Business EDI Operations Analyst

Florida Blue; Irving (TX); On-site; USD 70,000 - 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

WebTPA, a GuideWell Company, is seeking a Business Operations Analyst to analyze daily operational metrics, reports, and projects servicing client needs in Irving, TX. The role emphasizes EDI 835 file maintenance, process improvement, and cross-functional collaboration to drive efficiency.

You will generate insights, support client initiatives, and work with leadership to implement short- and long-term solutions based on data analysis. Strong analytical and communication skills are essential.

Qualifications

• Bachelor's degree in Business Administration or related field. Equivalent work experience may substitute.
• 4+ years of related work experience with healthcare operations or analytics.
• Advanced reporting skills and significant experience with Word, Excel, and PowerPoint.
• Ability to multitask, prioritize responsibilities, and take initiative on projects.
• Strong communication skills, both oral and written, across functions.
• Masters Degree preferred.

Responsibilities

• Provide analysis and reporting to support projects, including EDI 835 file maintenance and accuracy.
• Focus on continuous improvement to meet client needs and demands.
• Update processes, procedures, and administrative tasks as needed.
• Assist with clinical implementation as requested by leadership.
• Support training initiatives and tasks and respond to escalations with root-cause analysis.
• Generate reports and data to identify trends and partner with department leaders.

Skills

Analytical thinking

Multitask / Prioritize

Strong verbal and written presentation

Education

Bachelor's degree in Business Administration or related field

Master's degree preferred

Tools

Microsoft Word

Microsoft Excel

Microsoft 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.