Electronic Data Interchange (EDI) Analyst

Hennepin Health (HH) is seeking a health plan Electronic Data Interchange (EDI) Analyst to provide daily support for electronic business data interchange activities. This position will act as a liaison between the operational business areas, IT technical team, vendors and trading partners, and serve as back up for external EDI related committees and workgroups. Current Hennepin County employees who refer a candidate hired into an open competitive position may be eligible for a $500 referral bonus. For more information visit employee referral program., * Provide daily health care business support for EDI activities including the daily monitoring of EDI file processing.

• Diagnose file issues and provide resolution.
• Assist the EDI Manager and System Analytics Supervisor in day-to-day operations.
• Maintain implementation companion guides.
• Support the development of interfaces; perform data audits to validate business information exchanged with health care providers; and generate detailed business reports; and perform data analysis and business summaries.
• Collaborate with health care business subject matter experts to analyze and document business requirements and work with the technical analyst to decompose them to create functional specifications for development, performing gap analysis and recommending potential solutions.
• Act as a liaison between the business areas, IT technical team, and trading partners, and serve as back up for external EDI related committees and workgroups.
• Communicate effectively with customers to identify EDI transaction solutions and evaluate business solutions., + Mapping and documenting healthcare business EDI transactions, including, but not limited to ANSII ASC X12 file standards with emphasis on the healthcare related 837P, 837I, 835 and 834 transactions sets.

• Familiarity with the implementation of CORE Operating rules, WEDI, and Minnesota Department of Health Administrative Uniformity Committee best practices.
• Documenting health system EDI operational solution requirements.

• Knowledge of:

• Formal project management and testing methodology; creation and execution of test plans and documenting of testing results.
• Health business systems development methodology; application development principles and process.
• ANSI 5010 837P, 837I, 835, 270/271, 276/277 files and 999 Acknowledgment, 277CA, 278 and 834 healthcare transaction sets.

• Ability to:

• Collaborate with the EDI Manager, Systems Analytics Supervisor, project leads, business analysts, end users and third-party contractors to design, develop, test, implement, and document healthcare EDI business solutions.
• Develop and/or maintain business documentation of EDI requirements and specifications.
• Read and interpret documents such as ASCX12 User Guides, operating rules, and procedure manuals.
• Apply common sense and understanding to carry out instructions furnished in written, oral or diagram form.
• Write and execute routine SQL reports and provide analytical data conclusions.
• Conduct research, track and manage open EDI solution issues and plans for resolution.
• Administer critical analysis of test results and deliver solutions to problem areas.
• Assist in the development and maintenance of user manuals and companion guides.
• Collaborate with other members of the IT and Delegated Vendor Management teams to assist in resolving problems with software products or systems related to EDI processing.

About the department: Hennepin Health provides health care coverage to Hennepin County residents who are enrolled in a Minnesota Health Care Program. Hennepin Health is a nonprofit, state-certified health maintenance organization that contracts with the Minnesota Department of Human Services. We envision being a leader in partnering with our members and communities to improve health, by integrating health care and service to enhance the health and well-being of our members and the community.

• Bachelor's degree or higher in public administration, business administration, or other field appropriate to the position and four years or more of experience in general administrative work relating to the management of departmental/organizational operations or in a specialty area appropriate to the position.
• Eight or more years of experience in general administrative work relating to the management of departmental/organizational operations or in a specialty area appropriate to the position., + In EDI documentation of technical business requirements.
• Analyzing healthcare payer systems/applications and coordinating system implementation plans.
• Managing complex projects to scope, timeline, and budget in the healthcare payer and/or financial industry.
• Troubleshooting software issues that affect data and knowledge of applicable data privacy, security practices and laws.

Pulled from the full job description Referral program Paid time off Life insurance, This position is hybrid and will be performed both on-site at the Hennepin Health offices at 525 Portland Avenue South, Minneapolis, MN 55415, and remote as job duties require. Work hours will be Monday through Friday, with typical hours of 8 a.m. to 4:30 p.m. with some occasional evening hours. While this position is designated as hybrid, based on current requirements hires must reside in or relocate to Minnesota or Wisconsin. New Employee Orientation (NEO) for all new benefit-earning employees is in-person in downtown Minneapolis. Details about NEO will be provided upon hire.

Hennepin is the largest county government organization in Minnesota. Our employees work every day to improve the health, safety and quality of life for our residents and communities. All of our jobs align with our mission to serve residents through transformative services that eliminate disparities, eliminate inequities, and create opportunity for all and our vision of a community where all people are healthy, all people are valued, and all people thrive. Our employees receive a combination of competitive benefits and positive workplace culture not found at other organizations. This includes meaningful work that impacts our community, competitive pay, work-life balance, a variety of benefits, and opportunities to grow. Learn more at The Bridge (login as Guest). Hennepin County envisions an organization where our commitment to diversity and the elimination of disparities is fundamental in providing excellent service to our community.