Business EDI Operations Analyst

GuideWell•Irving, TX

3d•Onsite

About The Position

The Business EDI Operations Analyst analyzes and assesses daily operational metrics, reports, and projects to support client needs. The role focuses on improving operations, including maintaining and ensuring the accuracy of EDI 835 files. It also supports process and procedure updates, clinical implementation, training initiatives, and operational reporting. The analyst works with department leaders, clients, and organizational leadership to identify trends and root causes, improve processes and systems, and inform decisions using data.

Requirements

At least 4 years of related work experience.
Prior experience working closely with 835 EDI files.
Bachelor’s degree in Business Administration or a related field; additional related work experience may substitute.
Advanced reporting skills and significant experience with Microsoft Word, Excel, and PowerPoint.
Ability to multitask, prioritize responsibilities, and take initiative on current projects.
Flexibility in response to changing responsibilities.
Proactive approach to asking questions, seeking clarification, and navigating ambiguity.
Strong oral, written, presentation, and communication skills.
Comfort working across operational areas with key decision-makers and leadership.
Ability to work in ambiguity and present information clearly to others.

Nice To Haves

Master’s degree preferred.

Responsibilities

Provide analysis and reporting for projects, including EDI 835 file maintenance and accuracy.
Focus on continuous improvement to support client needs and demands.
Update processes and procedures and perform administrative tasks.
Assist with clinical implementation as requested by leadership.
Support training initiatives and tasks as needed.
Assess situations and develop short-term solutions and long-term improvement plans using input from others and data analysis.
Address escalations by identifying root causes and analyzing day-to-day operations within Communitas.
Generate reports and analyze data to identify trends, partnering with department leaders on processes, procedures, and their impact.
Streamline processes and systems to enable growth and expand capabilities.
Participate in client and leadership calls and meetings as requested, serving as a subject matter expert who reads and reports data to support decisions.