EDI Implementation Analyst II

Availity delivers revenue cycle and related business solutions for health care professionals who want to build healthy, thriving organizations. Availity has the powerful tools, actionable insights and expansive network reach that medical businesses need to get an edge in an industry constantly redefined by change. At Availity, we're not just another Healthcare Technology company; we're pioneers reshaping the future of healthcare! With our headquarters in vibrant Jacksonville, FL, and an exciting office in Bangalore, India, along with an exceptional remote workforce across the United States, we're a global team united by a powerful mission. We're on a mission to bring the focus back to what truly matters – patient care. As the leading healthcare engagement platform, we're the heartbeat of an industry that impacts millions. With over 2 million providers connected to health plans, and processing over 13 billion transactions annually, our influence is continually expanding. Join our energetic, dynamic, and forward-thinking team where your ideas are celebrated, innovation is encouraged, and every contribution counts. We're transforming the healthcare landscape, solving communication challenges, and creating connections that empower the nation's premier healthcare ecosystem. Reporting to the Manager, Health Plan Implementation Analysts, the EDI Implementation Analyst II role is technical in nature and requires a strong understanding of the interaction between the Availity systems and Availity customers, primarily from a receiver perspective. The EDI Implementation Analyst II role focuses on moderate to complex implementation tasks and responsibilities. The role is accountable for assessing, analyzing, and implementing solutions in a timely and efficient manner. Key responsibilities include, but are not limited to a) managing internal and external relationships with payers and vendors to meet integration objectives set by Program Management; b) creating appropriate documented deliverables, managing deliverables, gaining agreement from internal and external partners; and c) coordinating partner awareness on Availity functionality as requested by Program Management and production issues as requested by internal teams, including but not limited to Operations support team and/or Information Technology team. Sponsorship, in any form, is not available for this position.   Location: Remote, US To be qualified for the role, you have:   Bachelor’s degree or the equivalent work experience 4+ years of related experience in a technology (information exchange) and/or healthcare environment 4+ years of experience with managing simple to moderately complex implementations and delivering results with speed, accountability, and trust Knowledge of the health care industry specifically claims processing systems, provider office operations, and customer service processes in a health care company Understanding of HIPAA implementation guides for claim and other transactions Knowledge of the health care industry HIPAA mandated ANSI transaction formats. Must have a working knowledge of X12 transactions specifically 837P, 837I, 835, 270/271, 276/277, 278, CCR/CCD Ability to create and execute test plans Ability to create documentation such as training resources and reference materials Ability to establish and maintain effective working relationships, supporting internal and external partners Excellent written and verbal communication skills including strong presentation skills and the ability to present executive summaries in a concise manner Ability to effectively manage multiple priorities in a fast-paced environment Flexibility and ability to embrace change Ability to prepare documented customer requirements Experience with Submitters, Vendors and/or Receivers/Payers is a plus Customer service and/or relationship management experience is a plus Experience in software implementations is a plus What you will be doing:   Solutions Integration Implementation Planning:  Accountable for all complexity level implementations, including but not limited to submitters, partners, and vendors; to exchange all transaction types through methods such as EDI, B2B, web transactions, API, and others as defined implementations.  Tasks involve managing client timelines and deliverables, issue resolution, file transmission, response reporting, testing and results delivery based on customer requirements using Availity processes and tools Acts under the guidance of the Level III EDI Implementation Analysts Will be responsible for Analyst level tasks of all implementations. Including, but not limited to, developing the implementation plan for all new implementation requests (direct receiver/payer, and partner and vendor), initiating implementation plan with customer, creating all tickets required to execute implementation plan completely. Implementation Tracking and Execution: Manages multiple moderate to complex implementations, including timelines, issue resolution and results delivery using Availity standard tools and processes Assesses and analyzes moderately complex standard and non-standard implementations, including HIPAA rules and Availity standards and options and follows processes accordingly In partnership with external and internal stakeholders, the EDI Implementation Analyst II conducts pre-production functional testing protocols, including creating and executing test plans for the implementation Tracks progress of specific implementation projects via Availity tools including JIRA, Confluence and Salesforce ​Resource Coordination: Mentors EDI Implementation Analysts to ensure projects are completed on a timely basis and ensures Availity standards are followed. Interacts with Payer/Trading Partner, Vendor and Provider Marketing, Business Development, Business Technology Solutions, Product Management, Finance, and Operations Communication and coordinat