Electronic Data Interchange Analyst

Since 1957, Shield Healthcare has provided high-quality healthcare services while focusing on customer satisfaction and employee achievement. We are dedicated to fulfilling the medical supply needs of consumers and the caregiving community while maintaining a 99% overall customer satisfaction rating. Over the years, Shield HealthCare has expanded nationally with current service locations in California, Colorado, Illinois, Ohio, Texas and Washington.

Shield HealthCare is looking for an EDI Analyst/Developer for our Valencia, CA corporate office. The EDI Analyst/Developer acts as primary systems architect and data administrator for EDI and other electronic workflow processes.

This is an on-site position in Valencia, CA.

JOB RESPONSIBILITIES:

• Has work experience in EDI standards (e.g. 4010/5010, 850/855/837/835, 270/271, others)
• Design and integration experience in FHIR, HL7, cXML, or other transmission data structures
• Responsible for the design and implementation of new electronic transmissions
• Ability to decipher and recommend best methods to data transmissions
• Has developed electronic data handling in environments that required high security standards
• Has a preference to work in high security environments and follow stringent security practices
• Will be responsible for order/eligibility/claims/invoice processing
• Participates in the design and implementation of EDI processes and other electronic data transmissions and creates / maintains data mapping and documentation
• Analyzes and defines EDI requirements for Business, especially for needs and circumstances that are slightly unusual
• Provides advice and education to Business concerning EDI guidelines and capabilities
• Creates, develops, and produces mapping documents
• Collaborates with development team and internal staff to develop and test new or modified systems
• Develops and maintains communication links with trading partners and oversees integration of information
• Periodically reviews system to ensure client needs are met; identifies possible modifications as required
• Remains current regarding EDI and internet field technological developments
• Supply chain processes experience is preferred
• Strong hands-on experience with translation software
• Experience at using ‘Automate’ or like tool for data automation
• Able to create, modify and monitor transmission jobs including sFTP; reviews and adjusts alerting based on requirements
• Updating & managing access to partner portals for billing & reimbursement, communicating updates to the business
• Creates and maintains all EDI documentation (eligibility, reimbursement, purchase orders, other)
• Performs data audits weekly and implements quality control measures
• Monitors system performance, performs research, and troubleshoots, responds to EDI process failures
• Ability to prioritize and handle several concurrent projects, and an ability to work under tight deadlines
• Reviews existing business EDI processes, workflows and transmissions and make recommendations for improvements including, new systems and applications to support the business initiatives
• Liaison between IT Operations and Development team for EDI, eligibility process workflows projects
• Primary resource and on-call for company EDI and other translation processes
• First tier support for all EDI and other translation processes
• Miscellaneous projects and other related tasks as assigned by IT management

QUALIFICATIONS:

• Minimum of 5 years of EDI experience (in healthcare preferred)
• Understanding of file structures such as various EDI formats, flat files, CSV, XML, cXML, FHIR, or HL7
• Strong understanding of sFTP and other transmission protocols
• Strong knowledge of MS Office Applications
• Excellent written and oral communication skills, as well as interpersonal skills
• BS/BA degree in Computer Science preferred.

SALARY & BENEFITS:

• $125,000-$135,000 annually
• Medical, Dental, and Vision
• 401(k) with Company Match
• Sick and Vacation Days
• Flexible Spending Account
• Life & Disability Insurance
• Education Assistance
• Employee Referral Program

Career-minded individuals will find our business challenging and our reputation for excellence just one of the rewards we have to offer. To further enhance this tradition of excellence, our employees participate in continuous training and development programs in a variety of disciplines.