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Healthcare Management Administrators (HMA)

EDI Specialist I

Posted 2 Days Ago
Remote or Hybrid
Hiring Remotely in United States
Junior
Remote or Hybrid
Hiring Remotely in United States
Junior
The EDI Specialist I will manage relationships with vendors, support data integrations, and ensure client onboarding while troubleshooting technical systems.
The summary above was generated by AI
HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service.
We are proud to say that for three years, HMA has been chosen as a 'Washington's Best Workplaces' by our Staff and PSBJ™. Our vision, 'Proving What's Possible in Healthcare™,' and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results.
What we are looking for: We are always searching for unique people to add to our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven.
What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: https://www.accesshma.com/
How YOU will make a Difference:
Works closely with internal and external stakeholders to triage and provide Day-to-Day Support for external integrations with vendors, including but not limited to Pharmacies (eligibility & accumulators), Providers, and Insurance Carriers. You will coordinate new Implementations, and acting as a liaison between external and internal resources to onboard new and existing clients.
What YOU will do:
  • Provides daily monitoring of outbound data integrations with external trading partners, including but not limited to, eligibility and accumulator data.
  • Maintain EDI x12 834 integrations, including but not limited to, daily file processing, ongoing maintenance, technical support (internal & external clients), and EDI System configuration
  • Implements inbound & outbound integrations with external trading partners, while behaving as a liaison between external and internal stakeholders including Development.
  • Completes UAT validation for both Implementation and Support deployments
  • Works with both technical and operational stakeholders to identify and resolve Production issues.
  • Manages relationships with external vendors in an effort to streamline the implementation and support process.
  • Providing ongoing support for S/FTP connections with third party vendors
  • Coordinates with the File Management teammates to gain a comprehensive view of end-to-end data transactions to offer seamless support during off-cycle and renewal changes.

Knowledge, Experience, and Key Attributes needed for Success:
  • AA or BA preferred
  • 1-3 years of related experience required
  • 1+ years of 834 specific experience required
  • This position requires the ability to learn, configure, and troubleshoot several interlocking technical systems.
  • Experience with the Healthcare or Pharmaceutical industry is a plus
  • Previous experience with EDI & File Management

Compensation:
The base salary range for this position in the greater Seattle area is $85,000 - $104,000 and varies dependent on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonus(es) is available.
Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law.
In addition, HMA provides a generous total rewards package for full-time employees that includes:
  • Seventeen (IC) days paid time off (individual contributors)
  • Eleven paid holidays
  • Two paid personal and one paid volunteer day
  • Company-subsidized medical, dental, vision, and prescription insurance
  • Company-paid disability, life, and AD&D insurances
  • Voluntary insurances
  • HSA and FSA pre-tax programs
  • 401(k)-retirement plan with company match
  • Annual $500 wellness incentive and a $600 wellness reimbursement
  • Remote work and continuing education reimbursements
  • Discount program
  • Parental leave
  • Up to $1,000 annual charitable giving match

How we Support your Work, Life, and Wellness Goals
At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work-life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in person events throughout the year including an annual all hands, summer picnic, trivia night, and a holiday party.
We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.)
HMA requires a background screen prior to employment.
Protected Health Information (PHI) Access Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA's standard policies and procedures.
HMA is an Equal Opportunity Employer.
For more information about HMA, visit www.accesshma.com .

Top Skills

Edi X12 834
File Management
Healthcare Systems
S/Ftp

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