• Partners with Logistics and IT to on-board new carriers and 3rd party providers to the EDI program.
• Sends and receives test data, and reviews data for compliance to requirements.
• Responsible for the review and enforcement of compliance to EDI program with a focus on identifying and determining systemic vs. operational EDI issues.
• Researches and executes action plan to address technical EDI issues with trading partners.
• Escalates operational EDI issues to appropriate business partners, while continuing to support
• Develops, maintains and conducts training and provides support to EDI program.
• Explains the impact and importance of specific data elements to ensure successful and timely EDI transmissions, respond to EDI questions, and provide additional 1:1 support.
• Builds relationships and partnerships with Logistics Operations, Freight Payment, Carrier Management, IT, and external trading partners.
• Supports the documentation of current processes and mapping requirements around EDI, identifying process improvement areas.
• Develops, analyzes, and publishes exception reporting.
• Makes recommendations to enhance systems and provide more effective and actionable reporting.

Skills: EDI Integration, Data Compliance, Issue Resolution, Cross-Functional Collaboration, EDI Training, Process Documentation, Exception Reporting, Issue Escalation

• Analyzes benefits plan data to identify population risk, clinical and financial trends, and utilization trends.
• Works with sales and service team to develop actionable items to mitigate client claims costs.
• Creates/updates employer dashboard reports with summary clinical and financial data.
• Provides ad hoc queries to support sales and support teams.
• Works with carriers and other administrators to obtain data required for analysis.
• Presents plan performance reports to clients on a regular basis.
• Cultivates and manages relationships with third-party administrators and insurance carriers regarding data. 
• Responsible for integrating new retailers into the updated MS Dynamics 365 ERP System
• Create and set up new EDI transactions for new customers while monitoring EDI transactions from existing trading partners.
• Resolve existing EDI issues and create new algorithms to automate manual processes within the EDI tool
• Responsible for leading the EDI initiative and being the "go-to" resource for any EDI-based questions or concerns.

Skills: Data Analysis, Client Cost Mitigation, Dashboard Reporting, Ad-hoc Query Support, Carrier Collaboration, Plan Performance Reporting, Relationship Management, EDI Management

• Facilitate the collection of all integration requirements to accurately determine communication and messaging needs, define project scope and generate implementation contracts.
• Design, document and maintain EDI maps to ensure compliance with the gathered business requirements and processes.
• Perform system configuration, mapping, management and support of the EDI relationships and communication between customers and data-trading partners.
• Responsible to direct and track project status from inception through to final delivery, regularly updating all external stakeholders and internal teams on project status.
• Interface between data-trading partners and external third-party teams, analyze and fully understand EDI specifications and guidelines, and observe data exchanged to certify that requirements have been met while also recognizing any data errors or EDI mapping faults.
• Manage all EDI testing, plan all EDI-related customer deployments and upgrades, and coordinate go-live timing with all data-trading partners and third-party vendors.
• Embrace a collaborative, teamwork approach to achieve team goals within the EDI department.
• Assist with troubleshooting to resolve any discovered or reported EDI system deficiencies.
• Architect, Design and Develop, Deploy and Manage data exchange interfaces
• Provide guidance and advice on data exchange/EDI strategy, techniques, technologies, and implementations

Skills: Integration Requirements, EDI Mapping, System Configuration, Project Tracking, EDI Specifications Analysis, EDI Testing, Team Collaboration, EDI Troubleshooting

• Serve as liaison between all divisional trading partners and business functional areas.
• Manage large EDI projects, including conversions and upgrades.
• Create and administer dashboards and reports on the EDI platform provided by the EDI managed services partner that allows for easy identification of EDI problems or failures requiring investigation or mitigation.
• Create and maintain EDI-specific documentation to support the management of a large trading partner community, transaction base and EDI project portfolio.
• Analyze and model the business processes and assist in the creation of workflows and technical requirements fulfilled by existing and proposed business solutions or applications.
• Develop data exchange and interface scripts
• Responsible for the implementation of Electronic Data Interchange
• Work with data partners to understand, analyze, define requirements, and develop EDI mappings
• Work with enterprise architects and strategists to define EDI roadmap and architecture
• Provides solutions to improve efficiency (e.g., reduce costs while maintaining or improving performance levels).
• Perform system analysis, design, and integrations for migration of legacy EDI solutions to modern
• Demonstrates excellent writing and oral communications

Skills: Liaison Management, EDI Project Management, Dashboard & Report Creation, EDI Documentation Management, Business Process Modeling, Data Exchange Development, EDI Implementation, Enterprise Architecture Collaboration

• Analyze and document business needs related to electronic data interchange.
• Develop, configure, test, maintain, and enhance healthcare EDI transactions to and from trading partners.
• Support day-to-day operations of EDI, including identifying any technical problems with sending/receiving transactions such as claims, encounters, enrollment, provider data, authorization data and clinical data.
• Coordinate with partners, health plans, providers, vendors and internal departments to address new setup and technical issues related to EDI.
• Review electronic data received from partners/providers/vendors to ensure the presence and accuracy of critical data elements.
• Analyze and correct data issues related to inbound claims and enrollment transactions, outbound encounters and redirected claim transactions.
• Implement new and updated existing Companion Guides and Trading Partner Agreements.
• Respond to ad-hoc data requests from the trading partners.
• Organizes transaction flows between internal and external systems.
• Documents transaction maps and flows.
• Maintain and update related documentation of policy and procedure.
• Administration of all clearinghouse and health plan EDI websites.
• Creates reports to monitor data accuracy and statistics.

