Overview
On Site
Full Time
Skills
Analytical Skill
Business Operations
Microsoft Exchange
Trading
Pharmacy
Data Integrity
Documentation
Data Validation
Testing
ASC X12
File Formats
XML
Computerized System Validation
Attention To Detail
Problem Solving
Conflict Resolution
Management
Business Administration
Information Systems
Computer Science
Electronic Data Interchange
Health Insurance
Supply Chain Management
SQL
Data Analysis
HIPAA
Health Care
SAP BASIS
Law
IT Service Management
Innovation
Collaboration
Recruiting
Insurance
Finance
Professional Development
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CompTIA
Customer Service
Career Counseling
Oracle Application Express
Apex
Job Details
Job#: 2078459
Job Description:
One of our fastest-growing Healthcare clients is looking for a detail-oriented and analytical Claims Business Operations Analyst to manage, analyze, and optimize our X12 Electronic Data Interchange (EDI) processes and transactions, ensuring seamless data exchange between internal systems and external partners.
Key Responsibilities:
Required Skills and Qualifications:
Preferred Qualifications:
EEO Employer
Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Employee Services Department at or .
Apex Systems is a world-class IT services company that serves thousands of clients across the globe. When you join Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRated's Best of Staffing in Talent Satisfaction in the United States and Great Place to Work in the United Kingdom and Mexico.
Apex Benefits Overview: Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our 'Welcome Packet' as well, which an Apex team member can provide.
Job Description:
One of our fastest-growing Healthcare clients is looking for a detail-oriented and analytical Claims Business Operations Analyst to manage, analyze, and optimize our X12 Electronic Data Interchange (EDI) processes and transactions, ensuring seamless data exchange between internal systems and external partners.
Key Responsibilities:
- Manage day-to-day EDI operations, including setup, configuration, and troubleshooting of EDI transactions.
- Coordinate with internal teams, trading partners, and third-party vendors to implement, monitor, and optimize EDI processes.
- Analyze and map EDI transactions, primarily 837 Claims and Pharmacy Fixed width files, ensuring data integrity and accuracy.
- Investigate and resolve EDI errors and rejections, working closely with IT and business teams to resolve issues in a timely manner.
- Develop and maintain documentation for EDI processes, procedures, and transaction mappings.
- Perform data validation and testing for new and updated EDI implementations.
- Collaborate with technical teams to ensure that system upgrades, maintenance, and changes do not disrupt EDI functionality.
Required Skills and Qualifications:
- Good understanding & working knowledge of EDI standards (ANSI X12, HIPAA) and file formats (XML, CSV).
- Working knowledge of Healthcare Claims processing
- Ability to analyze data, troubleshoot issues, and communicate effectively with both technical and non-technical stakeholders.
- Excellent attention to detail and problem-solving skills.
- Ability to manage multiple partners, vendors simultaneously.
Preferred Qualifications:
- Bachelor's degree in Business Administration, Information Systems, Computer Science, or related field.
- 3+ years of experience in EDI operations, preferably in the healthcare, insurance, or supply chain industry.
- Familiarity with SQL for querying and data analysis.
- Knowledge of HIPAA compliance requirements and healthcare data regulations.
EEO Employer
Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Employee Services Department at or .
Apex Systems is a world-class IT services company that serves thousands of clients across the globe. When you join Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRated's Best of Staffing in Talent Satisfaction in the United States and Great Place to Work in the United Kingdom and Mexico.
Apex Benefits Overview: Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our 'Welcome Packet' as well, which an Apex team member can provide.
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.