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EDI Analyst

1 month ago


Carson City, Nevada, United States Evolent Health Full time
About Evolent Health

Evolent Health is a healthcare company that partners with health plans and providers to achieve better outcomes for people with complex and costly health conditions.

We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's why diversity and inclusion are core to our business.

Job Summary

We're seeking an EDI Analyst to join our team. As an EDI Analyst, you will serve as a key technical expert to analyze, monitor and remediate EDI X12 Transaction data issues.

Key Responsibilities
  • Monitor and execute daily EDI Gateway operational processes related to enterprise-wide production interfaces.
  • Analyze and remediate EDI data issues, including 278 Authorization Response-Request, 837 Claims, and 835 Payments corrections.
  • Work on data issues or other initiatives related to Data Operations and Electronic Data Interchange (EDI) focus areas.
  • Assist other teams and/or departments to help operationalize tasks and create process documentation.
  • Communicate vital information with internal and external stakeholders related to daily operational tasks and/or status of monitored processes.
Requirements
  • Bachelor's degree or equivalent combination of education and experience.
  • 1 or more years of experience with EDI Data exchanges, including 278 Auth, 837, 835, 270, 271, 276, 277, 999, and 834 Enrollment.
  • Strong interpersonal and communication skills, with experience working directly with internal and external stakeholders.
  • Strong ability to apply problem-solving and critical thinking skills with experience succeeding in ambiguous situations and solution design/implementation.
What We Offer

We offer a comprehensive benefits package, including health insurance benefits, and a bonus component based on pre-defined performance factors.

We're an equal opportunity employer and consider all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.