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Senior EDI Analyst, Healthcare - Remote - job 1 of 2

Company Description

Experian is a global data and technology company, powering opportunities for people and businesses around the world. We help to redefine lending practices, uncover and prevent fraud, simplify healthcare, create marketing solutions, and gain deeper insights into the automotive market, all using our unique combination of data, analytics and software. We also assist millions of people to realise their financial goals and help them save time and money.

We operate across a range of markets, from financial services to healthcare, automotive, agribusiness, insurance, and many more industry segments.

We invest in people and new advanced technologies to unlock the power of data. As a FTSE 100 Index company listed on the London Stock Exchange (EXPN), we have a team of 22,500 people across 32 countries. Our corporate headquarters are in Dublin, Ireland. Learn more at experianplc.com

Job Description

Reporting to the EDI leadership team, the Senior EDI Analyst will support Experian Health's Patient Access Curator team through monitoring, evaluating and optimizing performance of the product set by collaborating with clients, internal and external members for the purpose of product, service and delivery excellence

You will:

  • Participate in meetings with prospects and clients to define the detailed requirements or technical requirements for EDI solutions. Determine solution feasibility with company partners.
  • Use product knowledge, technical expertise, and business knowledge in revenue cycle management processes to provide an appropriate strategic vision for decision-making, assessing and escalation process.
  • In-depth analysis of past/present eligibility information in text and builds comparable data models.
  • Look for possible issues or improvements with valid response data.
  • Develop search strategies for using EDI and web-based transactions.
  • Host external working sessions with trading partners, vendors and clients.
  • Investigate pre-existing options to satisfy business or technical requirements and makes recommendations, to reduce one-off effort and duplication.
  • Translate user or business requests into technical form for developer or IT comprehension to be vetted with Product Owner.
  • Manage multiple product configurations concurrently with increased complexity including multi-year, facility, product, client host systems, and risk level.
  • Identify cross product dependencies and manage configurations to accommodate

Qualifications

  • Bachelor's degree or equivalent experience required.
  • 5+ years' experience as an EDI analyst, business analyst, implementation, or client/payer-side (payer or hospital/health system) experience in healthcare revenue cycle management software and technology required.
  • Knowledge of EDI protocols and standards, specifically 27x and 83x healthcare transactions required.
  • Understanding of HL7 and X12 message/file formats and transactions required.
  • SQL query experience
  • Good technical knowledge of business unit products and operations.
  • Manages information well with a full picture view of the implementation and beyond
  • Minimal travel as needed

Benefits/Perks:

  • This role is remote from within the US.
  • Great compensation package and bonus plan
  • Core benefits including medical, dental, vision, and matching 401K
  • Flexible work environment, ability to work remote, hybrid or in-office
  • Flexible time off including volunteer time off, vacation, sick and 12-paid holidays

Additional Information

Our uniqueness is that we celebrate yours. Experian's culture and people are important differentiators. We take our people agenda very seriously and focus on what matters; DEI, work/life balance, development, authenticity, collaboration, wellness, reward & recognition, volunteering... the list goes on. Experian's people first approach is award-winning; World's Best Workplaces™ 2024 (Fortune Top 25), Great Place To Work™ in 24 countries, and Glassdoor Best Places to Work 2024 to name a few. Check out Experian Life on social or our Careers Site to understand why.

Experian is proud to be an Equal Opportunity and Affirmative Action employer. Innovation is an important part of Experian's DNA and practices, and our diverse workforce drives our success. Everyone can succeed at Experian and bring their whole self to work, irrespective of their gender, ethnicity, religion, colour, sexuality, physical ability or age. If you have a disability or special need that requires accommodation, please let us know at the earliest opportunity.

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Average salary estimate

$105000 / YEARLY (est.)
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$90000K
$120000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Senior EDI Analyst, Healthcare - Remote, Experian

If you're an experienced EDI Analyst with a passion for the healthcare sector, we invite you to join Experian as a Senior EDI Analyst, Healthcare – Remote! In this exciting role, you'll collaborate with our Patient Access Curator team, actively engaging with clients to ensure we're delivering top-notch EDI solutions that make a real impact. Your analytical prowess will shine as you dive into past eligibility data, identifying trends and suggesting improvements that enhance our products and services. You'll host working sessions with partners and clients, translating their needs into actionable technical solutions for our development teams. With over 5 years of experience in healthcare revenue cycle management and a solid grasp of EDI protocols like 27x and 83x, you'll become an integral part of our mission to optimize performance for healthcare providers. What’s more? You’ll enjoy a flexible work environment, a competitive compensation package, and a host of benefits that support your well-being. At Experian, we celebrate diversity and work-life balance, and we believe in investing in people. If you're ready to take your career to the next level while helping millions achieve their healthcare goals, we want to hear from you!

