EDI Analyst II

Company: Southern Scripts
Location: Dallas
Posted on: September 24, 2022

Job Description:

EDI Analyst II (remote/work from home) We wanted a PBM that worked better so we created one. Southern Scripts, the leading disruptor in the PBM industry, simplifies the complexities of navigating through the Pharmacy Benefit Manager world by offering a value-added approach to ensure the employer absolute freedom, control, and choice to their health plan structure without compromising patient experiences and outcomes. We improve healthcare and reduce rising prescription costs for employers and their employees. We are looking for individuals who are passionate, strong, and committed to developing systems and service solutions that promote our business goals and commitments.Southern Scripts is searching for incredible talent! We continue to experience accelerated growth in a rapidly changing industry. There's never been a better time to join our team. We are currently seeking an EDI Analyst. This is a fully remote position. Role and ResponsibilitiesThe EDI (electronic data interchange) Analyst II is responsible for coordinating and implementing files between the Southern Scripts system and outside vendors, clients, and brokers. EDI Analysts are responsible for analyzing various specifications to work in conjunction with reports, interfaces, and mappings provided by data-trading partners. They coordinate and work with internal teams to complete EDI testing, implementations, and modifications of EDI files.An EDI Analyst's primary responsibilities include analyzing file and system data to address and resolve any issues or errors, implementing and configuring file feeds for our existing or newly added vendors, and being the main EDI point of contact for your assigned clients. Key responsibilities include working closely with our vendors and internal teams at all levels of the organization to establish, support, and maintain all data exchanges.

• Responsible for the integration of any new vendor relationship using Electronic Data Interchange and file layouts for eligibility, accumulator, claim detail, and other files by obtaining EDI file specifications, file encryptions and transmission information from vendor.
• Build and maintain relationships with Southern Scripts' partners and other vendors; serve as liaison to bridge gaps between system partners and internal outward-facing staff.
• Document and provide scope of work to all parties involved in all stages of integration; noting customizations, routing rules, data mapping, etc. to ensure seamless integration process on client side
• Has solid technical understanding of different file types (fixed width, delimited, 834)
• Computer proficiency and technical aptitude with the ability to utilize various connectivity solutions (FTP/Secure FTP, Webfolders (WebDAV), VPN), and use of MS Office applications.
• Research, analyze, and understand data elements in Southern Scripts systems, as well as inbound and outbound vendor systems
• Develop mapping and translations between data elements for file feeds
• Coordinate and test EDI feeds with external vendors and internal file developers
• Maintain extensive knowledge of claims adjudication system requirements.
• Assist with any and all production EDI issues.
• Maintain awareness of and ensure adherence to Southern Scripts standards regarding privacy.
• Work on assignments that are complex in nature in which judgment and initiative are required in resolving problems and making recommendations
• Thorough knowledge of company and departmental policies and procedures.
• Abide by all obligations under HIPAA related to Protected Health Information (PHI).
• Attend, complete, and demonstrate competency in all required HIPAA Training offered by the company.
• Flexibility to understand, appreciate and embrace that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice.What We Have to OfferOur benefits package is designed to keep our employees happy and healthy - physically, mentally and financially.
  • Servant Culture
  • Medical, Dental, Vision insurance
  • Disability and Life insurance
  • Employee Assistance Program
  • Remote work options
  • Generous Paid-Time Off
  • Annual Reviews and Development Plans
  • Retirement Plan with company match immediately 100% vestedRequired Skills and Competencies
    • Superior organization skills
    • Passionate problem solver
    • Fast-paced temperament
    • Attention to detail is unprecedented
    • Ability to analyze data and provide a detailed well written or oral response in a timely manner
    • Prioritize work responsibilities and be able to maintain a proper balance between work and life duties while working remote
    • Fast learner that's constantly looking to improve their knowledge, skills, and their overall job responsibilitiesSupervisory ResponsibilityThere could be supervisory responsibilities in this role with Junior Analysts or Specialist reporting to this role. Position Type and Expected Hours of Work
      • Full-time/Salaried/Exempt.
      • Some flexibility in hours is allowed, but the employee must be available during the "core" work hours of 8:00AM to 5:00PM CT. We cover clients from West to East Coast, work times must be adjusted to cover meetings in all time zones. Ability to work extended hours, weekends and holidays pursuant with industry demands.TravelThis position has minimal travel expectations.Required Education and Experience
        • Bachelor's Degree
        • Familiar with common types of connectivity solutions (FTP/Secure FTP, Webfolders (WebDAV), VPN)
        • Experience with different file formats (fixed length, delimited, 834 files, FileZilla, XML and EDI 837) required
        • PBM claims adjudication knowledge a plus
        • Project management experience a plus
        • Experience in understanding file layouts and testing output including mapping and translations
        • Experienced in advanced Excel skills, especially in the use of formulas and VLOOKUPsSouthern Scripts, LLC and all entities provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Southern Scripts complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.Southern Scripts expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Southern Scripts employees to perform their job duties may result in discipline up to and including discharge. EOE M/F/V/D
          
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Keywords: Southern Scripts, Dallas , EDI Analyst II, Professions , Dallas, Texas