edi analyst

AppedologyPK Recruitment

<p>Location:</p><p>Karachi, Pakistan</p><p>Company:</p><p>Appedology Pvt Ltd</p><p><b>Job Summary</b></p><p>Appedology Pvt Ltd is seeking a skilled and detail-oriented <b>EDI Analyst</b> to join our growing team in Karachi. The ideal candidate will be responsible for managing and optimizing Electronic Data Interchange (EDI) processes, ensuring seamless data integration between systems and external partners.</p><p><b>Key Responsibilities</b></p><ul><li>Develop, implement, and maintain EDI integrations and mappings</li><li>Monitor daily EDI transactions and resolve errors promptly</li><li>Work with clients and internal teams to gather EDI requirements</li><li>Perform data mapping for formats such as <b>ANSI X12, EDIFACT, XML, JSON</b></li><li>Troubleshoot EDI issues and ensure timely resolution</li><li>Maintain documentation of EDI processes and workflows</li><li>Support onboarding of new trading partners</li><li>Ensure data accuracy, compliance, and system efficiency</li><li>Assist in system upgrades, testing, and deployments</li></ul><p><b>Required Qualifications</b></p><ul><li>Bachelor&rsquo;s degree in Computer Science, IT, or related field</li><li><b>2&ndash;4 years of experience</b> in EDI or system integration roles</li><li>Strong knowledge of:</li><li>EDI standards (ANSI X12, EDIFACT)</li><li>Data formats (XML, JSON)</li><li>Experience with EDI tools/platforms (e.g., <b>IBM Sterling, BizTalk, Boomi</b>)</li><li>Basic knowledge of <b>SQL and databases</b></li><li>Strong analytical and problem-solving skills</li><li>Good communication and coordination abilities</li></ul><p><b>Preferred Skills</b></p><ul><li>Experience with APIs and system integrations</li><li>Familiarity with ERP systems (SAP, Oracle, etc.)</li><li>Exposure to international clients/projects</li><li>Knowledge of cloud integration platforms</li></ul><p><b>Key Competencies</b></p><ul><li>Attention to detail</li><li>Problem-solving mindset</li><li>Ability to work under pressure</li><li>Team collaboration</li><li>Time management</li></ul><p>Work Location: In person</p>

