SalinasRecruiter Since 2001
the smart solution for Salinas jobs

EDI Analyst III

Company: Central California Alliance for Health
Location: Salinas
Posted on: October 8, 2019

Job Description:

We have an opportunity to join the Alliance as an Electronic Data Interchange (EDI) Analyst III in the Product Management Department.Please note: There is one position available and it can be filled in any of our offices: Merced, Salinas or Scotts Valley.

WHAT YOU'LL BE RESPONSIBLE FORReporting to the Analytics Manager, you will perform complex analysis and will be responsible for the solution design, development, testing, maintenance, and support for EDI interfaces and systems, both to and from the Alliance's trading partners and core business systems. You will support operational strategic objectives by analyzing business processes and functions, ensuring compliance with CAQH CORE Operating Rules, HIPAA and X12 standards and guidelines, gathers data, and evaluates input and output requirements and formats to formulate and implement final recommended solutions. You will research and resolve EDI errors and internal and external escalations regarding complex EDI related issues. You will prepare reports and diagrams and maintain companion guides and other supporting documentation by collecting, analyzing, and summarizing information and trends.

WHAT YOU'LL NEED TO BE SUCCESSFUL

To read the full position description, and list of requirements click here.



  • Knowledge of:





    • ANSI X12 5010 837P, 837I, 835, 270/271, 274, 276/277 files and 999 Acknowledgment, 277CA, 278 and 834 transaction sets
    • Formal testing methodology, the principles and practices of test plan development and execution and documentation of test results
    • Current technology transmissions and receipt methods and the requirements of electronic data submissions
    • Software product lifecycle management from defining requirements to implementation
    • Advanced SQL
    • Data visualization concepts


    • Ability to:



      • Manage multiple projects simultaneously, organize work, maintain accurate records, respond to changing priorities and achieve goals and timelines
      • Track EDI issues, perform critical analysis of EDI issues and test results and deliver plans for resolution and solutions to problems
      • Manage and monitor the quality and timeliness of subcontractor's data submissions
      • Work collaboratively with individuals at all levels in a matrix organization while supporting stakeholders
      • Collaborate with project leads, business analysts, end users and third party contractors to design, develop, test, implement and document healthcare EDI solutions in an efficient and timely manner
      • Define issues, collect and interpret complex data, and develop solutions, project consequences of recommendations and prepare written reports




      • Education and Experience:



        • Bachelor's degree in Information Technology, Computer Science, Computer Engineering, Healthcare or a related field
        • A minimum of five years of business analysis experience in a Medi-Cal or managed care environment; or an equivalent combination of education and experience may be qualifying





          OUR BENEFITS



          • Medical, Dental and Vision Plans
          • Ample Paid Time Off
          • 11 Paid Holidays per year
          • 401(a) Retirement Plan
          • 457 Deferred Compensation Plan
          • Robust Health and Wellness Program
          • EV Charging Stations
          • And many more


            ABOUT USWe are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.

            Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve over 330,000 members in Santa Cruz, Monterey and Merced counties. To learn more about us, click here or check out this video.

            At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for sponsorship.

Keywords: Central California Alliance for Health, Salinas , EDI Analyst III, Professions , Salinas, California

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Professions Jobs


Hiring Class A Company Drivers
Description: HIRING COMPANY FLATBED DRIVERS REGIONAL AND OTR POSITIONS AVAILABLE VOTED 2018 BEST FLEET TO DRIVE FOR BEST OVERALL FLEET FOR SMALL CARRIER CDL A TRUCK DRIVER BENEFITS: Solo Driver Weekly Salary of (more...)
Company: Central Oregon Truck Company
Location: Salinas
Posted on: 10/15/2019

Local City Driver (Full-Time)
Description: JOB SUMMARY br br Reddaway, one of the fastest growing regional LTL transportation providers, is a team-oriented company looking for a Pick-up and Delivery Driver to safely and efficiently operate (more...)
Company: Reddaway
Location: Tracy
Posted on: 10/15/2019

CDL-A Company Auto Hauler Truck Driver
Description: Earning Potential 2,000 /Week as a CDL-A Company Auto Hauler Truck Driver in California At Hansen Adkins, we are committed to offering California CDL-A drivers the
Company: Hansen & Adkins Auto Transport
Location: Gilroy
Posted on: 10/15/2019


CDL-A Driver - Recent Grads Welcome - Great Benefits!
Description: We set you up for successCRST supports and values our drivers and their accomplishments. Our hands-on approach provides 28 days of individual on-the-road training from a seasoned driver. We also offer (more...)
Company: CRST EXPEDITED
Location: Ceres
Posted on: 10/15/2019

ELECTRICIAN - Merced
Description: MERCED IRRIGATION DISTRICTELECTRICIANFLSA STATUS-Non ExemptBargaining Unit- IBEW, Local 1245 25,1556 to 33.4175 - Grade 21The Merced Irrigation District MID , located in California's agriculturally-rich (more...)
Company: Merced Irrigation District
Location: Merced
Posted on: 10/15/2019

Forklift Operator, 1st Shift
Description: DHL Supply Chain Forklift Operator, 1st Shift Ref 3496654 Tracy, CA 95304 -- Virtual Job Tryout: After completing your application, DHL Supply Chain asks that you also complete a Virtual Job Tryout (more...)
Company: DHL - Supply Chaing
Location: Stockton
Posted on: 10/15/2019

Seeking Regional CDL-A Company Drivers in Tracy, CA - Great Pay! (Turlock)
Description: REGIONAL COMPANY DRIVERS IN TRACY, CAPacific Drayage Services is seeking Regional Company Drivers for our Tracy, CA Terminal.Join a Stable Company with Consistent Freight Get Paid 1,000 sign-on bonus (more...)
Company: IMC Companies - PDS - Pacific Drayage Services
Location: Turlock
Posted on: 10/15/2019

Diesel Fleet Technician III - Master
Description: Job Description: br To provide safe, reliable and cost efficient vehicles by performing quality preventive maintenance inspections and repairs as well as performing expert diagnosis and repair as required (more...)
Company: Sysco Corporation
Location: Ceres
Posted on: 10/15/2019

Warehouse Disposition Specialist
Description: Skills - Communication Skills - Non-CDL Class C - Forklift - Driver's License - Microsoft Office IAM Hourly represented employees who currently work at the main Sunnyvale/Palo Alto unit, Santa Cruz, (more...)
Company: Lockheed Martin Corporation
Location: Sunnyvale
Posted on: 10/15/2019

Order Mgmt Analyst, I
Description: Job Description and Requirements br Job Overview br The primary focus of this role within Worldwide Order Management is to provide timely license key fulfillment for non-standard contracts and legacy (more...)
Company: Synopsys
Location: Sunnyvale
Posted on: 10/15/2019

Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

Salinas RSS job feeds