Job Location: Remote
JOB DESCRIPTION
The Senior Electronic Data Interchange (EDI) Analyst is responsible for managing the electronic file set-up for both external and internal customers. This role encompasses the entire development life cycle – requirements gathering, mapping, coding, testing/validation, production. The Senior Analyst acts as liaison between Delta Dental IT and the internal business during enterprise-wide initiatives related to the exchange of electronic data. In addition, this position serves as the primary stakeholder for EEP (Electronic Enrollment Process) as well as EEP associated tools and products.
RESPONSIBILITIES
Implement new feeds through file development life cycle (requirements gathering, mapping, coding, testing, production); creates reformat conversion programs, data mapping routines and code development
Provide support for newly-created feeds until the feed is turned over to assigned EDI Analyst team member for ongoing support
Act as SME representing EDI in feasibility reviews; provide direction to Sales/Onboarding team in handling unique requirements for enrollment/billing/claims/reporting needs
Support EDI Analyst team members and act as consultant for solving file issues as well as file enhancements; assist in providing training and development for EDI Analyst, as requested
Work with IT Development as required by providing business/processing requirements, test cases, test data etc.
Support new product development where there is an EDI impact, attending/participating in conference calls, and gathering requirements
Continuously analyze the EDI transaction process, including setup, configuration, and structure, in order to meet technical compliance standards and to ensure appropriate operating processes are followed; identify process improvements
Document all EDI solutions for system development life cycle, maintain all documents specifications, and develop various transaction specifications per requirements
Assess new tools and/or product releases that have a direct impact on the Electronic Enrollment Process
Act as a primary point of contact for EEP enhancements. Enhancements may involve user and functional requirement adds/changes/deletions and their impact on Delta Dental Standards (i.e. Enterprise Standard File Layout) as well as enhancements to tool/programs (i.e. EEP Console, Metavance)
QUALIFICATIONS
Bachelor’s degree
Minimum of 3 years’ experience in file processing and electronic transactional environments
Expert knowledge and experience with ANSI formats
Strong analytical, problem-solving and logical reasoning skills
Ability to work independently and make decisions with limited oversight
Knowledgeable in Stylus/coding
Ability to multi-task while maintaining excellent attention to detail
Strong organizational/time management skills with the ability to adhere to deadlines and adapt to change in work and priorities
Excellent customer service skills
Ability to maintain confidentiality
Strong interpersonal, written and verbal communication skills
Ability to interact well with management, all level of employees and outside contacts including vendors, consultants, auditors, etc.
Ability to perform in a high paced environment with multiple priorities
ADDITIONAL INFORMATION
Rewards to make you smile! We don’t just want to make our customers happy – we want to give our employees a reason to smile, too. Delta Dental’s comprehensive benefits package includes:
Generous paid time off plus 12 holidays and your birthday off!
Low-cost premium medical insurance options
100% paid dental and vision insurance
Generous 401(k) matching and flat contribution
Social responsibility and volunteer opportunities, including 16 paid volunteer hours annually
Employee LiveWell program, focusing on overall employee well-being
Fertility and diabetes benefits
Employee discount program: AT&T/Verizon, entertainment, travel, and more!
Culture of learning: career development and tuition reimbursement
Career growth: we love promoting from within
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Please note, Delta Dental will not sponsor applicants for work visas for this position.
#LI-Hybrid
ABOUT THE TEAM
At Delta Dental, our success is only as strong as the people who execute it! We take enormous pride in being the nation’s most recognized and widely-used provider of dental insurance – and we’ve come this far by living our core values of innovation, excellence, service and trust. Our vision is to motivate and empower every employee so that we’re all inspired to take exceptional care of our customers, providers and ourselves. We believe in integrity, accountability, collaboration, and giving every employee equitable opportunity for their voice to be heard and development to be fostered.
If you’re excited about the prospect of transforming the future of health care and growing in your career, join our smile revolution!
To see some of the smiling faces behind Delta Dental and to learn more about what our values and culture look like in action, connect with us on social media: Delta Dental Ins. on Facebook and Instagram, #LifeatDDins on Facebook and Instagram , Delta Dental Ins. on Twitter and Delta Dental Ins. on LinkedIn .
We are part of the Delta Dental Plans Association, a network of companies that provides dental coverage to 74 million people in the U.S. Delta Dental of California, Delta Dental of New York, Inc., Delta Dental of Pennsylvania and Delta Dental Insurance Company, together with our affiliate companies, form one of the nation’s largest dental benefits delivery systems, covering 33 million enrollees. All of our companies are members, or affiliates of members, of the Delta Dental Plans Association, a network of 39 Delta Dental companies throughout the country.
Delta Dental is an equal opportunity employer. We are committed to building and maintaining a diverse and inclusive workplace for all employees. Applicants will not be discriminated against because of race, color, religion, creed, national origin, ancestry, citizenship status, sex (including pregnancy), sexual orientation, gender or identity expression, age, disability, marital status, medical status, veteran status or any other status protected under federal, state, or local law. In addition to federal law requirements, Delta Dental complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Unfortunately, our Delta Dental Enterprise is unable to hire individuals residing in Alaska, North Dakota, Nebraska, Hawaii, Oklahoma, Vermont, Maine, West Virginia, New Hampshire, Wyoming, Puerto Rico or other US Territories at this time.
Proof of eligibility to work in the United States must be provided if selected for hire.
Delta Dental* has enacted a COVID-19 vaccination policy to protect all employees and the communities we serve due to the ongoing impacts of the COVID-19 pandemic. Accordingly, we require all employees to be fully vaccinated for COVID-19. Are you able to comply with our policy of being fully vaccinated by your start date if an offer is made or have a medical or sincerely held religious exemption for receiving a COVID-19 vaccine? Failure to comply with our policy and submit proof of compliance or receive approval for a valid medical or sincerely held religious belief exemption prior to your start date will nullify any offer of employment extended to you.
- Delta Dental includes: Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania, and Delta Dental of New York
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