Senior Business Operations Analyst - Claims (EDI)

📋 Description

• Implement end-to-end partner integrations from specs to go-live.
• Oversee receipt, tracking, importing/exporting, balancing of EDI files with partners.
• Report to Eng/Ops Manager; provide minimal oversight to prioritize tasks.
• Provide direction to team; develop into Operations SME.
• Lead meetings to review issues and improvements.
• Apply process improvement techniques to reduce waste and improve processes.
• Coordinate uploading/balancing/inventory of electronic files with claims via platform; track discrepancies.
• Apply business context to support software implementations and maintenance.
• Troubleshoot software issues; review logs; collaborate with teams to resolve.
• Ensure data intake validation integrity.
• Support ad-hoc project reporting.
• Support interfaces to/from application environments.

🎯 Requirements

• BA/BS degree; 2+ years in business analysis.
• Knowledge of claims ops workflow; Agile processes.
• Excellent written docs: requirements, flow maps, use cases.
• X12 5010 standards; end-to-end claims lifecycle.
• Experience with healthcare EDI formats: 837, 835.
• Jira and Confluence experience (including extensions).
• Git and Postman experience.
• Strong written and oral communication; multitask well.
• Data analysis and reporting in reporting tools.
• Diplomatic partner engagement; communicate changes clearly.

🎁 Benefits

• 65,000 stock options.
• Health insurance.
• 401k.
• Paid time off.
• Flexible work arrangements.
• Professional development via mobility programs, mentorship, courses.
• Hybrid Plano office; in-office 3 days/week.
• Equal opportunity employer; diversity commitment.
• Benefits overview: https://jobs.collectivehealth.com/benefits/