Job Description

Your Future Evolves Here Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered.Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a differencein everything from scrubs to jeans. Are we growing Absolutely and Globally. In 2021 we grew our teams by almost 50% and continue to grow even more in 2022.Are we recognized as a company you are supported by for your career and growth, and a great place to workDefinitely. Evolent Health International (Pune, India) has been certified as \'Great Places to Work\' in 2021. In 2020 and 2021 Evolent in the U.S. was both named Best Company for Women to Advance list by Parity.org and earned a perfect score on the Human Rights Campaign (HRC) Foundation\'s Corporate Equality Index (CEI). This index is the nation\'s foremost benchmarking survey and report measuring corporate policies and practices related to LGBTQ+ workplace equality. We recognize employees that live our values, give back to our communities each year, and are champions for bringing our whole selves to work each day. If you\'re looking for a place where your work can be personally and professionally rewarding, don\'t just join a company with a mission. Join a mission with a company behind it. What You\'ll Be Doing: Position summary This position is as a Subject Matter Expert on the EDI transaction set with Edifecs Smart Trading software experience. The position calls for the fulfillment of business processing requirements of EDI transactions, for intake, processing and providing output to internal processes and external business partners. Excellent communication skills are required and will be used daily in collaboration with business product owners in reviewing and validating requirements. Responsibilities include Analyze, develop, test, and implement, business requirements and decisions using Edifecs Smart Trading software. Assist with platform support and production support including root cause analysis Partner with business product owner and other appropriate team members to recognize and analyze gaps, consider solutions and deliver working software for the EDI transaction set and specifically with 834, 837, 835, 820, 270/271, and 276/277 EDI transactions. Ability to analyze root-cause issue, problem solve and provide key recommendations for production support and implementation of process improvements. Communicate and manage potential impacts and risks associated with implementing proposed solutions to business partners and relevant Stakeholders Ability to function in a multi-project environment with changing priorities. Develops innovative approaches and is sought out as an EDI expert . Essential functions BA/BS degree in Computer Science, Business or related field and/or equivalent education and experience. 3-5 years of experience working with multiple stakeholders in a matrix type environment to achieve project deliverables required 2+ years of experience in Healthcare EDI transactional processing (i.e.,834, 837, 835, 820, 270/271, 276/277) and various ANSI X12 transaction sets 2+ years of experience with Edifecs Smart Trading Software (XES, TM, Specbuilder, XESManager) 1+ years Java/ java script experience 1+ years deployment experience 1+ years Windows experience (administrative preferred) 1+ years SQL and SQL Server experience Excellent time management, organizational, and prioritization skills and ability to balance multiple priorities Mandatory skill set : Competency level : 5 2+ years of experience with Edifecs Smart Trading Software (EAM, XES, TM, Specbuilder, XESManager) 2+ years of experience in Healthcare EDI transactional processing (i.e.,834, 837, 835, 820, 270/271, 276/277) and various ANSI X12 transaction sets 3-5 years of experience working with multiple stakeholders in a matrix type environment to achieve project deliverables required Good knowledge around creating/modifying routes, maps and guidelines. Competency level : 4 1+ years Java/ java script experience 1+ years deployment experience (JenkinsGit) 1+ years Windows experience (administrative preferred) 1+ years SQL and SQL Server experience Excellent time management, organizational, and prioritization skills and ability to balance multiple priorities Good to have skill set : Experience with various file formats (X12, XML, CSV, Delimiter, Fixed ASCII, Database) Configuration file creation within Edifecs software modules for standard edits as well as customized edits Map creation experience for both inbound and outbound trading partner relationships within Edifecs Smart Trading software suite for various ANSI X12 transaction sets Experience with Edifecs Transaction Manager for processing validation and dashboard reporting Experience with Edifecs XESEAM for route creation and software set-up Experience converting data between EDI and other file formats including flat files, json, xml Experience in various data transfer technologies such as APIs and cloud storage Healthcare domain expertise or background working with Claims, Enrollment, and Call Center Operations teams Intermediate level of proficiency with Excel, Visio, PowerPoint and SharePoint Strong oral and written communications and presentation skills. Academic Qualification : Hiring Panel Details : HM screening Candidate Profiles : Prashant Bugad India Manager Screening : Prashant Bugad US Panel : James Friedenberger Mandatory Requirements: We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. Evolent Health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status .

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