EDI Technical Analyst (Claims) - Hybrid

bcbsaz; United States; Hybrid; USD 100,000 - 120,000; Full time

Job summary

Blue Cross Blue Shield of Arizona is seeking an EDI Technical Analyst to support Trading Partner EDI and flat files by developing documentation, analyzing data and system processes, testing files and applications, and providing end-user support and training. This is a hybrid role for Arizona residents, with remote work four days per week and one day on our award-winning campus in Phoenix.

We offer ongoing training, collaboration with IT teams, and opportunities to contribute to reliable

Qualifications

• High School Diploma or GED required.
• Level 1: 1 year of college-level coursework in system requirements design and interpretation and/or support of production systems.

Responsibilities

• Track, research, analyze, and resolve production problems related to EDI, files, applications, and related processes.
• Develop business objectives, processing requirements, technical specifications, functional specifications, logic flows, and mapping documents.
• Analyze files and map data between systems; write SQL queries needed for production support, testing, and reporting.
• Use Splunk and App Insights to review logging results and troubleshoot processing issues.
• Develop test data and test files, process test files, analyze results, document outcomes, log defects, and support regression testing.
• Assist with root cause analysis, defect triage, traceability, and defect review meetings.
• Support technical and data-centered research required to produce and test Trading Partner files, including applying TR3, CORE CAQH, and Blue Exchange rules.
• Work with IT Infrastructure to develop and implement production monitoring for APIs, data loads, Trading Partner transactions, and other critical processes.
• Participate in or lead projects by creating project plans, estimates, schedules, presentations, priority lists, and ad hoc reports.
• At senior and lead levels, mentor peers, serve as a subject matter expert, lead complex technical projects, and help ensure service level agreements are met.

Skills

EDI

SQL

Data analysis

Documentation

Troubleshooting

Education

High School Diploma or GED

Some college coursework

1 year college coursework in system requirements design

Tools

Splunk

App Insights

Job description

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.

At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:

• Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week
• Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week
• Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month
• Onsite: daily onsite requirement based on the essential functions of the job
• Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building

Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week.

This position is hybrid within the state of AZ only. This hybrid work opportunity requires residency, and work to be performed, within the State of Arizona.

Do you thrive on developing technical documentation, analyzing systems and data, testing applications, and supporting healthcare EDI processes? If so, Blue Cross Blue Shield of Arizona (AZ Blue) has an opportunity for you. We're looking for EDI Technical Analysts of all experience levels to join our award-winning team.

What to Expect

This is a hybrid work opportunity for Arizona residents. In this full-time role, you will support Trading Partner EDI and flat files by developing documentation, analyzing data and system processes, testing files and applications, and providing end-user support and training. You will have the flexibility to work remotely 4 days a week and spend 1 day a week at our award-winning healthy campus in Phoenix. The in-office requirements are subject to change based on organizational need.

Inspiring Health in Arizona Starts with You

Our benefits support work-life balance and the flexibility you need to be your best.

They include:

• Eleven (11) paid holidays, including floating holidays when eligible
• Accrued paid time off (up to 18 days per calendar year)
• Comprehensive medical, dental, and vision coverage
• 401k up to 5% dollar-per-dollar match, 2% employer contribution
• Up to 10% annual bonus based on corporate goals and individual performance
• Eight (8) paid volunteer hours to serve your community
• Tuition reimbursement for you; scholarship opportunities for your children
• Employee discounts and wellness programs
• Treadmill desks, full-service fitness center, and healthy meals and snacks
• Ongoing training for employees who wish to grow in their careers, acquire skills, and become managers

As an EDI Technical Analyst, you'll get to:

• Track, research, analyze, and resolve production problems related to EDI, files, applications, and related processes.
• Develop business objectives, processing requirements, technical specifications, functional specifications, logic flows, and mapping documents.
• Analyze files and map data between systems; write SQL queries needed for production support, testing, and reporting.
• Use tools such as Splunk and App Insights to review logging results and troubleshoot processing issues.
• Develop test data and test files, process test files, analyze results, document outcomes, log defects, and support regression testing.
• Assist with root cause analysis, defect triage, traceability, and defect review meetings.
• Support technical and data-centered research required to produce and test Trading Partner files, including applying TR3, CORE CAQH, and Blue Exchange rules.
• Work with IT Infrastructure to develop and implement production monitoring for APIs, data loads, Trading Partner transactions, and other critical processes.
• Participate in or lead projects by creating project plans, estimates, schedules, presentations, priority lists, and ad hoc reports.
• At senior and lead levels, mentor peers, serve as a subject matter expert, lead complex technical projects, and help ensure service level agreements are met.

Qualifications:

• High School Diploma or GED in a general field of study required for all levels.
• Level 1: 1 year of college-level coursework in system requirements design and interpretation and/or support of production systems.