EDI Analyst

EDI Analyst

• Long Beach, CA
• Full Time

About SCAN

Our mission is simple: Keeping Seniors Healthy and Independent–that’s been our mission for almost 40 years. Rated as one of the top Medicare Advantage plans in California, SCAN Health Plan employees are passionate about what they do. Understanding that success
is based on achieving the mission, SCAN employees are afforded with the training and tools necessary to do their jobs and they are rewarded for their efforts and recognized as experts in their fields. Ask anyone who works here and we’ll proudly tell you that
SCAN’s commitment has never wavered. We are as steadfast in our pledge to help our members live healthy and independent lives.

The job

• Supports the EDI team by:
• Performing the research and analysis of electronic data interchange (EDI) transactional data sets including formats, syntax, rules, and requirements,
• Assisting with and/or performing the remediation of data interchange issues and errors as directed by EDI management and
• Serving as a subject matter expert resource for all EDI operations, research, or analysis requests, projects, and tasks; all performed within department policies and procedures, regulatory timeframes and guidelines, and Encounter Data management direction.

You will

• Perform EDI analysis, research, and documentation of transactional data set requests and issues from internal and external customers as directed by EDI management.
• Provide subject matter expertise assistance to EDI Developers for issues and questions regarding data interchange transactions.
• Serve as a subject matter expert for internal and external integration channels to the EDI Engine to ensure data interchange meets business expectations and content/syntax criteria.
• Assist with and/or perform remediation of EDI operations errors or issues as directed by EDI management.
• Ensure the validity of all EDI analysis and documentation of EDI transactional data sets via business quality control measurements and practices.
• Be responsibile for literature review, data management, and other related duties incidental to the work described herein.
• Maintain professional and technical knowledge by conducting research and by attending educational workshops.
• Contribute to team effort by accomplishing and sharing related results with other staff.
• Actively supports the achievement of SCAN’s Vision and Goals.

Your qualifications

• Bachelor’s degree in healthcare administration, business administration, computer sciences, or related study field with emphasis on information systems or business analysis preferred.
• Strong analytical and critical thinking.
• Minimum of one year of EDI operations and analysis experience in healthcare industry.
• Excellent knowledge and demonstrated experience with HIPAA and ANSI EDI standards.
• Preference will be given to candidates that have healthcare insurance data processing experience including claims, encounters, enrollment, authorization/referral, and pharmacy data.
• Strong communication and documentation skills.

What’s in it for you?

• A competitive compensation and benefits program
• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• Ten paid holidays per year
• Excellent 403(b) Saving Plan, providing up to 4% match and vesting after three years
• Casual attire
• Robust employee recognition program
• Tuition reimbursement
• A Work – life balance and much more!

We’re always looking for talented people to join our team! Qualified applicants are encouraged to apply now!