EDI Implementation Analyst

Essential Duties Responsible for the implementation of any new client\network or vendor relationship using Electronic Data Interchange Build and maintain relationships with Zelis adjudication system partners and other vendors; serve as liaison to bridge gaps between system partners and clients. Coordinate with business application, and database administration functions to ensure availability and reliability of EDI systems to meet business demands. Perform system configuration, mapping, and management for EDI-based transactions and processes. Develop, enhance, and maintain EDI (ANSI-X12) maps for both inbound and outbound transactions. Work closely with trading partners to plan, execute, and implement data exchanges to benefit both parties. Document scope of work in all stages of implementation; noting customizations, routing rules, etc. Work with EDI trading partners to test and implement new file delivery or implement software changes for automation and client success opportunities channels. Manage receipt and delivery of test files; advise VP Partner Development of any issues with adjudication system test files. Work with the Implementation Manager and client is there are any issues with client test files. Monitor, troubleshoot, and correct EDI transactions. Analyze and deliver reports identifying process improvement opportunities. Develop and maintain project and system documentation per standard. Perform typical business analyst duties such as requirements gathering, solution design, development, and testing to meet business needs. Monitor new technologies, techniques, and tools in the EDI space to continue to enhance EDI systems. Assist with development of user test plans and execution of those plans in conjunction with internal and external personnel. Develop and conduct end user training for EDI systems. Drive the adoption of standard work processes, standard application functionality and data standards, as well as the alignment with global corporate policies and IS methodology. Acquire and improve skills in EDI and other applications through education and professional organizations. Education/Experience Bachelor's degree in MIS, Business, or related field (or equivalent). Five or more years of EDI work experience required. Two or more years of SQL Server Management Studio experience required Knowledge/Skills/Abilities Experience implementing, configuring, and maintaining EDI systems. Strong experience with ANSI 837, 834,999, 277 EDI formats Strong SQL skills, SQL development using Microsoft SQL 2012 and up, development of store procedures, functions, views, triggers Ability and desire to created detailed data and mapping requirements. Must have HIPAA compliance environment regulations exposure Knowledge of EDI standard formats (ANSI X12, EDIFACT, etc.), XML and other EDI translators Demonstrable experience using data translation Highly motivated self-starter. Ability to think strategically and also to implement those strategies. Excellent analytical and problem-solving skills. Schedule/deadline oriented. Excellent verbal and written communication skills. Strong interpersonal skills to work effectively with business users and co-workers. ETL experience a plus As a leading payments company in healthcare, we guide, price, explain, and pay for care on behalf of insurers and their members. We’re Zelis in our pursuit to align the interests of payers, providers, and consumers to deliver a better financial experience and more affordable, transparent care for all. We partner with more than 700 payers, including the top-5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, over 4 million providers, and 100 million members, enabling the healthcare industry to pay for care, with care. Zelis brings adaptive technology, a deeply ingrained service culture, and a comprehensive navigation through adjudication and payment platform to manage the complete payment process. Zelis provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. SCAM ALERT: There is an active nationwide employment scam which is now using Zelis to garner personal information or financial scams. This site is secure, and any applications made here are with our legitimate partner. If you’re contacted by a Zelis Recruiter, please ensure whomever is contacting you truly represents Zelis Healthcare. We will never asked for the exchange of any money or credit card details during the recruitment process. Please be aware of any suspicious email activity from people who could be pretending to be recruiters or senior professionals at Zelis. As the leading healthcare payments company, we price, pay and explain care for payers, providers, and healthcare consumers. Zelis was founded on a belief there is a better way to determine the cost of a healthcare claim, manage payment-related data, and make the payment because more affordable and transparent care is good for all of us. We partner with over 700 payers, 1.5 million providers, and millions of members -- enabling the healthcare industry to pay for care, with care. Zelis brings adaptive technology, a deeply ingrained service culture, and an integrated pre-payment through payments platform to manage the complete payment process.