EDI ANALYST

CenterWell

<div><h1 class="jobSectionHeader"><b>Become a part of our caring community</b></h1><p></p><p><br>
As a <b>Revenue Cycle EDI Systems Analyst</b>, you will report to the VP, RCM. You will be responsible for supporting, monitoring, and optimizing revenue cycle systems utilized by the FSU. You will ensure accurate and timely billing, compliance with regulatory requirements, and efficient workflows for receivable management activities. The Revenue Cycle Systems Analyst acts as a liaison between the FSU and other internal teams, as well as external business partners, to streamline revenue cycle performance and enhance system functionality.</p><p></p><p><b>
Key Responsibilities</b></p><p></p><p><b>
System Management &amp; Optimization:</b></p><ul><li><p>
Support and configure revenue cycle applications utilized for billing and claims management.</p></li><li><p>
Identify and implement process improvements to reduce denials and accelerate reimbursements.</p></li><li><p>
Collaborate with FSU, IT and vendors to troubleshoot and resolve system issues and coordinate upgrades or integrations.</p></li></ul><p></p><p><b>
Data Analysis &amp; Reporting:</b></p><ul><li><p>
Monitor revenue cycle metrics such as errors, rejections and denial rates.</p></li><li><p>
Utilize dashboards and reports to track and identify billing and collections trends.</p></li><li><p>
Provide actionable insights to leadership for decision-making.</p></li></ul><p></p><p><b>
Compliance &amp; Quality Assurance:</b></p><ul><li><p>
Ensure systems align with CMS, HIPAA, and payer requirements.</p></li><li><p>
Respond to internal and external audit and data requests.</p></li><li><p>
Support staff with system use and system issues.</p></li></ul><p></p><p><b>
EDI Transaction Management:</b></p><ul><li><p>
Manage, analyze, and optimize electronic data transactions (837, 835, 270/271, etc.) between the FSU and external vendors.</p></li><li><p>
Collaborate with clearinghouses and payers to resolve transmission, billing and adjudication errors.</p></li><li><p>
Ensure timely submission of claims and receipt of remittance advice.</p></li></ul><p></p><p><b>
Cross-Functional Collaboration:</b></p><ul><li><p>
Partner with internal and external teams to ensure system functionality supports departmental and company goals.</p></li><li><p>
Work with finance to reconcile payments and resolve discrepancies.</p></li><li><p>
Support and train staff on System functionality, EDI processes and best practices.</p></li></ul><p></p><p><b>
Process Improvement:</b></p><ul><li><p>
Evaluate current workflows and recommend enhancements to improve efficiency, reduce costs, and ensure accurate and timely billing.</p></li><li><p>
Collaborate with cross-functional teams to implement new procedures and track effectiveness.</p></li></ul><h1 class="jobSectionHeader"><b><br>
Use your skills to make an impact</b><br>
<b>
</b></h1><p><b>Requirements</b></p><ul><li><p>
3 or more years of experience in healthcare revenue cycle and EDI, preferably in home health or post-acute care.</p></li><li><p>
Strong knowledge of HIPAA transactions (837, 835, 270/271, etc.), EMR/EHR systems, and clearinghouse platforms.</p></li><li><p>
Analytical skills with proficiency in Microsoft Office applications.</p></li><li><p>
Understanding of healthcare regulations, reimbursement models, and compliance standards.</p></li><li><p>
Excellent problem-solving, communication, and organizational abilities.</p></li></ul><p></p><p><b>
Preferred Requirements</b></p><ul><li><p>
Bachelor's degree in Health Information Management, Computer Science, Business Administration, Healthcare Management, Data Analytics or related field, or equivalent experience.</p></li><li><p>
Experience with revenue cycle automation tools and workflow optimization.</p></li><li><p>
Familiarity with Medicare/Medicaid billing processes specific to home health.</p></li><li><p>
Proficiency in file transfer software.</p></li><li><p>
Project management or process improvement experience.</p></li></ul><p></p><p><b>
Additional Information:
</b></p><p></p><p>To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:</p><ul><li><p>
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.</p></li><li><p>
Satellite, cellular and microwave connection can be used only if approved by leadership.</p></li><li><p>
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.</p></li><li><p>
Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job.</p></li><li><p>
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.</p></li></ul><p></p>
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.<p></p><p><b>
Scheduled Weekly Hours</b></p><p></p>
40<p></p><p><b>
Pay Range</b></p>
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.<br>
<p></p>
$60,800 - $82,900 per year<p></p><p><b><br>
Description of Benefits</b></p>
Humana, Inc. and its affiliated subsidiaries (collectively, &ldquo;Humana&rdquo;) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.<p></p>
Application Deadline: 04-21-2026<h1 class="jobSectionHeader"><br>
<b>
About us</b><br>
</h1>
About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers &ndash; all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.<p></p>
About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.<p><br>
<br>
<b>Equal Opportunity Employer</b></p><p></p><p>
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.</p></div>

