EyeMed Vision Care · 1 month ago
Analyst- Business Data (EDI Production)
EyeMed Vision Care is part of EssilorLuxottica, a global leader in vision care products. The EDI Production Analyst is responsible for monitoring and resolving daily production membership file exceptions and errors to meet client SLAs and department KPIs, while also supporting daily EDI eligibility file processing and conducting audits.
Responsibilities
Monitors daily production file exception and error triage and implements appropriate resolution within department turnaround standards
Reviews, updates and approves compliance (SSAE/SOC) reporting and other membership processing reports, as needed
Validates completion and accuracy of membership file loads through timely audits of processor activities
Builds and fosters professional relationships with internal/external contacts to effectively communicate and expedite the resolution of file processing issues and to minimize member access to care issues
Performs electronic membership production file processing activities for timely member enrollment into EyeMed systems – including supporting the coordination of file receipt, tracking, loading and reporting of membership data
Understands EDI eligibility file load process, client set-up parameters, and data submission layouts to effectively analyze file issues to determine resolution
Manages and partners with team members to monitor and respond to inquiries received through department shared mailboxes
Able to multi-task and use multiple system applications to execute tasks relative to file
Maintains understanding of all policies, standards of administration, service level agreements, procedures, protocols, compliance, and security guidelines
Qualification
Required
Bachelor's Degree in a related field or equivalent work experience
2+ years EDI experience
Ability to problem solve and troubleshoot electronic data issues
Understands third party benefits and administration
Critical thinking skills and the ability to interpret data results
Ability to analyze and manipulate electronic data
Strong written and oral communication skills
Preferred
2+ years' experience in Data analysis, Business Objects, Visual Basic and/or SQL
Experience in the medical insurance industry
Benefits
Health care
Retirement savings
Paid time off/vacation
Various employee discounts
Company
EyeMed Vision Care
EyeMed Vision Care is a leader in vision insurance benefits. We deliver stand-out vision benefits centered around an outstanding member experience.