Associate Director EDI Management - US Telecommute (Sandy Hook)

Compensation

: $108,540.00 - $160,190.00 /year *

Employment Type

: Full-Time

Industry

: Telecommuting/Work-At-Home



The Associate Director of EDI Management will function as a nimble, high performing leader and effective team player striving to contribute valuable ideas and feedback while meeting constant numerous time critical demands. They will be relied upon to persevere in driving claims issue management, process improvement and implementation team activities across multiple enterprise-wide issue management projects. This individual must fully engage and communicate consistently to the team and be open to opinions and feedback from team members and follow through on commitments, etc.


Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.


Primary Responsibilities:

  • Responsible for the design, development, management or sun setting of new, existing or acquisition EDI transactions. EDI transactions include claim, claim acknowledgment and eligibility
  • Reviews product performance against expectations and facilitates or influences changes to EDI transactions to improve optimal performance
  • May work with internal of external business partners to determine EDI transaction future direction or to respond to transaction inquiries
  • Assess and interpret customer EDI needs and requirements
  • Identifies EDI solutions for non-standard requests
  • Solves moderately complex EDI problems or conducts moderately complex EDI analysis
  • Translates EDI concepts into practice
  • Provides explanations and information to management and others on difficult issues
  • Supports creation of the new 275 attachment standard
  • Supports 7030
  • Maintain analytics on success and compliance rates for 27x to ensure MBOs are met
  • 837 Medicaid Reclamation on-boarding
  • Product owner for MGD / Optum 360
  • Orbit Administrator for EDI Team
  • CPE / UFE Modernization project team

Youll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.


Preferred Qualifications:


5+ years of EDI experience to include focus on data transfers and client implementations
Demonstrate understanding of basics of transaction monitoring (e.g., claims processing; eligibility transactions; customer installation)
5+ years of experience of continuous process improvement with a focus on understanding of upstream and downstream impacts to partners of business process operations and solutions]
Prior experience consulting with both internal and external stakeholders (from senior leadership level to end user)
Demonstrated ability to assess and/or document the outcomes (e.g., risks; benefits; impacts) of business decisions and/or changes (e.g., new client implementations; new health-care regulations) on implemented business processes
5+ years of experience partnering with technology and providing business requirements
Prior experience working in a large complex, matrixed environment
Prior data analytics experience
Demonstrated ability to lead multiple initiatives simultaneously
Prior experience managing expectations and responding to constituents in a timely manner


Preferred qualifications

Bachelor's degree or higher

Healthcare Industry experience

Provider interaction experience

Familiarity with UHC's Electronic Gateway Applications and HIPAA X12 formats and standards

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

For more information on our Internal Job Posting Policy, click here.


Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.


UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.



Job Keywords: Data, Data Analytics, Claims, Telecommute

* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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