EDI Operations Analyst 1

14 hours ago

Latham, United States Elevance Health Full time

A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.

Location: This position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days in office per week .

****** The ideal candidate will live within 50 miles and a 1-hour commute to one of our Elevance Health major office (PulsePoint) locations. Elevance Health supports a hybrid workplace model with PulsePoint sites used for collaboration, community, and connection.

The EDI Ops Analyst is responsible for functioning as provider liaison for all electronic connectivity.

How You Will Make an Impact

Primary duties may include, but are not limited to:

  • Assists in the development or modification of claims filing procedures, which includes the analysis of business and clients' needs and requirements.

  • Provides vendor specifications to vendors and clearing houses.

  • Responsible for enrolling providers for claims and encounter submission.

  • Educates providers regarding EDI.

  • Works with vendors regarding the implementation or connectivity related to EDI system.

Minimum Requirements:

Requires a HS diploma or equivalent and any previous experience in claims or customer service; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

  • Ability to conduct detail research of claims, systems reports, understanding of network and telecommunications methodology preferred.

For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $51,258 to $87,859.

Locations: New York

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws .

  • The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

  • Accounting Analyst

    5 days ago

    Latham, United States Robert Half Full time

    Job DescriptionJob DescriptionWe are looking for a meticulous Accounting Analyst to join our client's team based in Latham, New York. For immediate consideration, please contact Carmen Warga in our Albany, NY office. Responsibilities:Perform Accounts Payable (AP) processing, including coding, reviewing, and posting invoices in a timely and accurate...

  • Network and Information Security Analyst

    3 days ago

    Latham, United States North Colonie Central School District Full time

    DISTINGUISHING FEATURES OF THE CLASS: Network and Information Security Analyst plays a crucial role in the design, installation, configuration, monitoring, and maintenance of the network infrastructure. The primary responsibility is to uphold network access and security by preventing data loss, network interruptions, and related events through proactive...

  • Senior Financial Analyst

    4 weeks ago

    Latham, New York, United States AngioDynamics Full time

    Job SummaryTo succeed in this role, an individual must be able to perform each essential duty satisfactorily. This position will be responsible for leading a team of business unit analysts in all aspects of financial management, including reporting, strategic planning, analysis to support decision making, and development of financial models for business...

  • Business Intelligence Analyst and Developer

    3 weeks ago

    Latham, Kansas, United States Protective Industrial Products Full time

    Job SummaryWe are seeking an experienced Business Intelligence Analyst/Developer to join our team at Protective Industrial Products. As a key member of our organization, you will work closely with business users to understand functional requirements and develop business solutions that improve our processes and increase operational efficiencies.Key...

  • Business Intelligence Developer and Analyst Full Time

    3 weeks ago

    Latham, United States Experienced Recruiting Partners Full time

    Full Time Role Location: Latham, NY Required work schedule is in the office Monday through Thursday, with remote work on Friday being optional. Overview: The client is looking for an experienced Business Intelligence Analyst/Developer who will work closely with business users to understand functional requirements and develop business solutions that improve...

  • Business Intelligence Analyst and Developer

    4 weeks ago

    Latham, Kansas, United States Protective Industrial Products Full time

    Job SummaryWe are seeking an experienced Business Intelligence Analyst/Developer to join our team at Protective Industrial Products. The successful candidate will work closely with business users to understand functional requirements and develop business solutions that improve our processes and increase operational efficiencies.The ideal candidate will have...

  • DHSES Program Administrator 1/Trainee

    4 weeks ago

    Latham, Kansas, United States New York State Civil Service Full time

    Job SummaryWe are seeking a highly skilled and experienced Program Administrator to join our team at the New York State Division of Homeland Security and Emergency Services. As a key member of our team, you will be responsible for providing oversight and coordination of federal disaster assistance grants, coordinating assessments of damaged areas, and...

  • Retail Operations Coordinator

    4 weeks ago

    Latham, New York, United States TJ Maxx Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Retail Operations Coordinator to join our team at TJ Maxx. As a key member of our store operations team, you will be responsible for ensuring the efficient processing and merchandising of inventory, while providing an exceptional customer experience.Key ResponsibilitiesExecute receiving and...

  • Service Operations Manager

    3 weeks ago

    Latham, Kansas, United States Carrier Full time

    About this roleThe ideal candidate for this position will leverage technology to enhance communication and operational efficiency within the service branch. Key responsibilities include administering service contracts to optimize profits, verifying obligations, ensuring customer satisfaction, and retention. Additionally, the candidate will proactively...

  • Seasonal Warehouse Worker

    5 days ago

    Latham, United States United Parcel Service Full time

    SHIFT YOUR FUTURE Seasonal Warehouse Worker UPS Quick Apply Applying for this role online is quick and easy – and you could even schedule your first day of work within 10 minutes!  The steps are simple:  1) Provide some basic information to start the application process. 2) Watch a short video to see what the job is like. 3) Complete...

  • Lead Counsel

    4 weeks ago

    Latham, New York, United States Plug Power Full time

    Job SummaryThe Lead Counsel will play a critical role in supporting Plug's commercial expansion and growth in the green hydrogen economy. This individual will work closely with the General Counsel and Managing Counsel to advise on legal and regulatory matters, including commercial, real estate, financial, employment, sales, and corporate governance...

  • Lead Counsel

    4 weeks ago

    Latham, New York, United States Plug Power Full time

    Job SummaryThe Lead Counsel will play a critical role in supporting Plug's commercial expansion and growth in the green hydrogen economy. This individual will work closely with the General Counsel and Managing Counsel to advise on legal and regulatory matters, including commercial, real estate, financial, employment, sales, and corporate governance...

  • Seasonal Support Driver

    3 weeks ago

    Latham, United States United Parcel Service Full time

    SHIFT YOUR FUTURE Seasonal Support Driver SHIFT YOUR TEAM Who exactly are UPS Seasonal Support Drivers? As a Seasonal Support Driver you’ll deliver packages throughout their communities, connecting with customers along the way while driving their own vehicle. This is a friendly, physically active crew who enjoy fast-paced work, being outdoors, and...

  • Pharmacy Technician

    2 months ago

    Latham, New York, United States The Golub Corporation Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Pharmacy Technician to join our team at The Golub Corporation. As a Pharmacy Technician, you will play a critical role in supporting our pharmacists in providing exceptional patient care and ensuring the smooth operation of our pharmacy.Key ResponsibilitiesCustomer Service: Provide fast,...

  • Local Route Driver

    4 weeks ago

    Latham, New York, United States TransForce Full time

    Job OverviewTransForce is seeking a reliable and experienced Non-CDL driver to join our team in Latham, NY. As a local route driver, you will be responsible for delivering garage and commercial doors to Northern NY and VT as well as the Binghamton area.Key ResponsibilitiesDeliver garage and commercial doors to designated locationsOperate a 2020 automatic 26'...

  • Dental Office Coordinator

    4 weeks ago

    Latham, Kansas, United States Latham Dental Group Full time

    Job OpportunityWe are seeking a highly organized and detail-oriented individual to join our team as a Dental Receptionist / Dental Front Office Coordinator. This role is ideal for someone who enjoys working in a fast-paced environment and has excellent communication skills.The successful candidate will be responsible for managing patient schedules, handling...

  • IT Finance Liaison

    1 month ago

    Latham, United States GP Fund Solutions, LLC Full time

    The IT Finance Liaison at GPES is a versatile role designed for a resourceful individual who will support the business's operational needs while also having the opportunity to grow into a more specialized role as the company expands. Working closely with the executive, product, and sales teams, this role will involve handling a variety of projects across the...

  • Oral Surgery Assistant

    3 weeks ago

    Latham, New York, United States Affinity Dental Management Full time

    Job DescriptionAffinity Dental Management, a leading dental organization, seeks a seasoned Dental Assistant to join our dynamic team as an Oral Surgery Assistant. This pivotal role involves traveling between our esteemed Latham and Albany, NY practices, where you will be intricately trained to support oral surgery procedures.Key Responsibilities:Preparing...

  • Dental Office Coordinator

    4 weeks ago

    Latham, Kansas, United States Latham Dental Group Full time

    Job OverviewLatham Dental Group is seeking a highly organized and detail-oriented Dental Receptionist / Dental Front Office Coordinator to join our team. As the first point of contact for our patients, you will play a crucial role in ensuring a smooth and welcoming experience.Key Responsibilities:Patient Interaction: Greet and check in patients, addressing...

  • Advanced Field Specialist

    4 weeks ago

    Latham, Kansas, United States Naval Nuclear Laboratory Full time

    Job DescriptionWe are seeking a highly skilled and experienced Field Engineer to join our team at the Naval Nuclear Laboratory. As a Field Engineer, you will be responsible for providing engineering support and independent oversight of work associated with installation, testing, and modification of reactor plant systems, components, and safety systems.Key...