EDI Analyst I

Job Details

Description

As an EDI Support Analyst with CERIS, you will provide technical support during and after implementation of healthcare electronic data interchange (EDI) solutions. These implementations will involve interaction with internal field offices as well as outside clients and third-party vendors.

You will also conduct analysis of EDI transactions and are responsible for documentation and related reports. You will also be responsible for the daily monitoring of file processing and troubleshooting of issues impacting successful receipt or delivery of client files.

Qualified candidates for this position will be a detail-oriented, hands-on, results-driven individual with proven communication skills and a strong work ethic to work in a challenging, fast-changing, and energetic environment.

This is a remote position.

Essential Functions & Responsibilities

• Interpret business needs and contribute to the overall design of EDI implementations
• Partner with development in creating and executing testing plans for new implementations
• Identify process gaps and areas where improvements can be made
• Actively monitor, audit, and report on the processing of newly implemented trading partners to confirm a successful transition to the production environment
• Support Account Management with operational EDI issues that are raised, or escalated by clients or vendors
• Effectively manage multiple projects while ensuring the accuracy and timeliness of daily production processes
• Provide production support through EDI operations processes for CERIS trading partners (customers, vendors, carriers, etc.), including troubleshooting and communication with trading partners, internal business users and IT colleagues
• Test, and utilize EDI layouts – including but not limited to XML and delimited flat files
• Create, review and maintain documentation related to EDI operations implementations and processes
• Monitor the production environment and proactively prioritize, communicate and help to resolve any operational EDI process or system issues
• Lead implementation calls or meetings with clients and vendors committed to establishing an EDI Partnership with CERIS
• Communicate project scopes, timetables, and deliverables to all echelons of CERIS' organization
  
  

Knowledge & Skills

• Knowledge of scripting languages such as JavaScript, VB Script, etc.
• Solid understanding of relational databases and basic database design/concept (SQL Server or similar)
• MS Access database skills, including importing and manipulating data
• Knowledge of command line operating systems
• Strong analytic problem solving and resolution ability
• Ability to understand complex relationships between systems and data
• Ability to work independently and in a continuously changing environment
• Ability to plan, prioritize, balance, and review a variety of projects that must be completed simultaneously, accurately, and on time
• Strong interpersonal and communications skills, both verbal and written
• Ability to interact at a high level with persons of both technical and non-technical backgrounds
  
  

Education & Experience

• Experience testing software
• Experience writing SQL queries
• Experience in using data transmission tools such as FTP and encryption tools such as PGP
• Exposure to the healthcare industry
  
  

Pay Range

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $54,075 – $80,926

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT CERiS

CERiS, a division of CorVel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.