What are the responsibilities and job description for the EDI Specialist position at MetLife Services and Solutions, LLC?
Description and Requirements
The Team You Will Join :
The EDI Specialist position sits within the Dental product team in Group Benefits. This team is focused on strategy execution, leading from ideation to agile team design and build.
The Opportunity :
The EDI Specialist is responsible for the Electronic Data Interchange (EDI) processes, operations, and integrations. This is a hybrid business / technology role, focused on understand and translating between data formats within EDI standards like X12, EDIFACT, XML, and JSON. The EDI Specialist is responsible for developing, enhancing, and implementing EDI policies and procedures regarding data security, backup, recovery, and error handling. They will be accountable for troubleshooting and resolving EDI issues and errors with the technical counterparts, as well as communicating internally and externally to resolve any concerns.
They set the vision and priorities for the EDI solutions built by the Dental ARTs, and work with other ART leaders to ensure alignment to the objectives and key results (OKRs) for the ART.
In particular, the EDI Specialist will be guiding the modernization of legacy technology, creating partnerships with vendors, associations, and Dental Service Organizations. Additionally, they will be responsible for understanding compliance and reporting requirements for Medicare Advantage and individual states. Communication, collaboration, customer service, and technical skills should be balances to ensure priorities are executed accordingly.
Key Responsibilities :
The Work :
- Understand and continuously update existing EDI flows, identifying areas of improvement or adjustments based on HIPAA regulations, Medicare Advantage, or other state agencies
- Ensure solutions are identified with a maximum value, aligned with product strategy, roadmap, and key milestones
- Help refine, prioritize, and accept the work delivered across the agile release train to ensure the outcomes meet the defined customer and business needs
- Ensure all features are delivered whole, and released to customers as a product to be proud of
- Lead new EDI integrations, establishing setup and testing, ensuring data security standards are met
- Develop specific Objectives and Key Results (OKRs) related to the EDI process, tracking progress throughout
- Make decisions to solve product related problems, trade-off discussions, to stay on track to committed outcomes (acceptance, prioritizing, making trade-offs, etc.)
The Interactions :
What You Need to Succeed (Required Qualifications) :
What Can Give You an Edge (Preferred Qualifications) :
At MetLife, we're leading the global transformation of an industry we've long defined. United in purpose, diverse in perspective, we're dedicated to making a difference in the lives of our customers.
The salary range for applicants for this position is 103,100 to 137,400.
Benefits We Offer
Our U.S. benefits address holistic well-being with programs for physical and mental health, financial wellness, and support for families. We offer a comprehensive health plan that includes medical / prescription drug and vision, dental insurance, and no-cost short- and long-term disability. We also provide company-paid life insurance and legal services, a retirement pension funded entirely by MetLife and 401(k) with employer matching, group discounts on voluntary insurance products including auto and home, pet, critical illness, hospital indemnity, and accident insurance, as well as Employee Assistance Program (EAP) and digital mental health programs, parental leave, volunteer time off, tuition assistance and much more!
About MetLife
Recognized on Fortune magazine's list of the 2024 "World's Most Admired Companies", Fortune World's 25 Best Workplaces™ for 2024, as well as the 2024 Fortune 100 Best Companies to Work For ®, MetLife , through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With operations in more than 40 markets, we hold leading positions in the United States, Latin America, Asia, Europe, and the Middle East.
Our purpose is simple - to help our colleagues, customers, communities, and the world at large create a more confident future. United by purpose and guided by empathy, we're inspired to transform the next century in financial services. At MetLife, it's #AllTogetherPossible . Join us!
Equal Employment Opportunity / Disability / Veterans
If you need an accommodation due to a disability, please email us at accommodations@metlife.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process.
MetLife maintains a drug-free workplace.
103,100 to 137,400
