitor client inbound and outbound EDI data file extracts, remediating failures as they arise and updating operational process tickets.
- Coordinate multi-team processes within Evolent business units and create process documentation for training and reference.
Requirements
- Bachelor's degree or equivalent combination of education and experience.
- 1 or more years of experience with EDI data exchanges like 837, 835, 270, 271, 276, 277, 999, and 834 Enrollment.
- Substantial knowledge of Claims, Authorization, and Eligibility, along with Microsoft Suite applications (e.g., Word, Excel).
- Strong interpersonal and communication skills, with experience working directly with internal and external stakeholders.
- Ability to apply problem-solving and critical thinking skills in ambiguous situations.
Nice-to-haves
- Knowledge of Healthcare Standards and CMS Rules and regulations.
- Experience developing, refining, and documenting business-related SOPs with minimal oversight.
Benefits
- Comprehensive health insurance benefits
- Bonus component based on pre-defined performance factors