Frequently Asked Questions (FAQs) for Senior EDI Analyst, Healthcare - Remote Role at Experian
What responsibilities does a Senior EDI Analyst at Experian have?

As a Senior EDI Analyst at Experian, you will be tasked with defining detailed EDI solutions alongside clients, collaborating with internal teams, and optimizing product performance in the healthcare sector. You'll also analyze eligibility data, develop search strategies for web-based transactions, and manage complex product configurations to enhance service delivery.

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What qualifications are needed for the Senior EDI Analyst position at Experian?

To qualify as a Senior EDI Analyst at Experian, candidates should hold a Bachelor's degree or equivalent experience, along with 5+ years in relevant fields like healthcare revenue cycle management. Proficiency in EDI protocols, especially 27x and 83x transactions, is essential, alongside a solid understanding of HL7 and X12 formats.

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What skills are important for success as a Senior EDI Analyst at Experian?

Successful Senior EDI Analysts at Experian should possess strong analytical skills, technical knowledge in SQL, and an understanding of business unit products and operations. Communication skills are crucial for translating complex technical requests into user-friendly formats, enabling collaboration with a variety of stakeholders.

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What does the work environment look like for a Senior EDI Analyst at Experian?

Experian offers a flexible work environment for its Senior EDI Analyst role, allowing remote work from anywhere within the United States. This flexibility is complemented by a focus on work/life balance, supportive team dynamics, and a culture that values diversity and inclusion.

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What benefits does Experian offer to its Senior EDI Analysts?

As a Senior EDI Analyst at Experian, you can expect a comprehensive benefits package that includes medical, dental, and vision coverage, a matching 401K plan, and generous flexible time off policies. The company is committed to employee wellness and recognizes the importance of providing support for a balanced lifestyle.

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Common Interview Questions for Senior EDI Analyst, Healthcare - Remote
Can you explain your experience with EDI protocols relevant to the healthcare industry?

In response to this question, detail your hands-on experience with EDI protocols like 27x and 83x, highlighting any specific projects you've worked on that involved these transactions. Discuss the impact of your work on operational efficiency and how you've ensured compliance with healthcare standards.

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Describe a time when you identified a problem with an EDI process. How did you approach it?

For this question, choose a specific example where your analytical skills led to recognizing a flaw in an EDI process. Detail how you investigated the issue, the collaborative efforts you took to resolve it, and any enhancements implemented that improved the process overall.

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How do you manage multiple product configurations simultaneously?

Explain your organizational strategies and tools that you use to streamline the management of multiple product configurations. Provide an example where you successfully handled complexity and ensured effective collaboration across teams while maintaining focus on deadlines.

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What do you think are the key attributes of an effective EDI analyst?

Articulate the essential qualities of an effective EDI Analyst, such as strong analytical abilities, attention to detail, excellent communication skills, and the ability to work collaboratively. Emphasize how these attributes translate into successful project delivery within healthcare environments.

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Can you discuss your experience with troubleshooting EDI transactions?

In your reply, emphasize your troubleshooting process. Outline how you approach diagnosing transaction errors, and highlight specific tools or methodologies you employ to resolve issues efficiently, ensuring minimal disruption to client operations.

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How do you keep current with EDI standards and technology changes?

Discuss your approach to professional development in the field of EDI. Mention any relevant conferences, certifications, publications, or online forums you follow, illustrating your commitment to staying informed about the latest developments in technology and industry standards.

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What strategies do you use for hosting productive meetings with clients and stakeholders?

Share your strategies for facilitating effective meetings, such as setting clear agendas, encouraging open dialogue, and documenting action items. Highlight your experience in managing diverse participants and ensuring everyone’s input is valued and considered.

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Give an example of a successful project you led as an EDI Analyst.

Choose a project that clearly demonstrates your leadership and analytical abilities. Describe your role, the challenges faced, and the outcomes achieved. Be sure to quantify results where possible, illustrating the value added to the company.

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How do you handle conflicting priorities in your work?

Discuss your prioritization techniques, such as using project management tools, setting clear deadlines, and communicating openly with stakeholders. Provide an example of a situation where you had to balance multiple priorities and the successful outcome that resulted.

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What led you to pursue a career in EDI analysis, specifically in healthcare?

In responding to this question, share your personal motivation behind your career choice in EDI analysis. Discuss your interest in healthcare technology and how you see the role of EDI in enhancing patient access and operational efficiencies in the healthcare industry.

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March 18, 2025

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