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Technical EDI Analyst (Remote)
Technical EDI Analyst (Remote) in Baltimore, MD - CareFirst
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Home / Job Search / Technical EDI Analyst (Remote)
Technical EDI Analyst (Remote)
Job ID: 22594
Job Function: Information Technology
Location: Baltimore, MD, United States
Campus: Baltimore, MD
Career Band: BDB
Status: Full-Time
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Resp & Qualifications
PURPOSE:
Delivers standard system and data analysis on EDI transactions (835, 837, 275, 270/71, 276/77, etc.) and helps with tools and technology implementations. Facilitate and coordinate building, document, and review of system, and data analysis techniques, methods, tools, process, and systems. Facilitate and coordinate data collection capabilities through collaboration with internal and external teams. Works closely with cross-departmental, peers, and internal team members. Be a liaison to the Business and technical team. Engage with Trading partners to provide EDI support.
ESSENTIAL FUNCTIONS:
- Identify, analyze gaps and document analysis conducted on software programs, applications, infrastructure and systems and services.
- Collaborates with internal departments and end users with the pre-defined scope.
- Collects data and conducts analysis for system and enhancement through collaboration with organizational teams.
- Drives implementation of changes for application, system, Infrastructure and services to meet organization needs.
- Coordinate and facilitate activities related to evaluate and recommend new tools or platforms or services to achieve organization goal.
QUALIFICATIONS:
Education Level: Bachelor''s Degree in Computer Science, Information Technology, or related field OR in lieu of a Bachelor''s degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
Experience: 3 years relevant system/technical analysis.
Knowledge, Skills and Abilities (KSAs)
- Ability to motivate self and foster a culture of continuous improvement and agile execution.
- Knowledge of system or analysis methods and evaluation criteria.
- Knowledge of application development, application/data architecture, Infrastructure, systems and processes.
- Knowledge of system analysis tools and techniques.
- Strong interpersonal skills and ability to work in a team-based environment.
- Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.
Salary Range: $64,944 - $128,986
Salary Range Disclaimer
The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate''s work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case''s facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).
Equal Employment Opportunity
CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Federal Disc/Physical Demand
Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
PHYSICAL DEMANDS:
The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.
Sponsorship in US
Must be eligible to work in the U.S. without Sponsorship
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Serving Maryland, the District of Columbia, and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc. and CareFirst Advantage DSNP, Inc. CareFirst BlueCross BlueShield Community Health Plan Maryland is the business name of CareFirst Community Partners, Inc. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. BLUE CROSS, BLUE SHIELD and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.
CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or generic information.
Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. To comply with this law, CareFirst must collect information regarding an employee's identity and employment eligibility and document that information on a document referred to as Form I-9, Employment Eligibility Verification, no later than three business days from when the employee begins work for pay. If you are hired, you will be required to provide certain information on the form necessary to establish your identity and eligibility to work in the United States and certain required supporting documents.
If you experience any technical difficulties during this process, please send an email detailing the specific problem you are having to [email protected] and we will respond as soon as possible.
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c) If you believe that you have experienced discrimination, contact OFCCP at 800-397-6251 (TTY 877-889-5627) or
Remote
Skills:
Analysis Skills, Application Programming Interface (API), Communication Skills, Community Health, Computer Science, Continuous Improvement, Corporate Policies, Customer Support/Service, Data Analysis, Data Collection, Data Science, Electronic Data Interchange (EDI), Engineering Management, English Language, Equal Employment Opportunity (EEO), Finance, Genetics, Government, HIPAA (Health Insurance Portability and Accountability Act), Health Insurance, Health Plan, Healthcare, Information Technology & Information Systems, Internet Security, Interpersonal Skills, Java, Legal, Medicare, Microservices, Multilingual, Multimedia, Patient Rights, Physical Demands, Preferred Provider Organization (PPO), Process Improvement, Product Management, Psychiatry and Mental Health, Quality Management, Search Technology, Software Development, Software Engineering, Systems Analysis, Team Player, Technical Analysis, Time Management
Blue Cross and Blue Shield Association
At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry. We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.
Company Size:
2,000 to 2,499 employees
Industry:
Insurance
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