Business EDI Operations

Communitas; Irving (TX); On-site; USD 75,000 - 95,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) with company match

Paid time off

Job summary

Communitas in Irving, TX is seeking a Business Operations Analyst to analyze and report on daily operational metrics, projects, and client demands. This role emphasizes continuous improvement and data-driven decision making.

Key responsibilities include updating processes, supporting clinical implementation, and partnering with leaders to identify trends and solutions. A Bachelor’s degree is required, with 4+ years of related experience and strong MS Office skills.

Qualifications

• 4+ years related work experience.
• Experience with 835 EDI files.
• Bachelor’s degree as stated or related.
• Advanced reporting skills in Word, Excel, PowerPoint.
• Ability to multitask and prioritize responsibilities.
• Comfort with ambiguity and presenting clear information.

Responsibilities

• Provide analysis and reporting to support varied projects and daily operations.
• Focus on continuous improvement for client needs and demands.
• Update processes, procedures, and administrative tasks.
• Assist with clinical implementation as requested by Leadership.
• Offer training support and project-related tasks as needed.
• Identify root causes and address day-to-day operational escalations.

Skills

Business analytics

Data reporting

Stakeholder communication

Problem solving

Education

Bachelor’s degree in Business Administration or related

Masters degree preferred

Tools

MS Word

MS Excel

PowerPoint

Job description

Get To Know Us!

WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans.

What is your impact?

The Business Operations Analyst is responsible for analysis and assessment of daily operational metrics, reports and projects servicing our client's needs.

In office:

6535 SH 161 Irving Texas 75063

What Will You Be Doing:

• Provide analysis and reporting to support various project including EDI 835 file maintenance and accuracy
  • Primary focus on continuous improvement to support needs and demands of clients.
  • Update process and procedures and overall administrative tasks.
  • Assist with clinical implementation as requested by Leadership.
  • Support training initiatives and tasks as needed
  • Assess situations quickly and create short-term solutions with long-term plans for improvement based on input from others combined with discoveries from data analysis.
• Address points of escalation by identifying root cause and analysis related to the day-to-day operations within Communitas.
• Generate reports and data to identify trends and strategically partner with department leaders with a focus on current triggers including processes, procedures, and impact.
• Enable growth and capabilities through streamlining processes and systems.
• Participate in calls and meetings as requested with clients and leadership and serve as a Subject Matter Expert reading and reporting data in order to make necessary decisions.

Qualifications:

• 4+ years related work experience.

• Prior experience working closely with 835 EDI files

• Bachelor’s degree in Business Administration or related degree. Additional related equivalent work experience may substitute.

• Advanced reporting skills and significant experience working in Microsoft Word, Excel, and PowerPoint.

• Ability to multitask, prioritize responsibilities, and take initiative with current projects.

• Demonstrated flexibility with changing responsibilities.

• Proactive in asking questions, seeking clarification, and navigating ambiguity

• Strong oral and written presentation/communication skills.

• Comfortable working across operational areas within the organization with key decision makers and leadership

• Able to work in ambiguity and present information in a way for others to understand

• Masters Degree preferred

What We Can Offer YOU!

To support your wellbeing, comprehensive benefits are offered. As a WebTPA employee, you will have access to:

• Medical, dental, vision, life and global travel health insurance
• Life insurance, Short- and long-term disability programs
• Leave programs to support personal circumstances.
• 401(k) includes employer contribution match
• Paid time off, volunteer time off, and 11 holidays
• Additional voluntary benefits options available
• Comprehensive wellness program
• Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for interns and part-time employees may differ.

General Physical Demands

Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally.

We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission. All qualified applicants will receive consideration for employment.