What are the responsibilities and job description for the EDI Specialist I position at HMA?
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 $81,000-$104,000 p/yr and varies dependent on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonus(es) is available. In addition, HMA provides a generous total rewards package for full-time employees that includes: seventeen (IC) days paid time off; eleven paid holidays, one paid personal and one paid volunteer day; company-subsidized medical, dental, vision, and prescription insurance; company-paid disability, life, and AD&D insurances; voluntary life insurances; HSA and FSA pre-tax programs; 401(k)-retirement plan with company match; wellness incentive and reimbursement; remote work and continuing education reimbursements; discount program; parental leave; and a charitable giving match. For more information about HMA, visit www.accesshma.com.
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.
How we Support your Work, Life, and Wellness Goals
We offer a comprehensive total rewards package including: competitive pay; annual incentive; medical, dental, and vision insurance; 401K retirement plan with match; generous PTO and holidays; an onsite gym facility; a gym subsidy; Life, AD&D, Short-Term and Long-Term Disability Insurances; an Employee Assistance Plan; free parking and easy freeway access to I-405 and I-520; a well-stocked kitchen on-site with subsidized snacks and refreshments; year-round wellness activities; the ability to earn a $500 wellness incentive; monthly events; paid volunteer hours and more!
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
Salary : $81,000 - $104,000
