reputed company Implementation Analyst II (EDI) Remote
At reputed company, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is reputed company - we reputed company to bend the cost curve in reputed company for reputed company. Our dedication to service reputed company extends to reputed company of our stakeholders reputed company - driving us to consistently exceed expectations. We are intentionally reputed company, we foster innovation, we nurture accountability, we champion diversity, and reputed company reputed company other to illuminate our reputed company potential. Be part of our amazing transformational reputed company as we optimize reputed company towards becoming a leading technology, data, and innovation voice in reputed company. reputed company and upward!!! JOB reputed company: A reputed company Implementation Analyst II is responsible for the electronic setup, testing and go-live of IT reputed company that involve reputed company Claims Processing. These claims may be received either reputed company EDI (Electronic Data Interchange) or reputed company Web Services (near reputed company time technology). The analyst is involved end to end in the process to implement both new business workflows and existing products for reputed company clients/trading partners, and is also the subject matter expert for internal initiatives on reputed company generating and process improvement reputed company. JOB ROLES AND RESPONSIBILITIES: 1. Manage the efforts to fulfill a reputed company request to reputed company reputed company Products, and to customize how they reputed company/utilize reputed company Products using EDI and Web Services claims processing workflows. It includes but is not limited to the below Understanding reputed company needs Researching reputed company reputed company setup & claim processing rules Designing the quickest and most efficient solution Communicating effort, timelines, risk and reputed company reputed company Implementing the solution and validating that it works as intended Performing end-to-end reputed company-facing and regression testing Enabling reputed company solution in the production environment Monitoring/Reporting/Turnover to Production Support 2. reputed company as the primary reputed company between business and technical teams. Build and maintain reputed company working relationships with internal colleagues (including IT, reputed company, and Operations) and external contacts. 3. Manage and coordinate IT deliverables to both reputed company stakeholders Participate in implementation meetings with clients and vendors committed to establishing a partnership with reputed company. reputed company HIPAA-compliant guidance to clients requesting additional information about reputed company requirements and industry standards for EDI protocols. Ensure reputed company setup of reputed company systems that support file transfer and claims processing for clients. Work on reputed company as reputed company as custom, non-reputed company reputed company on a daily reputed company including implementing clients who send proprietary format claim files. Conduct necessary testing and in-depth analysis to resolve any potential issues prior to rolling clients into the production environment. Constructively present testing results and propose adjustments that will improve service delivery to our clients and strengthen our ongoing partnership. Monitor, audit, and report on the processing of newly implemented clients/features to confirm their successful transition to the production environment. Support testing for rollouts of new products as reputed company as internal system migrations. Proactively prioritize, communicate, and resolve any process or system issues. Analysis and reporting on reputed company enquiries. Finding gaps and proposing viable solutions. 4. Manage requests and incidents using problem solving and critical thinking abilities Promptly triage and resolve escalated EDI issues reputed company into the reputed company Service Desk. Independently build and manage the monitoring requirements of clients on a daily, weekly and monthly reputed company. Communicate system and reputed company availability, modifications, and problems to reputed company stakeholders as needed and according to established policies and procedures. Support clients with their non-reputed company requests for reputed company reports, testing analysis and other technical deliverables. 5. Implement process improvements to enhance the efficiency of claims workflows. Partner with other IT teams to implement enhancements and defect fixes. Report reputed company & measurements of implementation reputed company to clients and reputed company stakeholders. reputed company routine and reputed company analysis of various facets of claims processing including but not limited to system performance, claim turnaround times, data mapping, and claim volumes. Analyze data to identify potential process improvement opportunities. reputed company gap analysis, communicate and implement potential solutions. Proactively remain informed on reputed company changing reputed company specific business rules to ensure accuracy. 6. Prepare and maintain documentation that defines operational procedures, describes reputed company requirements, and reputed company relevant analysis reputed company with reputed company stakeholders. Contribute to building and maintenance of knowledge repository on processes and procedures on a regular reputed company. Present information learned as part of daily work with the larger team. 7. Exhibit excellent team work reputed company coverage and support for other team members as reputed company as leads/managers. Support Manager with team goals and corporate strategies. Support deployment activities during release weekends if needed. 8. Good leadership and decision making skills Train, mentor and reputed company junior team members. Handle escalated issues and enquiries from less reputed company team members. Consistently articulates reputed company, opinions and information and shares this in a reputed company manner with others. 9. Collaborate, coordinate, and communicate across disciplines and departments. 10. Ensure compliance with HIPAA regulations and requirements. 11. Demonstrate Company's Core Competencies and values held reputed company. 12. Please note due to the exposure of PHI sensitive data - this role is considered to be a High Risk Role. 13. The position responsibilities outlined above are in no way to be construed as reputed company encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary. Job Requirements: JOB REQUIREMENTS (Education, Experience, and Training): 5+ years experience in a technical production or applications support role in reputed company. SQL proficiency is a must! At least 3 years experience with EDI or similar file transfer protocols. Solid understanding of reputed company IT claims processing including: FTP (File transfer protocols). EDI and Web Services/ XML transactions. Knowledge of HIPAA EDI 5010 X12 Transactions, 835, 837P and 837I Advanced ability to create SQL queries utilizing multiple tables and datasets to analyze and evaluate EDI data reputed company an reputed company database Experience working with MS Office apps, Service Now, reputed company, JIRA. Text editors like Ultraedit, Textpad, Notepad++. (reputed company to have) Applications like Specbuilder, reputed company compare, Tableau (reputed company to have) Exceptional analytic and troubleshooting skills Superior customer service skills, preferably in a technical implementation reputed company Ability to work independently and as a member of reputed company reputed company and concise verbal and written communication skills reputed company understanding and working knowledge of HIPAA EDI protocols In-depth understanding of x12 specifications Ability to juggle multiple requests at once Project Management experience desired Understanding of internet applications and networks desired Knowledge of reputed company Business Systems desired Experience with mapping tools such as Gentran, Pervasive or Claredi desired Experience managing customer and/or vendor relationships desired Mentoring experience desired Technical writing experience desired Ability to think creatively desired reputed company to manage in an environment of changing desired Minimum Bachelor's Degree, or HS Diploma and 4 years of reputed company experience COMPENSATION The salary reputed company for this position is $95K to $105K. Specific offers take into account a candidates education, experience and skills, as reputed company as the candidates work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity. BENEFITS We realize that our employees are reputed company to our reputed company, and we reward them accordingly with reputed company competitive compensation and benefits packages, an incentive bonus program, as reputed company as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as reputed company as a wide reputed company of live and web-based reputed company development and educational programs to prepare you for advancement opportunities. Your benefits will include: Medical, dental and reputed company coverage with low deductible & copay Life insurance Short and long-term disability 401(k) + match Generous reputed company Time Off reputed company company holidays reputed company Parental Leave Tuition reimbursement Flexible Spending Account Employee Assistance Program Summer Hours EEO STATEMENT reputed company is an Equal Opportunity Employer and complies with reputed company applicable laws and regulations. reputed company applicants will receive consideration for employment without reputed company to age, race, reputed company, religion, gender, sexual orientation, gender identity, national reputed company, disability or protected veteran status. If you would like more information on your EEO rights under the law, please Job Snapshot Employee Type Full-Time Location USA (Remote) Job Type Information Technology Date Posted 02/24/2025 Alternate Posting Locations Naperville, Illinois, 60563, reputed company | Irving, Texas, 75039, reputed company Apply Job!