Senior EDI Analyst

Job Description

It’s Time For A Change...

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 power that brings us to work each day. We believe in embracing new ideas, testing ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a difference in everything from scrubs to jeans.

Are we growing? Absolutely. We have seen about 30% average growth over the last three years. Are we recognized? Definitely. We were named one of “Becker’s 150 Great Places to Work in Healthcare” in 2016, 2017, 2018 and 2019 and are proud to be recognized as a leader in driving important Diversity and Inclusion (D&I) efforts: Evolent achieved a 95% score on its first-ever submission to the Human Rights Campaign's Corporate Equality Index ; was named on the Best Companies for Women to Advance List 2020 by Parity.org ; and we publish an annual Diversity and Inclusion Annual Report to share our progress on how we’re building an equitable workplace. 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:

Reporting to the Senior Director, the EDI Systems Analyst will be responsible for writing detailed level design documents for EDI transactions. These include but are not limited to 837, 834, 835, 820, 270x transaction sets. The detailed level design documents will include validation rules, transformation rules, mapping rules as well as other database/process level requirements that are defined in the requirements documents as stated by the client.

The EDI Systems Analyst will walk through and hand over this spec to the development and QA teams for implementation. He/She will also work hand in hand with the Solution Analyst to ensure all requirements are translated into the design document.

The EDI Systems Analyst will also be asked to assist with production support tasks related to EDI files.

The Experience You’ll Need (Required):

• Bachelor’s degree in Healthcare Management, Computer Science or another technology/business field of study
• Five or more years of EDI systems analysis experience
• Basic SQL skills
• Healthcare industry experience preferred
• Strong EDI, X12, HIPAA 5010 transaction set knowledge (especially, 837, 834, 835 and 27x files)
• Understanding of EDI implementation guides and matching interface specifications
• Ability to work independently with minimal supervision and collaboratively within a team
• Ability to work effectively with customers and internal staff in fast-paced environment and time-sensitive situations
• Excellent communication skills
• Ability to work independently with minimal supervision and collaboratively within a team
• Ability to work effectively with customers and internal staff in fast-paced environment and time-sensitive situations

Technical requirements:

Currently, Evolent employees work remotely temporarily due to COVID-19. As such, we require that all employees have the following technical capability at their home: High speed internet over 10 MBPS and, specifically for all call center employees, 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.
#LI-Remote