EDI Analyst

Date: Sep 23, 2024

Location:

Any city, WV, US, 99999

Req ID: 26788

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

Summary

As a(n) EDI Analyst at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.

At Gainwell, it’s easy to see the positive impact of what we do. The passion you bring to your career ultimately benefits the lives improved by services we provide to our clients. We encourage you to challenge yourself, learn and grow in a company that thrives on innovation. We go beyond entering new arenas to shaping markets with transformational experiences that redefine our business. The difference is clear.

Your role in our mission

Provide technical support during and after implementation of healthcare electronic data interchange (EDI) solutions.
Provides leadership and work guidance to less experienced personnel. Guides the work of less experienced developers to create, maintain and communicate details of application designs to ensure that designs are according to specifications.
Evaluating business processes, anticipating requirements, uncovering areas for improvement, and developing and implementing solutions.
Conduct analysis of EDI transactions, and are responsible for documentation and related reports.
You will be involved in the daily monitoring of file processing and troubleshooting of issues impacting successful receipt or delivery of client files.
Additionally, you will be responsible for the setup and support of file automation processes and jobs within the department.
Performing quality, user acceptance, and regression testing.
Identify process gaps and areas where improvements can be made.
Create, review, and maintain documentation related to EDI operations implementations and processes.
Monitor the production environment and proactively prioritize, communicate, and help to resolve any operational EDI process or system issues.

What we're looking for

5 or more years of experience and understanding of the Healthcare EDI X12N transactions formats that govern healthcare Electronic Data Interchange (EDI), with in depth knowledge of and experience with HIPAA/EDI X12 5010 healthcare-related X12 transactions including 270-271, 276-277,277CA,277U, 278, 820, 834, 835, 837, 999.
Experience with data validation and translation/mapping software. Example: Edifecs Specbuilder; IBM Sterling Mapper. Ability to modify existing EDI maps, create new EDI maps as needed, work with edit severity settings.
Experience in Unit, Quality Assurance, and Regression testing.
5 or more years of experience providing technical support for ANSI X12 trading partners.
Healthcare experience required (Medicaid, Medicare).

What you should expect in this role

United States remote opportunity
Candidate selected must work EST time zone
Video cameras must be used during all interviews, as well as during the initial week of orientation
The Deadline to submit applications for this posting is October, 28 2024

The pay range for this position is $64,900.00 - $92,700.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.