Claritev
Client Implementation Analyst III (EDI) Remote
Join to apply for the
Client Implementation Analyst III (EDI) Remote
role at
Claritev . At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is to
bend the cost curve in healthcare
for all. We are committed to service excellence, fostering innovation, nurturing accountability, championing diversity, and empowering our team members. Become part of our transformational journey to become a leading voice in healthcare technology, data, and innovation. Responsibilities
Manage client requests to access and customize Claritev products using EDI and Web Services claims processing workflows. Understand client needs and research their current setup and claim processing rules. Design efficient solutions, communicate efforts, timelines, risks, and client impacts. Implement solutions, validate functionality, and perform client-facing and regression testing. Enable client solutions in production, monitor, report, and support turnover to production support. Act as liaison between business and technical teams, build relationships, and manage IT deliverables. Provide HIPAA-compliant guidance and ensure proper setup of systems supporting file transfers and claims processing. Manage and test non-standard client projects, analyze test results, and improve service delivery. Support testing for new product rollouts and internal migrations. Proactively resolve system issues, analyze client inquiries, and manage requests and incidents. Build monitoring requirements, communicate system status, and support ad hoc client requests. Implement process improvements, collaborate across teams, and ensure compliance with HIPAA. Document operational procedures, share analysis outcomes, and contribute to knowledge repositories. Support team goals, train junior members, and assist with deployment activities. Requirements
Bachelor’s Degree or equivalent experience in healthcare IT. 5+ years experience as a healthcare analyst, with a strong understanding of claims processing and EDI protocols. Knowledge of HIPAA EDI 5010 X12 transactions, SQL, reporting tools, and testing methodologies. Strong analytical, troubleshooting, communication, and leadership skills. Compensation & Benefits
Salary range: $100K-$110K, with health insurance, 401k, bonus, and other benefits such as paid time off, tuition reimbursement, and flexible schedules. Additional Information
This is a high-risk role due to PHI exposure. Claritev is an Equal Opportunity Employer. The application deadline is generally 5 days from posting or as long as the job is active.
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Join to apply for the
Client Implementation Analyst III (EDI) Remote
role at
Claritev . At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is to
bend the cost curve in healthcare
for all. We are committed to service excellence, fostering innovation, nurturing accountability, championing diversity, and empowering our team members. Become part of our transformational journey to become a leading voice in healthcare technology, data, and innovation. Responsibilities
Manage client requests to access and customize Claritev products using EDI and Web Services claims processing workflows. Understand client needs and research their current setup and claim processing rules. Design efficient solutions, communicate efforts, timelines, risks, and client impacts. Implement solutions, validate functionality, and perform client-facing and regression testing. Enable client solutions in production, monitor, report, and support turnover to production support. Act as liaison between business and technical teams, build relationships, and manage IT deliverables. Provide HIPAA-compliant guidance and ensure proper setup of systems supporting file transfers and claims processing. Manage and test non-standard client projects, analyze test results, and improve service delivery. Support testing for new product rollouts and internal migrations. Proactively resolve system issues, analyze client inquiries, and manage requests and incidents. Build monitoring requirements, communicate system status, and support ad hoc client requests. Implement process improvements, collaborate across teams, and ensure compliance with HIPAA. Document operational procedures, share analysis outcomes, and contribute to knowledge repositories. Support team goals, train junior members, and assist with deployment activities. Requirements
Bachelor’s Degree or equivalent experience in healthcare IT. 5+ years experience as a healthcare analyst, with a strong understanding of claims processing and EDI protocols. Knowledge of HIPAA EDI 5010 X12 transactions, SQL, reporting tools, and testing methodologies. Strong analytical, troubleshooting, communication, and leadership skills. Compensation & Benefits
Salary range: $100K-$110K, with health insurance, 401k, bonus, and other benefits such as paid time off, tuition reimbursement, and flexible schedules. Additional Information
This is a high-risk role due to PHI exposure. Claritev is an Equal Opportunity Employer. The application deadline is generally 5 days from posting or as long as the job is active.
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