Healthcare EDI Analyst jobs in Washington

Healthcare EDI Analyst provides technical support during and after implementation for electronic data interchange applications used in healthcare settings. Responds to inquiries from vendors, payors, and providers regarding EDI issues with enrollment, claims, payments, and clearinghouse activities. Being a Healthcare EDI Analyst troubleshoots problems and deploys solutions to resolve issues. Conducts root cause analysis to prevent future problems and to suggest improvements. Additionally, Healthcare EDI Analyst may require a bachelor's degree. Typically reports to a manager. The Healthcare EDI Analyst work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Healthcare EDI Analyst typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)

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Senior SQL Developer – Healthcare/EDI
  • King County
  • Chinook, WA OTHER
  • Software Engineering is the central King County software development arm of King County Department of Information Technology (KCIT) and is responsible for setting software architecture and direction as well as the development, upgrade and maintenance of major software systems. The Software Engineering team is looking for a Senior Software Engineer to join the BHRD Technical Team supporting the application development and data integration needs of the Department of Community and Human Services (DCHS) Behavioral Health and Recovery Division (BHRD). As a team member your primary responsibility will be to develop SQL solutions supporting the X12 electronic data interchange (EDI) processing system used for billing and eligibility. The system receives inbound healthcare transactions from ~70 trading partners and sends outbound transactions to ~20 trading partners with a total volume of ~30 million records per year.
     
    As a member of the BHRD technical team you will support BHRD’s mission of providing services and supports to individuals, families, and communities affected by mental illness and/or substance abuse or chemical dependence. In 2022 over 60,000 low-income individuals benefited from programs managed by the Behavioral Health and Recovery Division of King County. Although the programs are designed by King County, the majority of the clients are served by contracted community based behavioral health agencies (~150). To learn more please visit
    https://kingcounty.gov/en/legacy/depts/community-human-services/mental-health-substance-abuse.aspx

    King County Department of Information Technology (KCIT) 
    KCIT uses the power of technology to digitally transform King County. Building vibrant communities through digital equity and social justice, KCIT offers innovative solutions that engage, empower, and serve our residents, businesses, communities and interested stakeholders. As the first-place recipient of the 15th annual National Association of Counties (NACo) Digital Counties Survey, KCIT is recognized for its vision, strategy, innovation, and collaboration. KCIT has a focus of delivering smart technology solutions that support customers, building stronger communities through innovation.
     
    KCIT is providing the building blocks for many of the region's most critical services. As the business solutions partner, we collaborate with the 18 County departments to develop products and services that better serve the needs of our customers and our community. To learn more about KCIT, please visit: http://kingcounty.gov/depts/it.aspx  
    • Help design relational databases to store and process business data
    • Develop complex T-SQL queries, stored procedures and functions to work with healthcare billing and eligibility data
    • Design and develop software solutions in a high-level business language such as C#, Python or JavaScript
    • Collaborate with internal and external customers to identify requirements and deliver high quality EDI integrations that are efficient, scalable and maintainable
    • Analyze, design, develop, test, troubleshoot, optimize, enhance and maintain EDI transaction maps and related business processes for healthcare transactions including 834, 835, 837P, 837I, 277, 999, proprietary file formats
    • Create and maintain operational, configuration, procedural, and other documentation 
    • Work with analysts to onboard new payers and providers to the King County system
    • Generate routine and ad hoc reports for internal and external customers
    • Coordinate and test EDI batch, Realtime, CAQH Core and API feeds with external vendors 
    • Maintain and protect sensitive data (HIPAA, CJIS)  
    • Other duties as assigned
    SQL Server database design and programming experience (5 or more years of professional experience)
    OR
    SQL Server database design and programming experience (2 or more years of professional experience) and EDI X12 technical knowledge
    OR
    SQL Server database design and programming experience (2 or more years of professional experience) and experience with healthcare billing/revenue cycle

    Desired Qualifications
    • Experience with C#, Python, JavaScript 
    • Scripting experience – Windows and Linux
    • Experience with Azure DevOps
    • Experience with agile development methodologies
    • Experience working with commercial healthcare insurers 
    • Experience working with Availity or other EDI clearinghouses
    • Experience with 270/271/277/834/835/837P/837I EDI file formats
    • Experience with IBM Sterling B2B Integrator or other ETL/B2B/EDI translators
    • ICD-10 familiarity
    • Familiarity with HL7 standards
    Telecommuting Work
    The work associated with this position will be performed through telecommuting complimented with onsite work and meetings as needed. Employees will have access to shared workspaces at various King County facilities. Employees must reside in Washington state and within a reasonable distance to their King County worksite to respond to workplace reporting requirements. 
       
    King County has a robust collection of tools and resources to support working remotely. The individual selected for this opportunity will be joining an innovative and progressive team that is redefining how we work as we transition to the department's hybrid environment.   
     
    Work Schedule
    This position is exempt from the provisions of the Fair Labor Standards Act and not overtime-eligible. Employees are paid on a bi-weekly schedule, every other Thursday, comprising a 40-hour workweek,
     Monday through Friday, 8:00 a.m. to 5:00 p.m. Alternative work schedules may be considered. 

    Union Status: This position is represented by Protec17: Information Technology
    (For internal use only: Classification: IT Engineer-Senior - 7120700)  


    Forbes recently named King County as one of Washington State's best employers.

    Together, with leadership and our employees, we're changing the way government delivers service and winning national recognition as a model of excellence. Are you ready to make a difference? Come join the team dedicated to serving one of the nation's best places to live, work and play.

    Guided by our 
    "True North", we are making King County a welcoming community where every person can thrive. We value diversity, inclusion and belonging in our workplace and workforce. To reach this goal we are committed to workforce equity. Equitable recruiting, support, and retention is how we will obtain the highest quality workforce in our region; a workforce that shares and will help advance our guiding principles--we are one team; we solve problems; we focus on the customer; we drive for results; we are racially just; we respect all people; we lead the way; and we are responsible stewards. We encourage people of all backgrounds and identities to apply, including Native American and people of color, immigrants, refugees, women, LGBTQ , people living with disabilities, and veterans.

    King County is an Equal Employment Opportunity (EEO) Employer
    No person is unlawfully excluded from employment opportunities based on race, color, religion, national origin, sex (including gender identity, sexual orientation and pregnancy), age, genetic information, disability, veteran status, or other protected class. Our EEO policy applies to all employment actions, including but not limited to recruitment, hiring, selection for training, promotion, transfer, demotion, layoff, termination, rates of pay or other forms of compensation.

    Are you ready to APPLY!?

    The recruitment for this position is open to all qualified candidates. This recruitment may be used to fill future vacancies. A completed King County Application and Resume are required for consideration. Applications submitted without all material will not be considered. 

    Questions
    If you have questions regarding this recruitment, please contact Shannon Hoeper, shoeper
    @kingcounty.gov or 206-263-6957. 

  • 12 Days Ago

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Supply Chain Analyst, EDI *Remote
  • Providence
  • Renton, WA OTHER
  • DescriptionProvidence caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutua...
  • 20 Days Ago

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#13566 - Data Collection Analyst
  • Data Collection Analyst - Qualitest
  • Kirkland, WA FULL_TIME
  • Are you interested in working with the World’s leading AI-powered Quality Engineering Company? Read on!Qualitest is looking for a Data Collection Associate in Kirkland, WA to join our rapidly expandin...
  • Just Posted

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Healthcare Data Analyst / PD / Q-1
  • Grays Harbor Community Hospital
  • Aberdeen, WA FULL_TIME
  • HARBOR REGIONAL HEALTH IS AN EQUAL OPPORTUNITY EMPLOYER Q-1 Posting Date: 01/11/24 EMPLOYMENT OPENING Department: QUALITY RISK COMPLIANCE Position Opening: Healthcare Data Analyst Salary Range: $30.39...
  • 16 Days Ago

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Healthcare Data Analyst, Operational Informatics *Remote
  • Providence
  • Vancouver, WA OTHER
  • DescriptionProvidence Health Plan caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitmen...
  • 18 Days Ago

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Senior Healthcare Business Analyst (British Columbia)
  • Paradigm Consulting Group
  • Vancouver, WA FULL_TIME
  • Paradigm has opportunities for Senior Healthcare Business Analysts to employ their knowledge, skills and techniques to deliver and implement significant initiatives and enable our customers to maximiz...
  • 7 Days Ago

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Public Health Analyst III
  • State of Vermont
  • Waterbury, VT
  • Overview The Vermont Department of Health (VDH) is excited to hire a Public Health Analyst III (PHA III) in the Research...
  • 4/25/2024 12:00:00 AM

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Community Behavioral Health Analyst
  • Center for Health Care Services
  • San Antonio, TX
  • GENERAL SUMMARY The Community Behavioral Health Analyst identifies and monitors strategic drivers with internal and exte...
  • 4/24/2024 12:00:00 AM

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Sr Population Health Analyst
  • Dignity Health
  • Bakersfield, CA
  • Overview*** This position is remote.The purpose of Dignity Health Management Services Organization (Dignity Health MSO) ...
  • 4/22/2024 12:00:00 AM

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Clinical Home Health Analyst
  • The Bizzell Group
  • Hyattsville, MD
  • Job Description Job Description Bizzell is a management and consulting firm with a mission to improve lives and accelera...
  • 4/21/2024 12:00:00 AM

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Senior Population Health Analyst
  • MVP Health Care
  • Rochester, NY
  • Senior Population Health Analyst Headquarters Office, 625 State Street, Schenectady, New York, United States of America ...
  • 4/20/2024 12:00:00 AM

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Senior Population Health Analyst
  • MVP Health Care
  • Schenectady, NY
  • Senior Population Health Analyst Headquarters Office, 625 State Street, Schenectady, New York, United States of America ...
  • 4/20/2024 12:00:00 AM

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Occupational Safety Health Analyst
  • Leidos
  • Fremont, CA
  • Description Looking for an opportunity to make an impact? At Leidos, we deliver innovative solutions through the efforts...
  • 3/11/2024 12:00:00 AM

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Occupational Safety Health Analyst
  • Leidos
  • Auburn, WA
  • Description Leidos is a Fortune 500™ company aimed at embracing and solving some of the world’s most pressing challenges...
  • 2/1/2024 12:00:00 AM

Washington (/ˈwɒʃɪŋtən/), officially the State of Washington, is a state in the Pacific Northwest region of the United States. Washington is the northwestern-most state of the contiguous United States. It borders Idaho to the east, bounded mostly by the meridian running north from the confluence of the Snake River and Clearwater River (about 116°57' west), except for the southernmost section where the border follows the Snake River. Oregon is to the south, with the Columbia River forming the western part and the 46th parallel forming the eastern part of the Oregon-Washington border. To the wes...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Healthcare EDI Analyst jobs
$57,223 to $77,163