Business EDI Operations

WEB-TPA, Inc.; Irving (TX); On-site; USD 75,000 - 110,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability (short/long-term)

401(k) with employer match

Paid time off

11 holidays

Wellness program

Voluntary benefits options

Job summary

WebTPA is seeking a Business Operations Analyst to analyze daily operational metrics, generate reports, and support client needs. The role emphasizes continuous improvement, process updates, and collaboration with leadership to drive data-driven decisions.

Responsibilities include EDI 835 file maintenance support, training assistance, and escalation management, with a focus on timely, accurate data-driven outcomes across departments.

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

Responsibilities

• Provide analysis and reporting to support various projects including EDI 835 file maintenance and accuracy.
• Focus on continuous improvement to support needs and demands of clients.
• Update processes, 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.
• Address points of escalation by identifying root cause and analysis of day-to-day operations.
• Generate reports and data to identify trends and partner with department leaders.
• Enable growth and capabilities through streamlining processes and systems.
• Participate in calls and meetings with clients and leadership; act as SME reading/reporting data to support decisions.

Skills

Operational analytics

EDI 835 familiarity

MS Word

MS Excel

MS PowerPoint

Data reporting

Multitasking

Communication skills

Education

Bachelor’s degree in Business Administration or related field

Master’s degree preferred

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.