EDI Analyst

About Flume
Flume is building the first modern health plan administration platform - with the mission to become the backbone of most health plans in the US. In doing so, we're using software to replace mostly paper-based processes in the $30B third party administration (TPA) industry. Our platform allows us to unlock efficiencies in health plans that results in measurably better health outcomes for members and 15-40% lower costs for payers. Our platform impacts the entire payer supply chain from the way a member finds their doctor, to the payments happening in the background.
At Flume Health, you'll work alongside a multipurpose team of healthcare insiders and outsiders who are all committed to solving real-world problems. Everyone is an owner. We approach every problem assuming different stakeholders have different parts of the solution, and we need to collaborate to find the right answer.
Flume Health was founded in 2018, and closed a $30M series A in February 2022, led by Optum Ventures and CIGNA ventures—it was the fastest portfolio company that's ever gone through Optum's due diligence process. In total, Flume has raised over $40M from investors including Crosslink Capital, Accomplice VC, Primary VC, Founder Collective, Route 66, and Entrepreneurs Roundtable Accelerator (ERA).

The Role
Flume Health has an exciting opportunity for an Electronic Data Interchange (EDI) Analyst to join our growing Operations team. In this role, the EDI Analyst will assist in onboarding client and vendor data interchanges, produce mapping documents, test systems, maintain systems and lead communications with our trading partners.
To be successful as an EDI analyst, you should be able to support Flume's EDI systems, integrations, and trading partner onboarding with a focus on collaboration, automation, and continuous improvement, resulting in effective, timely and efficient systems. Additionally, you will assist with the daily monitoring of file processing and troubleshooting of issues impacting successful receipt or delivery of client or vendor data files.
What You'll Do

• Serve as a primary point of contact between Operations, Engineering and Flume's clients or vendors to process and monitor all recurring inbound/outbound EDI files.
• Create and update guidelines and specifications for data exchange, working with key stakeholders.
• Meet with clients to discuss their data interchange needs.
• Maintain positive client and vendor relationships by ensuring a quick and easy integration process.
• Provide KPI reporting on EDI file transaction processing.
• Write and maintain integration guides with standards such as 834/837 specifications and requirements.
• Configure, load, monitor, and resolve medical, Rx or other data file issues.
• Provide systems analysis, support, and technical guidance on EDI operations with varying complexity.
• Review and produce test and production files.
• Work with clients and brokers to set up 834 enrollment file feeds and ensure all requirements are met.
• Collaborate with trading partners to successfully maintain EDI processes.
• Manage the resolution process as needed and escalate EDI issues as needed.
• Additional duties and responsibilities as required and/or assigned.

What You'll Need

• A minimum of 3 years experience as an EDI analyst or related role.
• Strong troubleshooting skills with the ability to think critically and solve complex problems.
• Analytical thinking.
• Knowledge of EDI standards including data mapping; ability to write EDI transaction technical specifications.
• Ability to project manage.
• Good communication and interpersonal skills.
• Strong written and verbal communication skills.
• Ability to work cross-functionally, convey complex issues, and maintain confidentiality.
• Strong knowledge of end-to-end EDI processes with proven hands-on experience.
• In depth knowledge of HIPAA, 834, and 837 healthcare EDI standard formats.
• Detail oriented & efficiency-minded; good at finding ways to improve processes and operations.
• High aptitude to learn new programs, system integrations, and business processes.
• Ability to gain the cooperation of others in pursuit of company goals.
• Experience coordinating with trading partners to gather and analyze requirements.

Nice to have

• Startup experience
• Healthcare or Health Insurance experience
• HIPAA, security and privacy knowledge
• Other SQL database platform proficiency
• EDI certifications, and/or equivalent combination of formal training and progressive experience.

Flume's Perks & Benefits

• Flexible PTO - you're going to be working hard so enjoy time off
• A robust stock option plan to give our employees a direct stake in Flume's success
• WFH stipend - we've always been remote first
• Competitive compensation and* 401k with a 4% match*
• Comprehensive* health coverage *(medical, dental, vision)

Job Type: Full-time

Salary : $30 - $40