Home Healthcare Revenue Cycle EDI Systems Analyst

Career Land Center

<p><b>Overview</b></p><p>We are seeking an experienced <b>EDI Interface Systems Analyst</b> to support Medicaid Enterprise System (MES) integrations. This role focuses on <b>data exchange, interface coordination, and end-to-end testing</b> across multiple vendors and systems.</p><p><b>Key Responsibilities</b></p><ul><li>Analyze <b>data structures</b> and provide <b>data mapping guidance</b></li><li>Manage and support <b>EDI interfaces</b> (file transfers, real-time &amp; batch processing)</li><li>Coordinate with <b>business teams, technical teams, and external vendors</b></li><li>Lead <b>interface, trading partner, and end-to-end testing</b></li><li>Develop and execute <b>test plans, test cases, and test data</b></li><li>Monitor project timelines and communicate risks/issues</li><li>Lead <b>defect triage</b> and ensure timely resolution</li><li>Troubleshoot integration issues across systems</li><li>Prepare <b>test reports, metrics, and status updates</b> for leadership</li></ul><p><b>Required Qualifications</b></p><ul><li><b>8+ years</b> experience in systems analysis, testing, or integration roles</li><li>Strong experience with:</li><li><b>EDI transactions</b></li><li><b>Data mapping &amp; data structures</b></li><li><b>Interface workflows &amp; system integrations</b></li><li><b>SFTP / HTTPS file transfers</b></li><li>Proven ability to:</li><li>Lead <b>testing efforts across multiple vendors</b></li><li>Manage <b>defects and triage sessions</b></li><li>Work independently and meet deadlines</li><li>Excellent <b>communication and stakeholder management skills</b></li></ul><p><b>Preferred Experience</b></p><ul><li><b>Healthcare claims systems (MMIS/MES)</b></li><li>Experience with large-scale systems (e.g., Medicaid, insurance, claims processing)</li><li>Background with organizations like <b>Conduent</b> is a plus</li><li>Familiarity with <b>Agile, SDLC, and DevOps practices</b></li></ul><p><b>Work Requirements</b></p><ul><li>Must be <b>based in the U.S. (no offshore work allowed)</b></li><li><b>Local Richmond candidates preferred</b></li><li>Non-local candidates must be <b>willing to relocate before start</b></li><li>Must be available for <b>onsite work 3 days per week</b></li><li>May require <b>in-person interview</b> after initial virtual screening</li></ul><p><b>Screening Questions</b></p><ul><li>Will the candidate reside in the U.S. for the duration of the contract?</li><li>Candidate email:</li><li>Current city/state (Is the candidate local to Richmond, VA?):</li><li>Experience with <b>MMIS/healthcare claims systems</b> (highlight in resume):</li><li>Willing to attend an <b>in-person interview</b> if required?</li></ul><p>Pay: $58.00 - $67.00 per hour</p><p>Work Location: Hybrid remote in Richmond, VA 23219</p>

DMAS - Programmer / Systems Analyst (EDI) 3 (798769)

DentalXChange

<p></p><div><h2 class="jobSectionHeader"><b>EDI Specialist Position Summary</b></h2>
<p>
The EDI Specialist provides operational support to production practices and resolves issues as assigned or deemed necessary. Must coordinate with various departments and document, analyze, and assist in efficient resolution of all production processes. This includes responding to end-user issues and inquiries in support, working with both in-house and third-party applications. In this role, the EDI Specialist will work closely with others to identify, communicate, and document issues and their resolutions in the production ticket tracking system.</p>
<ul>
<li><b>Why does this role matter?</b><br>
The EDI Specialist monitors production pipelines, catches failures before they reach clients, and works across internal departments and external vendors to keep transactions flowing correctly. When this work goes well, clients don't notice. When the processes breaks, claims get rejected, payments stall, and client trust erodes.</li>
<li><b>What impact will the new hire have in their first 6 months?</b><br>
In the first 90 days, cross-training with each of the EDI team members building an understanding of each task, focusing on learning file transaction types, becoming familiar with using various systems, applications and tools, and gaining an understanding of each internal department that the EDI team engages with to meet the KPI for each assigned task.<br>
From month four to six, the EDI Specialist is handling ticket queues independently, identifying recurring error patterns, and contributing fixes that prevent the same issues from recurring.</li>
<li><b>What's the growth trajectory for this position?</b><br>
The EDI Specialist role provides a strong pathway for growth within Operations. Associates who develop deep transaction knowledge and a track record for clean documentation and cross-team collaboration move into senior specialist or supervisor roles. From there, the path opens toward Operations leadership or technical project work with Trading Partners and Payers.</li>
</ul>
<p><b>What You'll Be Doing as an EDI Specialist</b></p>
<ul>
<li>Provide operational support to production practices and issues and suggest areas for improvement.</li>
<li>Monitor, review, troubleshoot, and correct EDI issues and make necessary changes to prevent the same issues from reoccurring.</li>
<li>Perform tests on production applications and prepare recovery procedures for applications.</li>
<li>Coordinate with IT groups and external vendors to ensure effective services for reliability.</li>
<li>Analyze business processes and ensure compliance with controlled processes according to established protocols.
</li><li>Monitor alerts and escalate issues for procedures and systems.</li>
<li>Assist as needed with training guides and supporting other team members.</li>
<li>Develop and maintain professional relationships with clients, vendors, and other department members.</li>
<li>Collaborate as needed with other internal departments including, but not limited to, Engineering, Sales, Client Support, Payer Relations, Trading Partners, and Channel Partners.</li>
<li>Proactively provide timely communications regarding updates, issues, and resolutions.</li>
<li>Maintain accurate support tickets, documentation, and follow-up.
</li><li>Security is everyone's job. Look out for, and report, anything that is suspicious or just doesn't seem correct.</li>
<li>Live DentalXChange's company values:
<ul><li><b>Actively Care</b>: DentalXChange Associates actively care. They care deeply about the impact they have on other associates, clients, partners, and DXC's results. They are empathetic, which allows them to excel at interpersonal relationships and making others feel important.</li>
<li><b>Try Hard</b>: DentalXChange Associates try hard. They get energy from doing good work, not just showing up. They are focused on impact and outcomes, not just finishing. They like to learn, are willing to help, and love challenges.</li>
<li><b>Be Humble</b>: DentalXChange Associates are humble. They lack excessive ego or concerns about status. They are quick to point out the contributions of others and slow to seek recognition for their own. They share credit, emphasize team over self, and define success collectively rather than individually.</li>
<li><b>Feedback is a Gift: </b>DentalXChange Associates view feedback as a gift, an opportunity for growth. They actively seek feedback to improve DXC, their teams, and themselves. They offer feedback generously and thoughtfully, always with respect and the intent to help others. They embrace feedback, welcoming a new viewpoint or idea, with the understanding it is for the greater good of the company and rooted in trusted relationships.</li>
</ul></li><li>Exhibits exceptional internal and external customer service with all persons with whom you work.</li>
<li>Other duties as assigned.</li>
</ul>
<p><b>What You'll Bring to the Team as an EDI Specialist</b></p>
<ul>
<li>1 year of related experience is preferred.</li>
<li>Basic knowledge of EDI transaction types preferred (X12 837D, 270/271, 835, XML, etc.).</li>
<li>Basic knowledge of with the following:
<ul><li>Microsoft SQL Server management Studio</li>
<li>UltraEdit and/or NotePad ++</li>
<li>CuteFTP -file transfer program</li>
<li>Microsoft Office: Excel, Outlook</li>
<li>AI tools: Claude, Copilot, etc.</li>
</ul></li><li>Ability to quickly gain a solid understanding of DentalXChange processes and applications.</li>
<li>Strong verbal and written communication and interpersonal skills.</li>
<li>Proficient in all (or list which ones) MS Office applications and use of the internet.</li>
<li>Ability to successfully multitask with accuracy in a fast-paced environment.</li>
<li>Working knowledge of technical and procedural aspects and functions.</li>
<li>Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.</li></ul><br>
<p></p>
<p>
Pay Range: $20.00 - $23.00 per hour DOE.</p><p></p><div><p><b><br>
What We Offer</b></p>
<ul>
<li>Challenging and rewarding career opportunities with room for growth as we grow!</li>
<li>Medical, dental, and vision benefits &ndash; eligible first of the month after start date</li>
<li>Unlimited PTO</li>
<li>Paid time off for sick, jury duty, bereavement</li>
<li>10 company paid holidays</li>
<li>401k with company match</li>
<li>Health Advocate</li>
<li>Healthcare and dependent care flexible spending accounts</li>
<li>Friendly co-workers and a positive culture!</li>
</ul>
<p>EDI Health Group dba DentalXChange understands the importance of privacy and takes seriously the need to protect job applicants' personal information. Applicants should be aware that we collect and use personal information in accordance with the California Consumer Privacy Act (CCPA). For more details on how we handle your information and your rights under the CCPA, please visit our Privacy Policy.</p>
<p>
DentalXChange is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all associates. The more inclusive we are, the better our work will be.</p></div></div><p></p>

