Central California Alliance for Health
EDI Analyst III
Central California Alliance for Health - Grizzly Flats, California, United States, 95636
Work at Central California Alliance for Health
Overview
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Overview
We have an opportunity to join the Alliance as a EDI Analyst in the Applications Services Department.
WHAT YOU'LL BE RESPONSIBLE FOR
Reporting to the EDI Manager, this position:
Leads the implementation of new EDI transactions, x12 and proprietary, including data analysis, requirements assessment and gathering, and solution design and testing
Performs deep dive analysis and maintains the accuracy of production healthcare EDI transactionsand processes, including encounter data oversight
Manages relationships with trading partners, such as providers, vendors, and regulatory agencies
Oversees Secure File Transfer Protocol (SFTP) processes to ensure secure transmission of EDI data
Provides subject matter expertise and assists with providing mentoring and training
ABOUT THE TEAM The applications we build, purchase, integrate and customize are what allows the Alliance staff, members, and providers to connect with each other effectively and efficiently in order to optimize health care delivery. Deploying these tools is just one phase of our ongoing work. We also focus on health care technology innovation in line with the ever-changing health care landscape THE IDEAL CANDIDATE Experience working in a Medi-Cal and/or Medicare environment Experience managing SFTP file transfers and ensuring secure data transmission acrosshealthcare EDI transactions Thorough knowledge of advanced SQL Thorough knowledge of healthcare business analysis
WHAT YOU'LL NEED TO BE SUCCESSFUL To read the full position description, and list of requirementsclick here. Knowledge of: HIPAA EDI protocols Current technology transmissions and receipt methods and the requirements of electronic data submissions Software product lifecycle management, from defining requirements to implementation
Ability to: Manage multiple projects simultaneously, organize work, maintain accurate records, respond to changing priorities, and achieve goals and timelines Define issues, collect and interpret complex data, develop solutions, project consequences of recommendations, and prepare written reports Demonstrate flexibility and creativity, identify improvements to existing practices, and effectively adapt to change
Education and Experience:
Bachelor's degree in Information Technology, Computer Science, Computer Engineering, Healthcare or a related field and a minimum of five years of business analysis experience in a Medi-Cal or managed care environment (a Master's degree may substitute for two years of the required experience); or an equivalent combination of education and experience may be qualifying
OTHER INFORMATION We are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams. While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected. In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.
The full compensation range for this position is listed by location below.
The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location). Typical areas in Zone 1: Bay Area, Sacramento, Los Angeles area, San Diego area Typical areas in Zone 2: Fresno area, Bakersfield, Central Valley (with the exception of Sacramento), Eastern California, Eureka area Zone 1 (Monterey, San Benito and Santa Cruz) $86,203.56—$137,945.60 USD Zone 2 (Mariposa and Merced) $78,445.54—$125,528 USD OUR BENEFITS Available for all regular Alliance employees working more than 30 hours per week.Some benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance. Medical, Dental and Vision Plans Ample Paid Time Off 12 Paid Holidays per year 401(a) Retirement Plan 457 Deferred Compensation Plan Robust Health and Wellness Program Onsite EV Charging Stations
ABOUT US We 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 members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at our Fact Sheet . The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer 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 any type of employer supported or provided sponsorship.
ABOUT THE TEAM The applications we build, purchase, integrate and customize are what allows the Alliance staff, members, and providers to connect with each other effectively and efficiently in order to optimize health care delivery. Deploying these tools is just one phase of our ongoing work. We also focus on health care technology innovation in line with the ever-changing health care landscape THE IDEAL CANDIDATE Experience working in a Medi-Cal and/or Medicare environment Experience managing SFTP file transfers and ensuring secure data transmission acrosshealthcare EDI transactions Thorough knowledge of advanced SQL Thorough knowledge of healthcare business analysis
WHAT YOU'LL NEED TO BE SUCCESSFUL To read the full position description, and list of requirementsclick here. Knowledge of: HIPAA EDI protocols Current technology transmissions and receipt methods and the requirements of electronic data submissions Software product lifecycle management, from defining requirements to implementation
Ability to: Manage multiple projects simultaneously, organize work, maintain accurate records, respond to changing priorities, and achieve goals and timelines Define issues, collect and interpret complex data, develop solutions, project consequences of recommendations, and prepare written reports Demonstrate flexibility and creativity, identify improvements to existing practices, and effectively adapt to change
Education and Experience:
Bachelor's degree in Information Technology, Computer Science, Computer Engineering, Healthcare or a related field and a minimum of five years of business analysis experience in a Medi-Cal or managed care environment (a Master's degree may substitute for two years of the required experience); or an equivalent combination of education and experience may be qualifying
OTHER INFORMATION We are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams. While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected. In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.
The full compensation range for this position is listed by location below.
The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location). Typical areas in Zone 1: Bay Area, Sacramento, Los Angeles area, San Diego area Typical areas in Zone 2: Fresno area, Bakersfield, Central Valley (with the exception of Sacramento), Eastern California, Eureka area Zone 1 (Monterey, San Benito and Santa Cruz) $86,203.56—$137,945.60 USD Zone 2 (Mariposa and Merced) $78,445.54—$125,528 USD OUR BENEFITS Available for all regular Alliance employees working more than 30 hours per week.Some benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance. Medical, Dental and Vision Plans Ample Paid Time Off 12 Paid Holidays per year 401(a) Retirement Plan 457 Deferred Compensation Plan Robust Health and Wellness Program Onsite EV Charging Stations
ABOUT US We 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 members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at our Fact Sheet . The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer 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 any type of employer supported or provided sponsorship.