58 applicants

Company

MultiPlan · 18 hours ago

Client Implementation Analyst III (EDI)

United States

Full-time

Remote

Mid, Senior Level

5+ years exp

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H1B Sponsor Likely

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Responsibilities

Manage the efforts to fulfill a client request to access MultiPlan Products, and to customize how they access/utilize MultiPlan Products using EDI and Web Services claims processing workflows. It includes but is not limited to the below

Understanding client needs

Researching current client setup & claim processing rules

Designing the quickest and most efficient solution

Communicating effort, timelines, risk and client impact

Implementing the solution and validating that it works as intended

Performing end-to-end client-facing and regression testing

Enabling client solution in the production environment

Monitoring/Reporting/Turnover to Production Support

Act as the primary liaison between business and technical teams.

Build and maintain positive working relationships with internal colleagues (including IT, Sales and Marketing, and Operations) and external contacts.

Manage and coordinate IT deliverables to both internal and external stakeholders

Participate in implementation meetings with clients and vendors committed to establishing a partnership with MultiPlan.

Provide HIPAA-compliant guidance to clients requesting additional information about MultiPlan requirements and industry standards for EDI protocols.

Ensure proper setup of all systems that support file transfer and claims processing between MultiPlan and clients.

Work on standard as well as custom, non-standard projects on a daily basis including implementing clients who send proprietary format claim files.

Conduct necessary testing and in-depth analysis to resolve any potential issues prior to rolling clients into the production environment.

Constructively present testing results and propose adjustments that will improve service delivery to our clients and strengthen our ongoing partnership.

Monitor, audit, and report on the processing of newly implemented clients/features to confirm their successful transition to the production environment.

Support testing for rollouts of new products as well as internal system migrations.

Proactively prioritize, communicate, and resolve any process or system issues.

Analysis and reporting on client enquiries. Finding gaps and proposing viable solutions.

Manage requests and incidents using problem solving and critical thinking abilities

Promptly triage and resolve escalated EDI issues called into the Multiplan Service Desk.

Independently build and manage the monitoring requirements of clients on a daily, weekly and monthly basis.

Communicate system and interface availability, modifications, and problems to internal and external stakeholders as needed and according to established policies and procedures.

Support clients with their non-standard requests for ad hoc reports, testing analysis and other technical deliverables.

Implement process improvements to enhance the efficiency of claims workflows.

Partner with other IT teams to implement enhancements and defect fixes.

Report progress & measurements of implementation success to clients and all stakeholders.

Perform routine and ad hoc analysis of various facets of claims processing including but not limited to system performance, claim turnaround times, data mapping, and claim volumes.

Analyze data to identify potential process improvement opportunities.

Perform gap analysis, communicate and implement potential solutions.

Proactively remain informed on ever changing client specific business rules to ensure accuracy.

Prepare and maintain documentation that defines operational procedures, describes client requirements, and share relevant analysis outcomes with internal and external stakeholders.

Contribute to building and maintenance of knowledge repository on processes and procedures on a regular basis.

Present information learned as part of daily work with the larger team.

Exhibit excellent team work

Provide coverage and support for other team members as well as leads/managers.

Support Manager with team goals and corporate strategies.

Support deployment activities during release weekends if needed.

Good leadership and decision making skills

Train, mentor and coach junior team members.

Handle escalated issues and enquiries from less experienced team members.

Consistently articulates ideas, opinions and information and shares this in a timely manner with others.

Collaborate, coordinate, and communicate across disciplines and departments.

Ensure compliance with HIPAA regulations and requirements.

Demonstrate Company's Core Competencies and values held within.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

EDIHealthcare IT claims processingSQL queriesHIPAA EDI protocolsWeb Services/XML transactionsFTPJIRAService NowConfluenceTableauSpecbuilderBeyond CompareUltraeditTextpadNotepad++Customer service skillsInternet applicationsHealthcare Business SystemsMapping toolsProject ManagementMentoring experienceTechnical writing

Required

Minimum Bachelor's Degree, or HS Diploma and 4 years of related experience

Minimum 5+ years progressively responsible experience in a technical production or applications support role

Required licensures, professional certifications, and/or Board certifications as applicable

At least 3 years experience with EDI or similar file transfer protocols

Solid understanding of Healthcare IT claims processing including FTP (File transfer protocols)

EDI and Web Services/ XML transactions

Knowledge of HIPAA EDI 5010 X12 Transactions, 835, 837P and 837I

Advanced ability to create SQL queries utilizing multiple tables and datasets to analyze and evaluate EDI data within an Oracle database

Experience working with MS Word, MS Excel, PowerPoint

Exceptional analytic and troubleshooting skills

Superior customer service skills, preferably in a technical implementation capacity

Ability to work independently and as a member of a team

Clear and concise verbal and written communication skills

Clear understanding and working knowledge of HIPAA EDI protocols

In-depth understanding of x12 specifications

Ability to juggle multiple requests at once

Preferred

Text editors like Ultraedit, Textpad, Notepad++

Applications like Specbuilder, Beyond compare, Tableau

Project Management experience

Understanding of internet applications and networks

Knowledge of Healthcare Business Systems

Experience with mapping tools such as Gentran, Pervasive or Claredi

Experience managing customer and/or vendor relationships

Mentoring experience

Technical writing experience

Ability to think creatively

Able to manage in an environment of changing

Company

MultiPlan

Glassdoor

3.8

MultiPlan operates regional preferred provider organization (PPO) networks that provide various healthcare cost management solutions.

Founded in 1980

New York, New York, USA

1,001-5,000 employees

https://www.multiplan.us/

H1B Sponsorship

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Distribution of Different Job Fields Receiving Sponsorship

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Trends of Total Sponsorships

2023 (32)

2022 (37)

2021 (46)

2020 (28)