What are the responsibilities and job description for the Client Implementation Analyst II (EDI) Remote position at Claritev?
At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all of our stakeholders – internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.
Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and upward!!!
JOB SUMMARY :
A Client Implementation Analyst II is responsible for the electronic setup, testing and go-live of IT projects that involve Client Claims Processing. These claims may be received either via EDI (Electronic Data Interchange) or via Web Services (near real time technology). The analyst is involved end to end in the process to implement both new business workflows and existing products for all clients / trading partners, and is also the subject matter expert for internal initiatives on revenue generating and process improvement projects.
JOB ROLES AND RESPONSIBILITIES :
1. Manage the efforts to fulfill a client request to access Claritev Products, and to customize how they access / utilize Claritev Products using EDI and Web Services claims processing workflows. It includes but is not limited to the below
- Understanding client needs
- Researching current client setup & claim processing rules
- Designing the quickest and most efficient solution
- Communicating effort, timelines, risk and client impact
- Implementing the solution and validating that it works as intended
- Performing end-to-end client-facing and regression testing
- Enabling client solution in the production environment
- Monitoring / Reporting / Turnover to Production Support
2. Act as the primary liaison between business and technical teams.
3. Manage and coordinate IT deliverables to both internal and external stakeholders
4. Manage requests and incidents using problem solving and critical thinking abilities
5. Implement process improvements to enhance the efficiency of claims workflows.
6. Prepare and maintain documentation that defines operational procedures, describes client requirements, and share relevant analysis outcomes with internal and external stakeholders.
7. Exhibit excellent team work
8. Good leadership and decision making skills
9. Collaborate, coordinate, and communicate across disciplines and departments.
10. Ensure compliance with HIPAA regulations and requirements.
11. Demonstrate Company's Core Competencies and values held within.
12. Please note due to the exposure of PHI sensitive data this role is considered to be a High Risk Role.
13. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and / or assigned as necessary.
