[Remote] EDI Analyst

Note: The job is a remote job and is open to candidates in USA. MetroPlusHealth is seeking an EDI Analyst responsible for implementing, maintaining, and supporting Electronic Data Interchange (EDI) transactions to ensure accurate, HIPAA-compliant data exchange among healthcare providers, clearinghouses, and payers. The role involves resolving transaction errors affecting claims, eligibility, and remittances while collaborating closely with IT and revenue cycle teams.ResponsibilitiesResponsible for configuring, testing, maintaining, enhancing, and supporting HIPAA EDI (837, 835, 834, 270, 271, 276, 277, 278) transactions and applicationsImplement new and update existing Companion Guides and Trading Partner AgreementsSupport day-to-day operations of EDI, including identifying any technical problems with sending/receiving transactionsInteract with Trading Partners, providers, vendors and internal departments to address technical issues related to EDIReview electronic data received from providers/vendors to ensure presence and accuracy of critical data elementsLiaison between the business users and technical teams to build and improve the system based on business needs and requirementsCoordinate and establish a great relationship with External Vendors and work very closely to meet their needsCreate and simplify EDI Export and Import processes and collaborate with EDI trading partners, payers or vendorsCoordinate with our vendors, open cases on the issues at a system functionality level, and support the internal business stakeholdersCreate business use case scenarios, document system specifications from information obtained through committee meetings, and generate various processes for other resources in the team to help them troubleshoot the issue in the futureAcquire and evaluate all project documentation for testing and compliance to meet quality assurance requirementsMaintain upkeep of system setup and processes to ensure accurate and optimum setup for both provider and member selectionSkillsBachelor's Degree in Computer Science or a related technical disciplineMinimum five years of full-time experience analyzing health care related data in a health-care environmentExperience with HIPAA data transaction requiredProficient in use of Microsoft Office applicationsAbility to run Access queries and SQL requiredIntegrity and TrustCustomer FocusFunctional/Technical skillsMust be able to work independently and to attend to detailExcellent written and verbal communication skills as well as strong project management and data analysis skillsCompany OverviewMetroPlusHealth provides health insurance to individuals, families, and small businesses. It was founded in 1985, and is headquartered in New York, New York, USA, with a workforce of 1001-5000 employees. Its website is https://www.metroplus.org/.