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Senior EDI Analyst, Healthcare - Remote

AT Experian
Experian

Senior EDI Analyst, Healthcare - Remote

Remote

Company Description

Experian is a global data and technology company, powering opportunities for people and businesses around the world. We help to redefine lending practices, uncover and prevent fraud, simplify healthcare, create marketing solutions, and gain deeper insights into the automotive market, all using our unique combination of data, analytics and software. We also assist millions of people to realise their financial goals and help them save time and money.

We operate across a range of markets, from financial services to healthcare, automotive, agribusiness, insurance, and many more industry segments.

We invest in people and new advanced technologies to unlock the power of data. As a FTSE 100 Index company listed on the London Stock Exchange (EXPN), we have a team of 22,500 people across 32 countries. Our corporate headquarters are in Dublin, Ireland. Learn more at experianplc.com

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Description

Reporting to the EDI leadership team, the Senior EDI Analyst will support Experian Health's Patient Access Curator team through monitoring, evaluating and optimizing performance of the product set by collaborating with clients, internal and external members for the purpose of product, service and delivery excellence

You will:

  • Participate in meetings with prospects and clients to define the detailed requirements or technical requirements for EDI solutions. Determine solution feasibility with company partners.
  • Use product knowledge, technical expertise, and business knowledge in revenue cycle management processes to provide an appropriate strategic vision for decision-making, assessing and escalation process.
  • In-depth analysis of past/present eligibility information in text and builds comparable data models.
  • Look for possible issues or improvements with valid response data.
  • Develop search strategies for using EDI and web-based transactions.
  • Host external working sessions with trading partners, vendors and clients.
  • Investigate pre-existing options to satisfy business or technical requirements and makes recommendations, to reduce one-off effort and duplication.
  • Translate user or business requests into technical form for developer or IT comprehension to be vetted with Product Owner.
  • Manage multiple product configurations concurrently with increased complexity including multi-year, facility, product, client host systems, and risk level.
  • Identify cross product dependencies and manage configurations to accommodate.


Qualifications

Qualifications:

  • Bachelor's degree or equivalent experience required.
  • 5+ years' experience as an EDI analyst, business analyst, implementation, or client/payer-side (payer or hospital/health system) experience in healthcare revenue cycle management software and technology required.
  • Knowledge of EDI protocols and standards, specifically 27x and 83x healthcare transactions required.
  • Understanding of HL7 and X12 message/file formats and transactions required.
  • SQL query experience
  • Good technical knowledge of business unit products and operations.
  • Manages information well with a full picture view of the implementation and beyond
  • Minimal travel as needed

Benefits/Perks:

  • This role is remote from within the US.
  • Great compensation package and bonus plan
  • Core benefits including medical, dental, vision, and matching 401K
  • Flexible work environment, ability to work remote, hybrid or in-office
  • Flexible time off including volunteer time off, vacation, sick and 12-paid holidays


Additional Information

Our uniqueness is that we celebrate yours. Experian's culture and people are important differentiators. We take our people agenda very seriously and focus on what matters; DEI, work/life balance, development, authenticity, collaboration, wellness, reward & recognition, volunteering... the list goes on. Experian's people first approach is award-winning; World's Best Workplaces™ 2024 (Fortune Top 25), Great Place To Work™ in 24 countries, and Glassdoor Best Places to Work 2024 to name a few. Check out Experian Life on social or our Careers Site to understand why.

Experian is proud to be an Equal Opportunity and Affirmative Action employer. Innovation is an important part of Experian's DNA and practices, and our diverse workforce drives our success. Everyone can succeed at Experian and bring their whole self to work, irrespective of their gender, ethnicity, religion, colour, sexuality, physical ability or age. If you have a disability or special need that requires accommodation, please let us know at the earliest opportunity.

Job ID: Experian-744000046953545
Employment Type: Full Time

Perks and Benefits

  • Health and Wellness

    • Health Insurance
    • Dental Insurance
    • Vision Insurance
    • Life Insurance
    • Short-Term Disability
    • Long-Term Disability
    • HSA With Employer Contribution
    • FSA
    • HSA
    • Pet Insurance
    • Mental Health Benefits
  • Parental Benefits

    • Birth Parent or Maternity Leave
    • Adoption Assistance Program
    • Family Support Resources
    • Adoption Leave
    • Non-Birth Parent or Paternity Leave
    • Fertility Benefits
  • Work Flexibility

    • Hybrid Work Opportunities
    • Remote Work Opportunities
    • Flexible Work Hours
  • Office Life and Perks

    • Casual Dress
    • Commuter Benefits Program
  • Vacation and Time Off

    • Paid Holidays
    • Personal/Sick Days
    • Volunteer Time Off
    • Paid Vacation
    • Leave of Absence
  • Financial and Retirement

    • 401(K) With Company Matching
    • Company Equity
    • Performance Bonus
    • Stock Purchase Program
  • Professional Development

    • Leadership Training Program
    • Tuition Reimbursement
    • Promote From Within
    • Shadowing Opportunities
    • Access to Online Courses
    • Internship Program
    • Work Visa Sponsorship
    • Associate or Rotational Training Program
    • Mentor Program
  • Diversity and Inclusion

    • Employee Resource Groups (ERG)
    • Unconscious Bias Training
    • Diversity, Equity, and Inclusion Program