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Empowering Value-Based Healthcare
EDI Analyst I
Location
Arizona + 6 moreAll locations: Arizona | Florida | Nevada | Missouri | Texas | Washington | Wisconsin
Posted
46 days ago
Salary
$24 - $36 / hour
Seniority
Senior
Job Description
EDI Analyst I
Holista
• Assist in modifying and maintaining SQL queries using SQL Server Management Studio. • Support reporting initiatives and system enhancements. • Serve as backup to the EDI Analyst II during absences. • Attend internal and external meetings related to system builds and payer reporting. • Analyze 277/834/835/837/999 EDI files for trends and discrepancies. • Assist with AR analytics and revenue cycle performance reporting. • Support payer issue investigations and claim data validation. • Participate in system testing and validation for updates or changes. • Maintain documentation for reporting workflows and processes. • Collaborate with EDI & Operations Analyst on internal system efficiencies.
Job Requirements
- Bachelor Degree in Management Information Systems, Computer Science or related degree or equivalent work experience or equivalent years of internal experience.
- Strong analytical and investigative skills
- Working knowledge of CPT codes and medical billing
- Understanding of Accounts Receivable processes
- Familiarity with 277, 834, 835, 837 and 999 EDI transactions
- Ability to communicate technical findings clearly
- Ability to prioritize and manage multiple projects
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Role Description The Policy Advisor is responsible for assisting Community Catalyst’s Policy Team as well as relevant project and program teams in advancing Community Catalyst’s federal and state policy priorities, particularly as they relate to health insurance reforms, medical debt and health system accountability, older adults, and Medicare and Medicaid integration. The individual in this position will need to work with colleagues across the organization, identify points of connection between various initiatives, develop strategic frameworks for technical assistance to external partners, and coordinate research and policy analysis within the organization and among contracted consultants. Key Responsibilities - Partner with Policy Team leadership in development of Community Catalyst’s state and federal policy agenda, ensuring that efforts are centered in community experience and leadership and applying an anti-racist lens to all policy work. - Prepare and lead execution of relevant research, policy analysis, and development of policy products and communications to support cross-organizational initiatives. - Develop and maintain expertise in key health policy areas, including medical debt, health systems accountability, payment reform, individuals who are dually eligible for Medicare and Medicaid, home and community-based services, and serve as an advisor and thought partner as needed on key policy issues at the state and federal level. - Build and maintain strategic relationships and represent the organization with policymakers, funders, and state, national, and community-based organizations as needed. - Work with program directors and staff to support and learn from partner organizations and identify and address policy-related technical assistance needs. - Manage policy associates and seasonal interns, including their professional development, and contribute to cultivation of team culture. - Perform other duties as necessary to achieve the goals of the policy team and the organization. Qualifications - Bachelor’s degree plus at least 10 years relevant work experience in health policy or a combination of relevant higher education and years of legal and/or health policy work experience. - Demonstrated in-depth knowledge of health policy issues, ability to analyze complex and intersecting health legislation, regulations, and policies, and understanding the connections between state political environments and effects on advocacy and policy campaigns. - Understanding of the federal policy landscape and trends and the federal policymaking process. - Ability to travel on average 3-5 times a year. 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Supervisory Responsibilities The Policy Advisor may supervise junior policy staff such as Policy Associates or seasonal interns, reports to the Director of Government Affairs, and serves as a member of the Policy & Strategy leadership team. Work Environment & Physical Requirements This is a remote, office-based position performed from a home or remote workspace using standard office equipment and technology. Occasional travel may be required based on organizational needs. The role involves extended periods of sitting, regular computer use, and virtual communication. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the role. Compensation & Benefits The salary range for this position is $90,000 to $120,000 based on a full-time schedule. Placement within the range is determined by role scope, relevant experience, skills, geographic considerations, and internal equity. 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Employment decisions are made without regard to race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law. Disclaimer This job description is not intended to be an exhaustive list of duties. Responsibilities may change based on organizational needs, and reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.


