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Senior EDI Analyst, Healthcare - Remote

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

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

$100000 / YEARLY (est.)
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$80000K
$120000K

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

Are you ready to take your expertise to the next level? As a Senior EDI Analyst with Experian, a global leader in data and technology, you will play a crucial role in shaping the future of healthcare solutions. This remote position allows you to collaborate with the dynamic Patient Access Curator team, where your insights and technical skills will help enhance product performance and client relationships. Your days will be filled with engaging discussions, as you work directly with prospects and clients to identify EDI solutions that address their unique needs. Your strong understanding of EDI protocols, along with your analysis of past eligibility data, will empower you to develop strategic visions for optimizing revenue cycle management. You’ll also get to orchestrate collaborative working sessions with trading partners and lead the charge in configuring complex product setups to ensure seamless operations. At Experian, you’ll receive comprehensive benefits, enjoy flexible work options, and be part of an inclusive environment that celebrates individual differences. If you’re seeking a role that offers growth, innovation, and a chance to make a meaningful impact in the healthcare industry, this could be the perfect match for you. Join us in revolutionizing the way data is utilized in healthcare and discover the opportunities that await you at Experian!

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

As a Senior EDI Analyst at Experian, your primary responsibilities will include collaborating with clients to define technical requirements for EDI solutions, performing in-depth analyses of eligibility information, and optimizing product performance through strategic decision-making. You'll also manage product configurations, host working sessions with trading partners, and transform user requests into technical formats to facilitate effective communication with developers.

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

To qualify for the Senior EDI Analyst position at Experian, you need a bachelor's degree or equivalent experience along with at least 5 years of relevant experience in healthcare revenue cycle management, EDI protocols, or business analysis. A solid understanding of HL7 and X12 message formats, as well as proficiency in SQL queries, is essential to effectively perform the role.

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How does Experian support career growth for Senior EDI Analysts?

Experian takes pride in its people-first culture, providing opportunities for career growth through continuous development programs, mentorship, and a commitment to work/life balance. As a Senior EDI Analyst, you’ll benefit from networking opportunities and the ability to work on innovative projects that enhance your skills and expertise in the healthcare technology sector.

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What benefits can a Senior EDI Analyst expect at Experian?

As a Senior EDI Analyst at Experian, you can look forward to a competitive compensation package, comprehensive core benefits such as medical, dental, and vision coverage, and a matching 401K plan. The company also offers flexible work arrangements, generous paid time off, and volunteer time off, promoting a healthy work/life balance for its employees.

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

At Experian, the work environment is dynamic, inclusive, and designed to foster collaboration and innovation. As a Senior EDI Analyst, you will thrive in a remote setting that stimulates creativity and productivity, supported by a culture that values diversity, wellness, and employee recognition, making it a great place to grow your career.

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Common Interview Questions for Senior EDI Analyst, Healthcare - Remote
Can you describe your experience with EDI protocols and standards?

In answering this question, highlight specific EDI protocols you’re familiar with, such as 27x and 83x healthcare transactions, and provide examples of how you’ve utilized these standards in previous roles. Show how your technical expertise has contributed to successful EDI implementations.

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How do you manage the complexities of multiple product configurations?

Discuss your approach to prioritizing and organizing tasks related to multiple product configurations. Provide examples of your project management strategies, such as using tools for tracking progress, ensuring clear communication with stakeholders, and how you mitigate risks associated with increased complexity.

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What strategies do you use to identify and improve EDI transaction workflows?

Outline your analytical approach to uncovering inefficiencies in EDI workflows. Mention specific techniques you employ, such as data analysis, engaging with stakeholders, and conducting root cause analysis to recommend actionable improvements that enhance transaction processes.

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How do you stay updated on healthcare technology trends?

Emphasize your commitment to continuous learning through industry publications, professional networks, and conferences. Mention specific resources or communities you participate in that allow you to stay informed about the latest developments in healthcare technology and EDI standards.

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Can you provide an example of a difficult technical problem you solved?

Select a challenging problem from your past experience that relates to EDI analytics or healthcare transactions. Describe the issue, your approach to solving it, and the successful outcome, demonstrating your problem-solving skills and technical expertise.

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What methods do you use to assess solution feasibility?

Discuss your process of collaborating with clients and technical teams to gather requirements and evaluate potential solutions. Highlight how you incorporate business needs and technical capabilities to derive feasible solutions that align with both client expectations and company standards.

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In what ways do you communicate complex technical information to non-technical stakeholders?

Describe your communication strategy that involves breaking down complex information into understandable terms. Provide examples of how you’ve previously tailored your discussions or presentations to suit the audience's level of technical understanding while ensuring that critical points are conveyed effectively.

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How do you handle the demands of a remote work environment?

Share your strategies for maintaining productivity and effective communication in a remote work setup. Mention tools or methods you use to stay organized, manage your time, and ensure that you're delivering results while staying connected with team members and stakeholders.

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What role does teamwork play in your approach as a Senior EDI Analyst?

Explain how collaboration is vital to your work as a Senior EDI Analyst. Share examples of projects where teamwork facilitated successful outcomes, demonstrating your ability to work as part of a team to achieve shared goals and support client needs.

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Why do you want to work at Experian as a Senior EDI Analyst?

In your response, express genuine enthusiasm for Experian’s mission and culture. Discuss how the company's innovative approach to technology, focus on employee development, and commitment to diversity resonate with your career aspirations and values.

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Full-time, remote
DATE POSTED
March 11, 2025

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