EDI Analyst

Provides support for the EDI Operations department by interfacing with internal and external customers including business analysts software developers project managers trading partners and software vendors. This role is responsible for managing a range of EDI transactions including enrollment claims financial and eligibility transactions using ANSI X12 HIPAA compliant formats. Provides technical support for the implementation of EDI connections with external parties; responds to inquiries related to EDI transactions; conducts analysis of EDI transactions; and provides issue resolution when necessary. Handles multiple enhancement requests and projects.

• Demonstrate knowledge of EDI standard formats and communicate complex data exchange concepts to internal and external parties. Interface professionally with various internal and external customers including Operations Sales Marketing IS and Trading Partners to understand and process work requests.
• Responsible for the implementation of electronic data interchange connections between Priority Health and external parties. Support ongoing implementations in post-production including error identification/resolution continuous improvement and pro-active communication with the trading partners and providers to reduce/prevent errors.
• Verify and monitor EDI processes. Troubleshoot and resolve EDI related issues. Develop and maintain procedural documentation. Follow-up comprehensively with all stakeholders during issue remediation process to assure that delays are minimized and the process runs smoothly.
• Assist in defining application enhancements and upgrades.
• Perform application configuration mapping and monitoring of EDI transactions and processes.
• Support application testing effort by performing user acceptance testing (UAT) and assisting in defect resolution.
• Provide on-call support as necessary.

Required

• Associates Degree or equivalent
• 2 years of relevant experience analyzing EDI data to identify content and/or formatting issues

• 2 years of relevant experience Using SQL queries to retrieve and/or display data
• 2 years of relevant experience Reading/analyzing/formatting/translating EDI data
• 2 years of relevant experience Implementing EDI setup and mapping

Preferred

• Bachelors Degree
• 2 years of relevant experience in the healthcare industry
• 2 years of relevant experience with Facets software or a similar healthcare enrollment/claims management software system

As a team member at Corewell Health you will play an essential role in delivering personalized health care to our patients members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators leaders and innovators that continue to build on one shared mission statement - to improve health instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

• Comprehensive benefits package to meet your financial health and work/life balance goals. Learn more here.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you like restaurants phone plans spas and more!
• Optional identity theft protection home and auto insurance
• Traditional and Roth retirement options with service contribution and match savings
• Eligibility for benefits is determined by employment type and status

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CURRENT COREWELL HEALTH TEAM MEMBERS Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members patients visitors and community. We require a drug-free workplace and require team members to comply with the MMR Varicella Tdap and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process to perform the essential functions of a job or to enjoy equal benefits and privileges of employment due to a disability pregnancy or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race color national origin sex disability age religion genetic information marital status height weight gender pregnancy sexual orientation gender identity or expression veteran status or any other legally protected category.

An interconnected collaborative culture where all are encouraged to bring their whole selves to work is vital to the health of our organization. As a health system we advocate for equity as we care for our patients our communities and each other. From workshops that develop cultural intelligence to our inclusion resource groups for people to find community and empowerment at work we are dedicated to ongoing resources that advance our values of diversity equity and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.