EDI Operations Analyst - Encounters

Elevance Health (Anthem); Boght Corners (NY); Hybrid; USD 32,000 - 53,000; Full time

Benefits offered by this job

Paid holidays

Paid Time Off

Bonus programs

401(k) + match

Stock purchase plan

Job summary

Elevance Health is seeking an EDI Operations Analyst I - Encounters for a hybrid role requiring 1-2 days in-office per week. You will serve as the provider liaison for electronic connectivity, enroll providers for claims and encounter submissions, and educate providers on EDI.

Collaboration with vendors on EDI connectivity is essential. The role supports development or modification of claims filing procedures and vendor communications, with emphasis on accuracy and efficiency in encounters

Qualifications

• Requires a HS diploma or equivalent and any previous experience in claims or customer service.
• Or any combination of education and experience providing an equivalent background.

Responsibilities

• Assist in developing or modifying claims filing procedures after analyzing business needs.
• Provide vendor specifications to vendors and clearing houses.
• Enroll providers for claims and encounter submission.
• Educate providers regarding EDI.
• Collaborate with vendors on EDI connectivity and system implementation.

Skills

Detailed claims research

Claims encounters experience

EDI knowledge

Job description

Anticipated End Date:

2026-11-30

Position Title:

EDI Operations Analyst - Encounters

Job Description:

EDI Operations Analyst I - Encounters

Hybrid

This role requires associates to be in-office 1 - 2 days per week , fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The EDI Operations Analyst I is responsible for functioning as provider liaison for all electronic connectivity.

How you will make an impact:

• Assists in the development or modification of claims filing procedures, which includes the analysis of business and clients' needs and requirements.


• Provides vendor specifications to vendors and clearing houses.


• Responsible for enrolling providers for claims and encounter submission.


• Educates providers regarding EDI.


• Works with vendors regarding the implementation or connectivity related to EDI system.

Minimum Requirements:

• Requires a HS diploma or equivalent and any previous experience in claims or customer service; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Ability to conduct detailed research of claims, systems reports, understanding of network and telecommunications methodology preferred.


• Claims encounters experience strongly preferred.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $23.46 - $38.71

Locations: Illinois; Maryland; New York; Virginia

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company.

The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws .

*The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, paid time off, stock, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

Job Level:

Non-Management Non-Exempt

Job Family:

BSP > Business Support

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

Benefits

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybri