Provider Engagement Account Manager
Centene Corporation
Data Exchange Analyst, Insurance
Guardian Life
full-time
Posted on:
Origin: • 🇺🇸 United States • Pennsylvania, Wisconsin
Visit company websiteSalary
💰 $48,170 - $72,260 per year
Job Level
Mid-LevelSenior
About the role
- The Data Exchange Analyst is responsible for supporting the business community by working directly with customers and third-party administrators to establish and maintain inbound and outbound EDI and API connections related to eligibility.
- You will Assist customers and third-party administrators with implementation, testing and support of inbound data connections
- Support external customers and internal processing areas by trouble shooting transmission or formatting issues
- Act as a liaison between the business community and IT Supply technology vendors and/or plan holders plan specific requirements based upon Guardian’s internal systems and standard formats
- Work with vendors and/or plan holders to understand their abilities to pass us data and provide solutions to situations/formats outside of Guardian’s standard formats
- Respond to internal and external inquiries regarding connection(s)
- Complete detailed user acceptance testing of inbound eligibility files
- Provide ‘Best in Class’ service to our customers based on the channel of their preference
- Handle complex calls requiring the analyst to lead a customer through difficult technical data
- Attend relevant training, job sharing, mentoring and establishing personal networks
- Maintain procedural guidelines
- Report system related problems
- Actively participate in team meetings
- Assist other team members when necessary to meet established deadlines and customer expectations
Requirements
- College degree preferred or equivalent work experience
- High School diploma or equivalent required
- Experience working in insurance industry preferred
- Experience working with HIPAA data files
- Strong computer skills: Text Pad (or other EDI file viewing application) and MS Excel
- Strong ability to manipulate data files to create output in various formats
- Flexibility in handling multiple tasks, responding rapidly to changing priorities and working within tight deadlines
- Demonstrated communication skills, both oral and written
- Proven analytical skills
- Ability to function in a team environment and build strong working relationships
