EDI Eligibility QA Analyst I
Collective Health
At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.
Eligibility flows through and impacts every aspect of the Collective Health platform, and we are building out the team responsible for receiving, processing, validating and sending our eligibility information with our partners. We exchange a high volume of files per day with customers, networks, and partners, and are looking for people to be responsible for the operation, quality, and scaling of our data management systems. Through your experiences at Collective Health, you will be a pivotal part of improving the member healthcare experience by operating and scaling our data operations platform.
What you'll do:
- Monitor quality and perform audits of configurations and EDI files.
- Develop and apply deep understanding of all of the file formats ingested, generated, or sent by our systems.
- Review file level validations to ensure they are being dispositioned correctly
- Review member insurance card configurations to ensure accuracy with the printing service.
- Review bugs during implementations to validate issues prior to engaging engineering
To be successful in this role, you'll need:
- Required:
- Advanced Excel, G-Suite - spreadsheet skills
- Communication
- Cross functional collaboration
- Problem Solving
- Analytical Thinking
- Healthcare background
- Problem management identifying and documenting bugs (impact, ticket filing)
- Understanding of EDI file formats
- Nice to have:
- SQL
- Python
- EDI/file building and implementation experience during open enrollment
- Experience working with product, engineering and leadership teams
Pay Transparency Statement
This is a hybrid position based out of our Lehi office, with the expectation of being in office at least two weekdays per week. #LI-hybrid
The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the hourly rate, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.
Why Join Us?
- Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare
- Impactful projects that shape the future of our organization
- Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests
- Flexible work arrangements and a supportive work-life balance
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com.
Privacy Notice
For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.
