Top 884 Healthcare edi Jobs

Engineer III - EDI
Inland Empire Health Plan —Rancho Cucamonga, CA
- $118,601.60 - $157,144.00 a year
- Full-time
- Hybrid work
- Microsoft Excel
- 6 years
- HIPAA
- Paid holidays
- Disability insurance
EDI Specialist
Cook Systems —Tallahassee, FL
- Computer science
- Computer Science
- System design
- Health insurance
- Dental insurance
EDI Processing Specialist- Benefits Files; Electronic Data Interchange (EDI) Team
Benefit Allocation Systems, LLC —King of Prussia, PA
- $26 - $28 an hour
- Full-time
- Hybrid work
- Background check
- Software troubleshooting
- Mid-level
- Health savings account
- Paid holidays
18h
Director - Commercial Launch Logistics Management US
BioNTech AG —Berkeley Heights, NJ
- $168,100 - $268,700 a year
- Full-time
- Bachelor's degree
- Senior level
- Leadership
Senior Vice President, Client Delivery
Ventra Health, Inc. —Remote
- Full-time
- Remote
- Microsoft Outlook
- Basic math
- Master's degree
- Referral program
Healthcare Data Analyst
Scalepex —Dallas, TX
- Full-time
- Remote
- Microsoft Outlook
- Mid-level
- SQL
Quick Apply
Healthcare EDI (X12 837/835) Developer
PlanStreet —Lexington, KY
- Remote
- 5 years
- System design
- HIPAA
EDI Analyst
MetroPlus Health Plan —New York, NY
- $85,000 - $95,000 a year
- Full-time
- Remote
- Computer science
- Computer Science
- 5 years
EDI Analyst (ANSI X12 834)
EAPPS TECH LLC dba Magicforce —Portland, OR
- $60 - $70 an hour
- Mid-level
- Analysis skills
Quick Apply
Scrum Master w/EDI Experience
TISTA Science and Technology Corporation —Remote
- $65,240 - $76,500 a year
- Full-time
- Remote
- 18 years or older
- Computer Science
- 5 years
- Paid training
- Health savings account
Senior Python Software Engineer (Oracle SQL | Healthcare Data Platform)
Pyramid Consulting, Inc —La Mesa, CA
- $55 - $65 an hour
- Urgently hiring
- Hybrid work
- 5 years
- Bachelor's degree
- Senior level
Quick Apply
Test Engineer (Healthcare/Facets)
Cognizant —Englewood, CO
- $61,000 - $109,000 a year
- Full-time
- Remote
- Analysis skills
- US work authorization
- Senior level
- Paid parental leave
- Employee stock purchase plan
EDI SME (healthcare, Java, Oracle, GitHub)
CEDENT —Remote
- $40 - $60 an hour
- Contract
- Oracle
- Mid-level
- Java
- Dental insurance
- Vision insurance
Encounter Data Engineer (EDI, Managed Care)
MetroPlus Health Plan —New York, NY
- $125,000 - $130,000 a year
- Full-time
- Remote
- Computer science
- Computer Science
- 3 years
Home Healthcare Revenue Cycle EDI Systems Analyst
Centerwell —Remote
- $60,800 - $82,900 a year
- Full-time
- Remote
- Computer Science
- HIPAA
- Mid-level
- Paid parental leave
- Paid holidays
Senior EDI Developer
Conduent EDI Solutions, Inc. —Remote
- $96,250 - $125,000 a year
- Email
- Computer science
- 7 years
- Computer Science
- Paid holidays
- Disability insurance
EDI Helpdesk Representative - Remote US
Gainwell Technologies —Montana
- $35,000 - $50,000 a year
- Full-time
- Remote
- Research
- Mid-level
- High school diploma or GED
- Travel reimbursement
- Profit sharing
Healthcare IT Integration Engineer (OpenEMR & Clearinghouse)
eLinx Health, LLC —Remote
- From $25 an hour
- Contract
- Remote
- Computer science
- Computer Science
- 5 years
Quick Apply
6d
Senior Healthcare QA Analyst – Facets Claims & Medicare
Cognizant —Englewood, CO
- $53,477 - $92,500 a year
- Full-time
- Remote
- 7 years
- SQL
- US work authorization
- Paid parental leave
- Employee stock purchase plan
Healthcare Interface Developer [Must have Rhapsody Engine, HL7 v2, CDA, FHIR APIs.] - REMOTE
Software Technology Inc —Remote
- Remote
- Azure
- Computer Science
- HIPAA
Quick Apply

I want to receive the latest job alert for healthcare edi

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

healthcare edi jobs near

Engineer III - EDI

Inland Empire Health Plan -
Rancho Cucamonga, CA

Apply Now

Job Details

Full-time
$118,601.60 - $157,144.00 a year

Benefits

457(b)
Paid holidays
Disability insurance
Health insurance
On-site gym
Dental insurance
Flexible spending account
Paid time off
Vision insurance
Opportunities for advancement
Life insurance

Qualifications

Microsoft Excel
Visio
SQL
Bachelor's degree
Data-driven problem-solving
Managing projects
Productivity software
Excel data analysis

Full Job Description

Overview:

What you can expect!

Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!

Under the direction of the Encounters & EDI Leadership Team, the Engineer III is responsible for analysis of new DHCS/CMS requirements and providing recommendations for new rules implementation, submissions tracking, remediating submission errors, responding to regulatory changes, and monitoring encounter submissions to DHCS and CMS, and acceptance compliance. The Engineer III also is responsible for BRDs creation and communication with Trading Partners. The Engineer III must be able to work independently, often working directly with business users and IT groups to understand and document requirements. The Engineer III will work cross-functionally with department leaders to deliver actionable analyses / results.

Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Additional Benefits:

Perks

IEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more.

CalPERS retirement
457(b) option with a contribution match
Generous paid time off- vacation, holidays, sick
State of the art fitness center on-site
Medical Insurance with Dental and Vision
Paid life insurance for employees with additional options
Short-term, and long-term disability options
Pet care insurance
Flexible Spending Account – Health Care/Childcare
Wellness programs that promote a healthy work-life balance
Career advancement opportunities and professional development
Competitive salary with annual merit increase
Team bonus opportunities

Key Responsibilities:

Present findings of analyses to various staff levels. Present results in formats that are easy to understand and appropriate to the audience.
Provide recommendations for necessary changes in existing EDI processes.
Monitor and Track quality and completeness of data submitted to CMS and DHCS.
Analyze rejections and provide recommendations for remediation.
Guiding team members on topics related to encounters submissions to IEHP’s regulatory bodies, remediating submission errors.
Communicate with Trading Partners/ CMS/DHCS on needed basis
Create BRDs
Clear understanding of IEHP business operations
Responsible for managing assigned projects and effectively communicating project team to ensure project deliverables and deadlines are met.
Document and ensure assigned project / technical staff document all analysis / reporting projects following established protocols, ensuring replication of results by an independent reviewer.
Demonstrate a commitment to incorporate LEAN principles into daily work.
Establish and maintain effective working relationships with others throughout the organization.
Any other duties as required to ensure the Health Plan operations are successful.
Ensure the privacy and security of PHI (Protected Health Information) as outlined in IEHP’s policies and procedures relating to HIPAA compliance.

Qualifications:

Education & Experience

Six (6) years of relevant work experience
Bachelor's degree from an accredited institution required
- Master's degree in Data Science, Informatics, Public Health, Epidemiology, or a related field from an accredited institution preferred

Key Qualifications

In depth knowledge of Healthcare HIPAA requirements and CA State and CMS regulations and X12 formats
Expertise in SQL, SSRS. Knowledge of EDIFECS or similar tools is a plus
Extensive knowledge of Microsoft Office (Excel, Word, Visio, and Power Point) is essential
Working knowledge of medical terminology, knowledge of managed care, eligibility and/or pharmacy processes, and insurance terminology preferred
Must be able to handle multiple projects, prioritize to meet deadlines, and develop effective working relationships
Strong problem-solving capability, excellent interpersonal, and communication skills
Ability to explain complex data analyses and findings in a way that is easy to understand and appropriate to the audience. Strong attention to detail

Start your journey towards a thriving future with IEHP and apply TODAY!

Work Model Location:

This position is on a hybrid work schedule. (Monday & Friday - remote, Tuesday – Thursday onsite in Rancho Cucamonga, CA.)
Position is eligible for Hybrid work location upon completing the necessary steps and receiving HR approval. All IEHP positions approved for telecommute or hybrid work locations may periodically be required to report to IEHP’s main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership.

Pay Range: USD $118,601.60 - USD $157,144.00 /Yr.

Apply Now

Refine Your Search

healthcare edi jobs

Engineer III - EDI

EDI Specialist

EDI Processing Specialist- Benefits Files; Electronic Data Interchange (EDI) Team

Director - Commercial Launch Logistics Management US

Senior Vice President, Client Delivery

Healthcare Data Analyst

Healthcare EDI (X12 837/835) Developer

EDI Analyst

EDI Analyst (ANSI X12 834)

Scrum Master w/EDI Experience

Senior Python Software Engineer (Oracle SQL | Healthcare Data Platform)

Test Engineer (Healthcare/Facets)

EDI SME (healthcare, Java, Oracle, GitHub)

Encounter Data Engineer (EDI, Managed Care)

Home Healthcare Revenue Cycle EDI Systems Analyst

Senior EDI Developer

EDI Helpdesk Representative - Remote US

Healthcare IT Integration Engineer (OpenEMR & Clearinghouse)

Senior Healthcare QA Analyst – Facets Claims & Medicare

Healthcare Interface Developer [Must have Rhapsody Engine, HL7 v2, CDA, FHIR APIs.] - REMOTE

I want to receive the latest job alert for healthcare edi

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected