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EDI Operations Specialist
2 months ago
Job Title: EDI Business Process Specialist
Job Summary:
Innova Solutions is seeking an experienced EDI Business Process Specialist to join our team. As an EDI Business Process Specialist, you will be responsible for managing daily team inventory activity, providing support and training to Eligibility Specialist team members, and assisting in the development of user system documentation and desk-level procedures.
Key Responsibilities:
- Manage daily team inventory activity and provide support/training/direction to Eligibility Specialist team members.
- Assist in the development of user system documentation and desk-level procedures.
- Support enrollment-related issues resolution/Enrollment Resolver Group participant.
- Assist with manual enrollment processing for all lines of business.
- Support Member Enrollment System platform (to include development work, inquiries, and EDI file activity).
- Meet departmental quality and production standards.
- Be responsible for ensuring successful transfer of inbound EDI enrollment data, including troubleshooting/reconciliation of data integrity issues.
- Be responsible for managing EDI file activity for high-profile/complex EDI client business (BPO, Shared Services, non-standard, etc.).
- Be responsible for managing all robotic process automation (RPA) work for the business area.
- Provide support to the Department's Business Systems Analyst with client-specific EDI enrollment testing.
Requirements:
- Bachelor's degree in business administration, Management Information Systems, Computer Science, or equivalent work experience in the Healthcare/Technology space.
- Minimum 2-3 years proven EDI/eligibility experience.
Benefits:
- Medical & pharmacy coverage.
- Dental/vision insurance.
- 401(k).
- Health saving account (HSA) and Flexible spending account (FSA).
- Life Insurance.
- Pet Insurance.
- Short-term and Long-term Disability.
- Accident & Critical illness coverage.
- Pre-paid legal & ID theft protection.
- Sick time.
- Other types of paid leaves (as required by law).
- Employee Assistance Program (EAP).
About Innova Solutions:
Innova Solutions is a global technology and business transformation solutions provider. We deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields.
Recent Recognitions:
- One of the Largest IT Consulting Staffing firms in the USA – Recognized as #4 by Staffing Industry Analysts (SIA 2022).
- ClearlyRated Client Diamond Award Winner (2020).
- One of the Largest Certified MBE Companies in the NMSDC Network (2022).
- Advanced Tier Services partner with AWS and Gold with MS.
