EDI Implementation Analyst
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Job Description
EDI Implementation Analyst managing health plan integrations and configuration changes within Availity’s platform. Collaborating with external partners for accurate claims data flow and system integrity.
Responsibilities:
- Manage complex configuration changes for health plan partners
- Ensure claims data flows accurately and reliably through Availity’s platform
- Analyze and validate business requirements, ensuring requests are accurate and complete
- Configure receiver configurations using Availity’s internal tool EPDM
- Serve as a key point of contact for connectivity and data issues
- Perform functional testing and support production releases
- Participate in monthly and minor production releases
- Work closely with internal teams such as Health Plan Analysts, Account Management, and Payment Accuracy
Requirements:
- Minimum of 4 years related experience in a technology (information exchange) and/or health care environment
- Bachelor’s Degree or equivalent work experience
- Experience analyzing, interpreting, and validating business requirements
- Ability to balance technical execution with thoughtful problem-solving
- Ability to collaborate with external partners and internal partners
- Understanding of HIPAA implementation guides for claim and other transactions
- Knowledge of the health care industry HIPAA mandated ANSI transaction formats
- Working knowledge of X12 transactions specifically 837P, 837I, 835, 270/271, 276/277, 278, CCR/CCD, and HL7 transaction sets
- Proven ability to work in a team environment
- Ability to prepare documented customer requirements
Benefits:
- Competitive salary
- Bonus structure
- Generous HSA company contribution
- Healthcare benefits
- Vision benefits
- Dental benefits
- 401k match program available from day one
- Unlimited PTO for salaried associates + 9 paid holidays
- Hourly associates start at 19 days of PTO
- Wellness reimbursement of up to $250/year for gym memberships, racing events, weight management programs, etc.
- Education reimbursement
- Paid Parental Leave for both moms and dads
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