EDI Specialist

POSITION SUMMARY:
The EDI Specialist is responsible for assisting the EDI team with the successful and timely implementation of all EDI.  The position works with the client staff, file vendors, carriers, and internal staff to ensure the delivery of high uptime and exceeding performance expectations.  


PRINCIPAL DUTIES & RESPONSIBILITIES: (Core Competencies)
Responsibilities are:  

  • Ensure all production EDI are provided with 100% uptime per processing expectations
  • Instill confidence in all parties regarding company proficiency in its lines of business and EDI processing in alignment with SLA’s and company/client expectations
  • Serve as liaison between internal departments, EDI Vendors, and Plan Administrators
  • Make recommendations and take action to improve existing product and processes
  • Ensure sufficient backups are in place for existing processes to maintain stable operations through expected and unexpected changing environments
  • Provide updated documentation to internal and external clients pertaining to EDI technologies
  • Research EDI technologies and changes, and make recommendations regarding adoption of those technologies
  • Performs quality assurance testing and feedback to the file provider.  
  • Coordination of adding user and password, FTP and file server directory structure 

KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:

  • General knowledge of networking protocols
  • Basic understanding of relational database structures
  • Ability to explain complex processes to a non-technical audience
  • Understanding of company business with an emphasis on plans
  • Be familiar with EDI terminology, EDI formats, HIPAA file formats
  • Superior written, verbal, organizational and analytical skills
  • Highly organized with excellent attention to detail
  • Proficient in Microsoft Word, Outlook, Excel, EDI comprehension and Internet based product navigation
  • Able to address the needs of clients and diffuse irate situations when necessary
  • Able to listen and react appropriately to subordinate concerns
  • Proven ability to manage priorities independently and simultaneously to maintain deadlines
  • Resourceful and results oriented, driven to achieve objectives

CREDENTIALS & EXPERIENCE:

  • Bachelor’s degree from a four-year college or university or equivalent industry experience and knowledge
  • 1 - 4 years of experience in EDI application interface development

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