Company Description
Experian is a global data and technology company, powering opportunities for people and businesses around the world. We help to redefine lending practices, uncover and prevent fraud, simplify healthcare, create marketing solutions, and gain deeper insights into the automotive market, all using our unique combination of data, analytics and software. We also assist millions of people to realise their financial goals and help them save time and money.
We operate across a range of markets, from financial services to healthcare, automotive, agribusiness, insurance, and many more industry segments.
We invest in people and new advanced technologies to unlock the power of data. As a FTSE 100 Index company listed on the London Stock Exchange (EXPN), we have a team of 22,500 people across 32 countries. Our corporate headquarters are in Dublin, Ireland. Learn more at experianplc.com
Job Description
Reporting to the EDI leadership team, the Senior EDI Analyst will support Experian Health's Patient Access Curator team through monitoring, evaluating and optimizing performance of the product set by collaborating with clients, internal and external members for the purpose of product, service and delivery excellence.
You will:
- Participate in meetings with prospects and clients to define the detailed requirements or technical requirements for EDI solutions. Determine solution feasibility with company partners.
- Use product knowledge, technical expertise, and business knowledge in revenue cycle management processes to provide an appropriate strategic vision for decision-making, assessing and escalation process.
- In-depth analysis of past/present eligibility information in text and builds comparable data models.
- Look for possible issues or improvements with valid response data.
- Develop search strategies for using EDI and web-based transactions.
- Host external working sessions with trading partners, vendors and clients.
- Investigate pre-existing options to satisfy business or technical requirements and makes recommendations, to reduce one-off effort and duplication.
- Translate user or business requests into technical form for developer or IT comprehension to be vetted with Product Owner.
Qualifications
Qualifications:
- 5+ years experience as an EDI analyst, business analyst, implementation, or client/payer-side (payer or hospital/health system) experience in healthcare revenue cycle management software and technology required.
- Knowledge of EDI protocols and standards, specifically 27x and 83x healthcare transactions required.
- Understanding of HL7 and X12 message/file formats and transactions required.
- Advanced SQL query experience required.
- Experience with business processes and workflows related to healthcare reimbursement and patient access.
- Experience in using Salesforce, Atlassian JIRA, Microsoft 365 applications, with great proficiency in Excel and other data analytics tools.
- Familiar with agile methodologies, including scrum and Kanban.
Benefits/Perks:
- REMOTE from within the U.S.
- Great compensation package and bonus plan
- Core benefits including medical, dental, vision, and matching 401K
- Flexible work environment, ability to work remote, hybrid or in-office
- Flexible time off including volunteer time off, vacation, sick and 12-paid holidays
Additional Information
Our uniqueness is that we celebrate yours. Experian's culture and people are important differentiators. We take our people agenda very seriously and focus on what matters; DEI, work/life balance, development, authenticity, engagement, collaboration, wellness, reward & recognition, volunteering... the list goes on. Experian's people first approach is award-winning; Great Place To Work™ in 24 countries, FORTUNE Best Companies to work and Glassdoor Best Places to Work (globally 4.4 Stars) to name a few. Check out Experian Life on social or our Careers Site to understand why.
Experian is proud to be an Equal Opportunity and Affirmative Action employer. Innovation is an important part of Experian's DNA and practices, and our diverse workforce drives our success. Everyone can succeed at Experian and bring their whole self to work, irrespective of their gender, ethnicity, religion, colour, sexuality, physical ability or age. If you have a disability or special need that requires accommodation, please let us know at the earliest opportunity.
