Technical EDI Analyst (Remote)

Delivers standard system and data analysis on EDI transactions (835, 837, 275, 270/71, 276/77, etc.) and helps with tools and technology implementations. Facilitate and coordinate building, document, and review of system, and data analysis techniques, methods, tools, process, and systems. Facilitate and coordinate data collection capabilities through collaboration with internal and external teams. Works closely with cross-departmental, peers, and internal team members. Be a liaison to the Business and technical team. Engage with Trading partners to provide EDI support., * Identify, analyze gaps and document analysis conducted on software programs, applications, infrastructure and systems and services.

• Collaborates with internal departments and end users with the pre-defined scope.
• Collects data and conducts analysis for system and enhancement through collaboration with organizational teams.
• Drives implementation of changes for application, system, Infrastructure and services to meet organization needs.
• Coordinate and facilitate activities related to evaluate and recommend new tools or platforms or services to achieve organization goal., * Our History
• Awards & Recognition
• Corporate Offices & Locations
• Service Area Map
• News Releases
• Cybersecurity
• Doing Business with CareFirst
• Transforming Healthcare
• Mission Report
• Community Partnership

Careers

• Jobs at CareFirst
• Join Our Team
• Why Work at CareFirst
• Internships

Legal & Mandates

• ACA Rate Increase Justification
• Patient Rights & Responsibilities
• HIPAA
• Health Care Fraud Prevention
• Member’’s Privacy Policy
• Quality Improvement
• Transparency in Coverage
• Mental Health Parity
• MD Proposed Rate Increase Law
• Virginia Claims or Coverage Denials
• Machine Readable Data
• Nondiscrimination Notice and Foreign Language Assistance
• Summary of Preventive Services

Media

• Multimedia Resources
• Healthcare Resources
• Media Inquiries, Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. To comply with this law, CareFirst must collect information regarding an employee’s identity and employment eligibility and document that information on a document referred to as Form I-9, Employment Eligibility Verification, no later than three business days from when the employee begins work for pay. If you are hired, you will be required to provide certain information on the form necessary to establish your identity and eligibility to work in the United States and certain required supporting documents.

Electronic Data Interchange (EDI), Analysis Skills, Electronic Data Interchange (EDI), Analysis Skills, Search Technology, Information Technology & Information Systems, Data Analysis, Data Collection, Systems Analysis, Process Improvement, Education Level: Bachelor’’s Degree in Computer Science, Information Technology, or related field OR in lieu of a Bachelor’’s degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Experience: 3 years relevant system/technical analysis.

Knowledge, Skills and Abilities (KSAs)

• Ability to motivate self and foster a culture of continuous improvement and agile execution.
• Knowledge of system or analysis methods and evaluation criteria.
• Knowledge of application development, application/data architecture, Infrastructure, systems and processes.
• Knowledge of system analysis tools and techniques.
• Strong interpersonal skills and ability to work in a team-based environment.
• Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

Salary Range: $64,944 - $128,986

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’’s work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case’’s facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Federal Disc/Physical Demand

Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship, * Español

• Tagalog *

• Ting Vit

Connect with us:

Serving Maryland, the District of Columbia, and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc. and CareFirst Advantage DSNP, Inc. CareFirst BlueCross BlueShield Community Health Plan Maryland is the business name of CareFirst Community Partners, Inc. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. BLUE CROSS, BLUE SHIELD and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.

Check your status.

• Home
• Jobs
• Our Teams
• Talent Network
• CareFirst Talent Network
• IT Talent Network
• Health Services Talent Network
• Veterans Talent Network
• Why CareFirst
• Our People, Our Strength
• Our Commitment to Our Community
• Our Commitment to Health & Wellness
• Our Benefits
• Internships
• Veterans
• Career Path
• Veterans Talent Network