Collective Health · 13 hours ago
Eligibility EDI Analyst II
Lehi, UT
Full-time
Hybrid
Mid, Senior Level
$36.10/hr - $45.10/hr
3+ years expCollective Health is transforming how employers and their people engage with their health benefits by integrating technology and compassionate service. As a Senior EDI Analyst, you will manage complex data integrations and processes vital to healthcare operations, while mentoring team members and collaborating cross-functionally to drive quality and efficiency in file management processes.
Health CareHealth InsuranceInsurTech
Responsibilities
Own and manage the success of daily eligibility file processes and data management, ensuring smooth and accurate exchanges across the Collective Health platform
Leverage deep knowledge of file formats and data flows to monitor, troubleshoot, and resolve daily exceptions and errors effectively
Oversee operational ticketing systems, ensuring timely resolution of issues and team performance in alignment with SLAs
Take ownership of complex tasks and deliverables, including tasks like MA 1099s and Medicare reporting, ensuring accuracy and compliance
Navigate daily responsibilities with minimal oversight, applying expertise to independently handle challenges and deliver results
Continuously refine and improve processes, workflows, and documentation to enhance team efficiency and operational quality
Mentor and train team members, fostering the growth of their knowledge and understanding to elevate overall team performance
Lead root cause analysis for escalated issues, driving corrective actions and continuous improvements
Collaborate with internal teams (e.g., Product, Engineering, Implementation) and third-party partners to support and enhance existing integrations while overseeing the Implementation of new integrations—handling requirements gathering, file build coordination, testing, and go-live activities
Prioritize high-quality work and scalability, ensuring that systems and processes are optimized to accommodate growing business needs and evolving challenges
Qualification
Required
3 to 5 years experience working with EDI files in healthcare
Proficiency in Microsoft Excel and Google Workspace (G-Suite) for data analysis, documentation, and collaboration
Strong cross-functional collaboration skills with a proven ability to work effectively across technical, operational, and client-facing teams
Advanced problem-solving and analytical thinking skills, with the ability to identify root causes and implement effective, scalable solutions
Experience mentoring peers and delivering training to support team development and knowledge sharing
Advanced EDI expertise, including system configuration, data mapping, file testing, and reconciliation across partner integrations
Knowledge of data architecture with the ability to work with large datasets
Background in technical, service-oriented environments with a strong focus on accuracy, customer impact, and operational excellence
Exceptional task and time management skills, with the ability to prioritize effectively and manage multiple complex initiatives
Proactive and clear communicator with demonstrated experience keeping stakeholders and leaders informed on status, risks, and decisions
Strong understanding of eligibility and healthcare benefits data, with hands-on experience in the healthcare or benefits administration industry
Preferred
Foundational knowledge of SQL and Python and able to contribute to process automation or analysis
Benefits
20,000 stock options
Health insurance
401k
Paid time off
Company
Collective Health
Collective Health is a modern TPA integrating plan admin, navigation and advocacy to deliver a better health benefits experience for all.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
$725MKey Investors
Health Care Service CorporationSoftBank Vision FundNew Enterprise Associates
2021-05-04Series F· $280M
2019-06-17Series E· $210M
2018-02-28Series D· $110M
Leadership Team
Ali Diab
CEO & Co-Founder
Scott Murray
Chief Operating Officer
Recent News
Company data provided by crunchbase