Requires an extensive knowledge of EDI Portal and managing inbound EDI enrollment file activity.
Responsible for ensuring successful transfer of inbound EDI enrollment data to include troubleshooting/reconciliation of data integrity issues.
Responsible for managing EDI file activity for high-profile/complex EDI client business (BPO, Shared Services, non-standard, etc.).
Direct contact between EDI senders, clients, Account Management teams, Customer Experience teams, BizTalk/.Net teams, and project teams.
Responsible for supporting project work within the business area (lead and/or participate in project meetings, sprint work, business requirement documentation, system upgrades, and business check-outs).
Responsible for managing all robotic process automation (RPA) work for the business area.
Responsible for providing support to the Department's Business Systems Analyst with client specific EDI enrollment testing.
Qualifications - External Knowledge Summary
Ability to work with multiple business systems and have a general understanding of system design.
Knowledgeable of Microsoft office products and project management tools.
Effective oral and written communications skills necessary.
Must have a general understanding the business environment and associated systems.
Must be detail oriented and have a general understanding of corporate business systems.
Must be able to work independently with assigned task.
Ability to investigate, perform preliminary testing and present findings.
Technical writing skills needed.
Must have related enrollment experience in the Health Rules system platform, a full understanding of the Front Office System and how these platforms interact with EDI Portal for EDI enrollment validation.
Education & Experience
Bachelor's degree in Business Administration, Management Information Systems, Computer Science or equivalent work experience in the Healthcare/Technology space
Understanding of XML/ANSI 834 / HIPAA X12 transactions would be beneficial.
In lieu of degree, minimum 2- 3 years proven EDI/eligibility experience
Strong communication and analytical skills required.
Please apply with your interest. You may also reach out to me at ...@alphambe.com
Thank you, Ashu
We provide a comprehensive package which includes. Benefits
Medical for full time employees
Dental, and Vision Insurance
Life Insurance, Short-Term Disability, Long-Term Disability, etc.
Apply for this Job
Please use the APPLY HERE link below to view additional details and application instructions.