EDI Eligibility Quality Analyst II
EDI Eligibility Quality Analyst II
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Job Description
At Collective Health were transforming how employers and their people engage with their health benefits by seamlessly integrating cuttingedge technology compassionate service and worldclass user experience design.
Eligibility flows through and impacts every aspect of the Collective Health platform and we are building out the team responsible for receiving processing validating and sending our eligibility information with our partners. We exchange a high volume of files per day with customers networks and partners and are looking for people to be responsible for the operation quality and scaling of our data management systems. Through your experiences at Collective Health you will be a pivotal part of improving the member healthcare experience by operating and scaling our data operations platform.
What youll do:
- Monitor quality and perform audits of configurations and EDI files.
- Develop and apply deep understanding of all of the file formats ingested generated or sent by our systems.
- Review file level validations to ensure they are being dispositioned correctly
- Review member insurance card configurations to ensure accuracy with the printing service.
- Innovate and continue to evolve QA tools to keep up with growth
- Prioritize quality and building for scale our team is growing fast so youll need to be ready for new challenges
- Run calibration sessions with Eligibility leads
- Review bugs during implementations to validate issues prior to engaging engineering
To be successful in this role youll need:
- Project Management understanding project plans and teams
- Change Management Solid understanding of creating/using/managing Change Management processes
- Internal communications being able to write/deliver constructive feedback
- Experience working with Ben Admin and HR systems
- Experience working with carriers
- Understands US healthcare systems
- Experience with Eligibility Implementations and file builds
- Experience handling end to end projects at a small to mid sized organization or involvement in large scale projects as part of a xfunctional team.
- Ability to analyze large data sets
Pay Transparency Statement
This is a hybrid position based out of our Lehi office with the expectation of being in office at least two weekdays per week. #LIhybrid
The actual pay rate offered within the range will depend on factors including geographic location qualifications experience and internal equity. In addition to the hourly rate you will be eligible for stock options and benefits like health insurance 401k and paid time off. Learn more about our benefits at UT Pay Range
Why Join Us
- Missiondriven culture that values innovation collaboration and a commitment to excellence in healthcare
- Impactful projects that shape the future of our organization
- Opportunities for professional development through internal mobility opportunities mentorship programs and courses tailored to your interests
- Flexible work arrangements and a supportive worklife balance
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race religion color national origin gender sexual orientation age marital status veteran status or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance please contact .
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IC
Employment Type
Full Time