Skills: Business Needs Analysis, Healthcare EDI Management, EDI Operations Support, Partner Coordination, Data Accuracy Review, Data Issue Resolution, Companion Guides & Agreements, Transaction Flow Management

• Experience in operations support with EDI and API deployment
• Strong communication skills and ability to interface with both internal and external parties, both written and oral
• Understanding of APIs
• Understanding of EDI (EDIFACT and ANSI x12)
• Familiarity with project management applications (such as Jira) a plus
• Experience as a Business Analyst for Order Management processes
• Knowledge of managing requirements and implementing system solutions in areas of Order Management
• Ability to drive cross-functional discussions across global business groups and IT independently
• Detail-oriented and demonstrate the ability to analyze problem statements
• Experience working in Agile Methodology (nice to have)
• Ability to read/write/speak English and local language
• Able to work with little direction

Qualifications: BA in Information Systems with 3 years of Experience

• Able to lead teams, not reporting to them
• Developed problem-solving and analytical skills
• Broad knowledge of the end-to-end process of sales/global/customer operations
• Demonstrated teamwork and collaboration skills
• Time Management, Negotiation and Influencing skills
• EDI and/or API expertise/experience (externally exposed)
• CXML, OSV, SAP / S4 knowledgeable
• Global expertise on Order management 
• HPE customer operations - (Quoting and pricing process knowledge, Order management, sales comp)
• Supply Chain / Regional service provider (RSP)
• MS Office (Excel, PPT, Outlook, Visio, Sharepoint)
• EDI and/or API Knowledge (externally exposed)
• Experience with Online / B2B e-commerce

Qualifications: BS in Computer Science with 4 years of Experience

• Ability to analyze complex problems, identify critical elements and alternatives and implement the most appropriate solution. 
• Ability to provide leadership and creative thinking to solve complex problems in a collaborative fashion. 
• Ability to react with a sense of urgency and consistently offer solutions by using data and independent judgment. 
• Ability to think clearly and strategically under pressure while managing multiple tasks
• Ability to communicate complex issues directly to customers, sales, internal staff and other departments with little supervision.
• Ability to follow policies and procedures
• Ability to support organizations' goals and values. 
• Skillfully applies new technical knowledge toward innovation and performance improvements
• Demonstrates the ability to learn new technical skills and incorporate them into the job
• Comfortable with an Oracle system
• Works very well under time deadlines and pressure
• Strong organizational and multi-tasking skills, with an ability to critically examine processes to make improvements in efficiency and quality of service
• Keeps detailed and accurate records
• Excellent written communication skills
• High sense of urgency and excellent customer service skills

Qualifications: BA in Business Administration with 5 years of Experience

• Experience working with different EMR vendors and/or Labs on connectivity projects
• Strong communication skills, both written and verbal
• Possess strong organizational and customer service skills
• Comfortable working under minimal supervision
• Ability to handle multiple tasks simultaneously
• Ability to work independently or in a team environment
• Proficient with Microsoft Office Suite applications (Word, Excel, PowerPoint, Access)
• Experience in Purchasing, Customer Operations, Transportation, Warehousing, Manufacturing, IT, QA, Analytics.
• Ability to coordinate and positively influence indirect reports.
• Understanding of Database functions.
• Ability to read and troubleshoot EDI specification and raw data.
• Ability to Execute GS1 Standards.
• Understanding of the following Adobe, Word, Excel, SQL, Project, PowerPoint, Access, Outlook, Publisher, Crystal Reports/BI, Visio, ASI, SDS, SharePoint, Domo, Tableau, as well as various ERP, WMS, TMS, and Manufacturing Software.

Qualifications: BS in Management Information Systems with 6 years of Experience

• Demonstrated ability to understand business/customers' needs and elicit user requirements in order to provide relevant business solutions together with IT Service Providers
• Ability to work with deadlines and under time pressure
• Strong interpersonal skills to communicate and collaborate with all levels of organization and external parties (customers, suppliers, partners)
• Ability to get work done through others.
• Excellent teamwork skills.
• Knowledge related to business process mapping, data modeling
• Knowledge related to EDI mapping specification for the development team and readiness to act as a subject matter expert for co-workers in this area
• Broad knowledge of business supporting technologies such as EDI, XML, web services
• Familiarity with EDI messaging industry standards (EDIFACT, PapiNet, UBL, xCBL, IDoc) and transmission methods (AS2, HTTPS, SFTP, X400)
• Experience in order management, invoicing and supply-chain-related processes
• Ability to display and use excellent discretion and judgment, and must be able to maintain confidential information
• Strong MS Office Suite knowledge, namely MS Excel
• Knowledge of insurance administration practices, benefits administration and enrollment lifecycle
• Excellent project management experience with demonstrated end-to-end results

Qualifications: BA in Electronic Commerce with 5 years of Experience