EDI Analyst, Medicaid EDI and Intake Business Operations Specialist

4 weeks ago


Houston, Texas, United States CVS Health Full time

Job Summary

CVS Health is seeking a skilled EDI Analyst to join our Medicaid EDI and Intake Business Operations team. As an EDI Analyst, you will be responsible for ensuring the quality and integrity of our EDI and Intake processes for all Medicaid incoming transactions.

Key Responsibilities

  • Liaise with providers and stakeholders to resolve EDI and Claims Intake rejections
  • Collaborate with IT teams to enhance and fix system issues
  • Provide expert support for EDI and Intake rejections, and serve as the SME on EDI transactions
  • Query and analyze large datasets to research and troubleshoot issues

Requirements

  • 2+ years of experience working on EDI transactions, including 837s, 277s, 999s, 275s, and 835s
  • 2+ years of project management experience, preferably in EDI and Claims operations
  • 5+ years of data interpretation and analysis experience
  • 5+ years of demonstrated leadership
  • Proficient in SQL, SAS, or other data tools
  • Excellent verbal and written communication skills

About CVS Health

CVS Health is a leading healthcare company that puts its heart into caring for its colleagues and communities. We offer a range of benefits, including medical, dental, and vision coverage, a 401(k) retirement savings plan, and an Employee Stock Purchase Plan. We also provide opportunities for professional growth and development, as well as a fully-paid term life insurance plan and short-term and long-term disability benefits.



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