Sr. EDI Analyst - MultiPlan

At MultiPlan, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all of our stakeholders – internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.

Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and upward!!!

JOB SUMMARY: Position is responsible for the technical support of Electronic Data Interchange (EDI) processes. This includes the daily monitoring of EDI 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

JOB ROLES AND RESPONSIBILITIES:

1. Manage the technical efforts associated with implementing complex and high-profile EDI trading partners.

• Participate on weekly implementation calls or meetings with clients and vendors committed to establishing an EDI partnership with MPI.

• Share HIPAA-compliant expertise with trading partners requesting clarification on EDI standards, file mapping rules, and system logic.

• 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

2. Oversee the production support of high-profile EDI trading partners.

• Monitor the production environment and proactively prioritize, communicate, and resolve any EDI process or system issues.

• Support any issues that are raised or escalated through Account Management or executive leadership

3. Oversee the production support of high-profile EDI trading partners.

• Monitor the production environment and proactively prioritize, communicate, and resolve any EDI process or system issues.

• Support any issues that are raised or escalated through Account Management or executive leadership

4. Stay current with changing technical protocols and Healthcare regulations regarding data exchange.

• Continue to research and establish communication channels with industry-recognized organizations that provide EDI insights and direction (for example WEDI).

• Plan and incorporate new standards as appropriate.

• Offer clear and accurate interpretation of industry-driven changes to internal and external contacts when solicited.

• Proactively communicate updates to internal and external contacts as regulations dictate

5. Leverage technical expertise and communication skills to positively influence the direction of EDI technologies and processes within MPI and by our trading partners

6. Perform routine and ad hoc analysis of various facets of EDI processing including but not limited to system performance, claim turn around times, data mapping, and claim volumes. Partner with Applications Development or other operational areas to successfully implement enhancements or fixes that will provide value to our EDI clients

7. Communicate system and interface availability, modifications, and problems to internal and external stakeholders as needed and according to established policies and procedures

8. 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 independently or collaboratively.

• Report progress and measurements of success to mgt

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

10. Provide direction to Level I and Level II staff.

• Coach staff needing assistance with production support issues.

• Provide implementation guidance.

• Help staff learn how to troubleshoot issues and practice effective analytic techniques.

11. Provide documentation that may be used for training or coverage gaps

12. Provide support to Manager.

• Work with Manager to define team goals and prepare for future EDI needs.

• Attend sales calls requiring EDI expertise or second level technical representation.

• Act as a backup for the Manager when needed.

• Assist Manager with team oversight and managing work effectively.

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

14. Collaborate, coordinate, and communicate across disciplines and departments.

15. Ensure compliance with HIPAA regulations and requirements.

16. Demonstrate commitment to the Company’s core values.

17. 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.

Please note due to the exposure of PHI sensitive data – this role is considered to be a High Risk Role.

JOB REQUIREMENTS (Education, Experience, and Training):

• 5+ years progressively responsible experience in a technical production or applications support role

• At least 3 years experience with EDI or similar file transfer protocols.

• Solid understanding of Healthcare claims processing

• 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

• Clear understanding and working knowledge of HIPAA EDI protocols

• In-depth understanding of x12 specifications

• Ability to juggle multiple requests at once

• Proficient in MS Word, Excel and Outlook

• Project Management experience 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

• Mentoring experience desired

• Technical writing experience desired

• Ability to think creatively desired

• Able to manage in an environment of changing desired

• Bachelor’s Degree in a related discipline or the equivalent combination of work experience and technical training

COMPENSATION

The salary range for this position is $90K to $115K. Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.

BENEFITS

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 with low deductible & copay

* Life insurance

* Short and long-term disability

* 401(k) + match

* Generous Paid Time Off

* Paid company holidays

* Paid Parental Leave

* Tuition reimbursement

* Flexible Spending Account

* Employee Assistance Program

* Summer Hours

EEO STATEMENT

MultiPlan is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you would like more information on your EEO rights under the law, please click here.

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled