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Client Implementation Analyst-EDI (IT-Managed Care)

Job Description

JOB DESCRIPTION

EDI professionals -- are you looking for a rewarding new position with an industry leader with a firm commitment to its employees? Join our team at MultiPlan! Founded in 1980, we are the industry's most comprehensive provider of healthcare cost management solutions. We have over 1 million healthcare providers under contract, an estimated 68 million consumers accessing our network products, and 40 million claims reduced through our network and non-network solutions each year.

JOB RESPONSIBILITIES

As an EDI Analyst, you will be responsible for the technical support of Electronic Data Interchange (EDI) and Web Services processes. This includes the daily monitoring of file processing, the troubleshooting of issues impacting successful receipt or delivery of client files, the setup and testing of new trading partners, and general customer support of issues called in to the Service Desk.

Your specific duties in this role will include:

Manage the technical efforts associated with implementing complex EDI and Web Services trading partners.
  • Participate in implementation meetings with clients and vendors committed to establishing an EDI partnership with MPI.
  • Provide HIPAA-compliant guidance to trading partners requesting additional information about MPI requirements and industry standards for EDI protocols.
  • Ensure proper setup of the EDI tools and systems that support file transfer between MPI and new trading partners.
  • Conduct necessary testing and in-depth analysis to resolve any potential issues prior to rolling trading partners into the production environment.
  • Constructively present testing results and propose adjustments that will improve service delivery to our clients and strengthen our ongoing partnership.
  • Monitor, audit, and report on the processing of newly implemented trading partners to confirm their successful transition to the production environment.
  • Decommission trading partners as needed
Oversee the production support of existing trading partners.
  • Monitor the production environment and proactively prioritize, communicate, and resolve any EDI process or system issues.
  • Partner with other IT teams to implement enhancements and defect fixes.
Support Account Management with EDI issues that are raised or escalated by their clients or vendors. Promptly triage and resolve EDI issues called in to the Multiplan Service Desk Independently manage the monitoring requirements of clients on a daily, weekly and monthly basis Communicate system and interface availability, modifications, and problems to internal and external stakeholders as needed and according to established policies and procedures Implement process improvements to enhance the efficiency of the EDI processes.
  • Use access to data and personal observation to identify potential process improvement opportunities.
  • Communicate potential solutions to management.
  • Implement solutions.
  • Report progress & measurements of success to Mgt.
Perform routine and ad hoc analysis of various facets of EDI processing including but not limited to system performance, claim turnaround times, data mapping, and claim volumes

Prepare and maintain documentation that defines operational procedures, describes client requirements, and shares relevant analysis outcomes with internal and external stakeholders

Support clients and trading partners with their non-standard requests for ad hoc reports, testing analysis and other technical deliverables

Build and maintain positive working relationships with internal colleagues (including IT, Sales and Marketing, and Operations) and external contacts

Support Manager with team goals and corporate strategies as well as assist with the training and coaching of Level I staff

Provide coverage for other team members as needed; some on-call support duties may be required on a part time or rotating basis

Collaborate, coordinate, and communicate across disciplines and departments.

Ensure compliance with HIPAA regulations and requirements.

Demonstrate commitment to the Company's core values.

The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities and qualifications may be required and/or assigned as necessary.

Job Requirements

JOB REQUIREMENTS

As an EDI Analyst, you must be highly organized and detail-oriented, with strong analytical, problem solving, and prioritization skills. You should also be able to handle multiple tasks in a fast-paced, deadline-driven environment, both independently and as part of a team. It is also important that you display excellent verbal and written communication and interpersonal skills, as well as the ability to effectively present information and respond to questions from groups of managers and clients

Specific qualifications for the role include:

  • Bachelor's Degree in a related discipline or the equivalent combination of work experience and technical training
  • 3+ years progressively responsible experience in a technical production or applications support role
  • Clear understanding and working knowledge of HIPAA EDI protocols, X12 and 837 formats
  • Exposure and general understanding of Healthcare claims processing
  • Experience writing SQL queries
  • Prior experience with EDI / Web Services or similar file transfer protocols.
  • Exceptional analytic and troubleshooting skills
  • Superior customer service skills, preferably in a technical implementation capacity
  • Ability to work independently and as a member of a team
  • Clear and concise verbal and written communication skills
  • Ability to juggle multiple requests at once
  • Proficient in MS Word, Excel and Outlook
  • Prior experience working on a cross functional project team desired
  • Understanding of internet applications and networks desired
  • Knowledge of Healthcare Business Systems desired
  • Experience with mapping tools such as Gentran, Pervasive or Claredi desired
  • Experience managing customer and/or vendor relationships desired

BENEFITS

As an EDI Analyst with MultiPlan, you will be part of an organization with a proud 30-year legacy of experience and growth. We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.

Your benefits will include:

  • Medical, dental, and vision coverage
  • Life insurance
  • Optional and dependent life insurance
  • Short- and long-term disability
  • 401(k)
  • Paid time off
  • Paid company holidays
  • Tuition reimbursement
  • Flexible Spending Account
  • Employee Assistance Program

Opportunity. Recognition. Satisfaction. Grow your career with MultiPlan!

Apply now!


As an Equal Opportunity Employer, the Company will provide equal consideration to all employees and job candidates without regard to sex, age, race, marital status, sexual orientation, religion, national origin, citizenship status, physical or mental disability, political affiliation, service in the Armed Forces of the United States, or any other characteristic protected by federal, state, or local law.

Job Snapshot

Location US-NY-New York
Employment Type Full-Time
Pay Type Year
Pay Rate N/A
Store Type IT & Technical
Apply

Company Overview

MultiPlan

At MultiPlan, our employees are instrumental to our success and we reward them accordingly. We offer a very competitive compensation and benefits package, an incentive bonus program, service recognition awards and an employee recognition program that honors individuals whose achievements go above and beyond even our high expectations. We invite you to search our listing of current Career Opportunities. One of our top priorities is the career development of our employees. Learn More

Contact Information

US-NY-New York
Snapshot
MultiPlan
Company:
US-NY-New York
Location:
Full-Time
Employment Type:
Year
Pay Type:
N/A
Pay Rate:
IT & Technical
Store Type:

Job Description

JOB DESCRIPTION

EDI professionals -- are you looking for a rewarding new position with an industry leader with a firm commitment to its employees? Join our team at MultiPlan! Founded in 1980, we are the industry's most comprehensive provider of healthcare cost management solutions. We have over 1 million healthcare providers under contract, an estimated 68 million consumers accessing our network products, and 40 million claims reduced through our network and non-network solutions each year.

JOB RESPONSIBILITIES

As an EDI Analyst, you will be responsible for the technical support of Electronic Data Interchange (EDI) and Web Services processes. This includes the daily monitoring of file processing, the troubleshooting of issues impacting successful receipt or delivery of client files, the setup and testing of new trading partners, and general customer support of issues called in to the Service Desk.

Your specific duties in this role will include:

Manage the technical efforts associated with implementing complex EDI and Web Services trading partners.
  • Participate in implementation meetings with clients and vendors committed to establishing an EDI partnership with MPI.
  • Provide HIPAA-compliant guidance to trading partners requesting additional information about MPI requirements and industry standards for EDI protocols.
  • Ensure proper setup of the EDI tools and systems that support file transfer between MPI and new trading partners.
  • Conduct necessary testing and in-depth analysis to resolve any potential issues prior to rolling trading partners into the production environment.
  • Constructively present testing results and propose adjustments that will improve service delivery to our clients and strengthen our ongoing partnership.
  • Monitor, audit, and report on the processing of newly implemented trading partners to confirm their successful transition to the production environment.
  • Decommission trading partners as needed
Oversee the production support of existing trading partners.
  • Monitor the production environment and proactively prioritize, communicate, and resolve any EDI process or system issues.
  • Partner with other IT teams to implement enhancements and defect fixes.
Support Account Management with EDI issues that are raised or escalated by their clients or vendors. Promptly triage and resolve EDI issues called in to the Multiplan Service Desk Independently manage the monitoring requirements of clients on a daily, weekly and monthly basis Communicate system and interface availability, modifications, and problems to internal and external stakeholders as needed and according to established policies and procedures Implement process improvements to enhance the efficiency of the EDI processes.
  • Use access to data and personal observation to identify potential process improvement opportunities.
  • Communicate potential solutions to management.
  • Implement solutions.
  • Report progress & measurements of success to Mgt.
Perform routine and ad hoc analysis of various facets of EDI processing including but not limited to system performance, claim turnaround times, data mapping, and claim volumes

Prepare and maintain documentation that defines operational procedures, describes client requirements, and shares relevant analysis outcomes with internal and external stakeholders

Support clients and trading partners with their non-standard requests for ad hoc reports, testing analysis and other technical deliverables

Build and maintain positive working relationships with internal colleagues (including IT, Sales and Marketing, and Operations) and external contacts

Support Manager with team goals and corporate strategies as well as assist with the training and coaching of Level I staff

Provide coverage for other team members as needed; some on-call support duties may be required on a part time or rotating basis

Collaborate, coordinate, and communicate across disciplines and departments.

Ensure compliance with HIPAA regulations and requirements.

Demonstrate commitment to the Company's core values.

The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities and qualifications may be required and/or assigned as necessary.

Job Requirements

JOB REQUIREMENTS

As an EDI Analyst, you must be highly organized and detail-oriented, with strong analytical, problem solving, and prioritization skills. You should also be able to handle multiple tasks in a fast-paced, deadline-driven environment, both independently and as part of a team. It is also important that you display excellent verbal and written communication and interpersonal skills, as well as the ability to effectively present information and respond to questions from groups of managers and clients

Specific qualifications for the role include:

  • Bachelor's Degree in a related discipline or the equivalent combination of work experience and technical training
  • 3+ years progressively responsible experience in a technical production or applications support role
  • Clear understanding and working knowledge of HIPAA EDI protocols, X12 and 837 formats
  • Exposure and general understanding of Healthcare claims processing
  • Experience writing SQL queries
  • Prior experience with EDI / Web Services or similar file transfer protocols.
  • Exceptional analytic and troubleshooting skills
  • Superior customer service skills, preferably in a technical implementation capacity
  • Ability to work independently and as a member of a team
  • Clear and concise verbal and written communication skills
  • Ability to juggle multiple requests at once
  • Proficient in MS Word, Excel and Outlook
  • Prior experience working on a cross functional project team desired
  • Understanding of internet applications and networks desired
  • Knowledge of Healthcare Business Systems desired
  • Experience with mapping tools such as Gentran, Pervasive or Claredi desired
  • Experience managing customer and/or vendor relationships desired

BENEFITS

As an EDI Analyst with MultiPlan, you will be part of an organization with a proud 30-year legacy of experience and growth. We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.

Your benefits will include:

  • Medical, dental, and vision coverage
  • Life insurance
  • Optional and dependent life insurance
  • Short- and long-term disability
  • 401(k)
  • Paid time off
  • Paid company holidays
  • Tuition reimbursement
  • Flexible Spending Account
  • Employee Assistance Program

Opportunity. Recognition. Satisfaction. Grow your career with MultiPlan!

Apply now!


As an Equal Opportunity Employer, the Company will provide equal consideration to all employees and job candidates without regard to sex, age, race, marital status, sexual orientation, religion, national origin, citizenship status, physical or mental disability, political affiliation, service in the Armed Forces of the United States, or any other characteristic protected by federal, state, or local law.
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Client Implementation Analyst-EDI (IT-Managed Care) Apply now