Client Implementation Analyst
Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the health and well-being of the people and communities we serve.
Client Implementation Analyst is the key point of contact for communicating with Sales, clients and vendors as well as other internal business partners to ensure a successful onboarding process onto our EDI enrollment file submission process.
- Oversee and analyze the installation of a new client or an existing client switching vendors onto our 834 EDI submission platform.
- Review complex inbound 834 and alt 834 file issues in pre-edit/post-release to develop best practices for analysis, reconciliation, and resolution.
- Liaison between Core Self-Funded Enrollment Operations and BTS/Compliance/Marketing/Client Implementation for enrollment impacting initiatives.
- Act as subject matter expert for group requests and coordinate technical/process changes.
- Document/prioritize system limitations and coordinate with Health Edge/BTS to identify technical solutions or automation opportunities.
- Successfully manage the flow of inbound EDI files for Core SF client business.
- Develop and document procedures/job aides/service alerts/policies for enrollment processes.
- Manage initial enrollment file loads for new client installations.
- Assist and train team members as needed.
- Other duties as assigned by the Leadership Team.
Knowledge, Skills, Abilities
· Ability to work and coordinate enrollment process and Analytics for Core Self-Funded Enrollment Operations.
· Represent Core Self-Funded Enrollment Operations during customer integration projects, operational meetings between IBC divisions, new implementations, integration and new product development, key control audits, regulatory examinations, interaction with Health Edge (or other vendors).
· Acute knowledge of EDI & enrollment systems. Understanding of XML/ANSI 834/HIPAA X12transactions is beneficial but not required.
· Must possess the ability to interface with internal/external customers at various levels.
· Demonstrate experience in training & development.
· Willingness to work in a fast-paced, challenging environment.
· Detail oriented and organized, with exceptional prioritization skills.
· Ability to effectively communicate with senior management, supervisors, peers, and clients.
· Proficient in Microsoft Applications.
· Proven process improvement methodology and driving change management.
· Requires an extensive knowledge of EDI Portal functionality and managing inbound EDI enrollment file activity.
· Experience in the Health Rules system platform, understanding of the Front Office System and how these platforms interact with EDI Portal for EDI enrollment validation.
· BA/BS Degree in Business related field or equivalent work experience preferred.
Scope:
· Has in-depth knowledge in own discipline and basic knowledge of related disciplines.
· Solves complex problems; takes a new perspective on existing solutions.
· Works independently; receives minimal guidance.
· Resource for colleagues with less experience.
IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.
Inclusion and Belonging
At IBX, everyone can feel valued, supported, and comfortable to be themselves, and all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. Celebrating and embracing diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
About Our Company
Serving more than 8 million people nationwide, including 2.5 million in southeastern Pennsylvania, Independence Health Group — together with its subsidiaries — is the leading health insurance organization in the Philadelphia region. Our mission to build healthier lives for you, your family, and your employees shapes our actions and decisions every day.
At Independence, we see each of our members as an individual, with unique needs and concerns. We’re dedicated to harnessing the very latest ideas and technologies to deliver access to care that meets those needs and surpasses your expectations. For more information about Independence access our website at www.ibx.com. We’re revolutionizing health care, and our focus is on you!
Equal Employment Opportunity
IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Agency Disclaimer
All resumes submitted directly to an Independence Blue Cross employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of Independence Blue Cross and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by Independence Blue Cross or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process.