EDI Specialist

CVS Health

<div><p>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger &ndash; helping to simplify health care one person, one family and one community at a time.</p><p></p><div><h1 class="jobSectionHeader"><b>
Position Summary</b></h1><p></p><p>
The Medicaid Intake Operations Team plays a critical role ensuring the accuracy and integrity of all Electronic Data Interchange (EDI) and claims intake processes within the Medicaid line of business. We are seeking a Manager Claim Technical Analyst (Medicaid Intake Operations) with a strong foundation in SQL, EDI transactions, and claims operations.</p><p></p><p>
In this role, you will:</p><ul><li>
Serve as the Technical Subject Matter Expert (SME) for intake rules and matching logic.</li><li>
Liaise with providers and internal teams to resolve questions about EDI and Claims Intake rejections.</li><li>
Provide second-level expert support for intake claim rejections.</li><li>
Analyze large datasets for research and troubleshooting.</li><li>
Collaborate with Product Owners and IT teams on system enhancements and fixes.</li><li>
Participate in testing and verification of business rules and validations.</li><li>
Manage multiple projects and tasks simultaneously while maintaining high-quality results.</li><li>
Support Product Owners, Business Owners, and Leads using technical and analytical expertise.</li><li>
Communicate effectively across all levels of the organization, including cross-functional teams.</li><li>
Write complex SQL queries to join multiple data sources and analyze data for root causes, trends, and opportunities.</li><li>
Lead the creation of automated reporting solutions using Tableau, Excel, and other tools to deliver actionable insights.</li><li>
Translate complex data analysis into clear, actionable information for non-technical audiences.</li><li>
Analyze EDI and Claims intake rejections from internal and external inquiries, including provider calls.</li><li>
Track and execute solutions for identified issues.</li><li>
Perform User Acceptance Testing for logic changes and enhancements.</li><li>
Develop utilities, queries, and processes for post-production checkout of business rules and system fixes.</li></ul><h1 class="jobSectionHeader"><b>
Required Qualifications</b></h1><ul><li>
3&ndash;5 years of experience as a SQL Server power user (coding and developing data extracts).</li><li>
5+ years of data interpretation and analysis experience.</li><li>
4+ years working with data visualization tools (Tableau, Power BI, or equivalent); expertise in data storytelling and preparing data for presentation in Excel and PowerPoint.</li><li>
5+ years querying large datasets using SQL, SAS, or other data tools.</li><li>
Strong documentation skills; writes readable and reproducible code.</li><li>
Proficient in Word, PowerPoint, Excel.</li><li>
Self-starter with the ability to work independently and prioritize multiple deliverables.</li><li>
Demonstrated ability to manage conflicting priorities and concurrent projects.</li><li>
Excellent verbal and written communication skills, able to communicate technical ideas to non-technical audiences.</li><li>
Strong problem-solving, analytical, and critical thinking skills.</li></ul><h1 class="jobSectionHeader"><b>
Preferred Qualifications</b></h1><ul><li>
Advanced Excel skills (pivots, formulas, V-lookup).</li><li>
2+ years working with EDI transactions (including but not limited to 837s, 277s, 999s, 275s, 835s).</li></ul><h1 class="jobSectionHeader"><b>
Education</b></h1><ul><li>
Bachelor&rsquo;s degree or equivalent work experience.</li></ul><p></p><p><b>
We support a hybrid work environment. If selected and you live near a suitable work location, you may be expected to comply with the hybrid work policy. Under the policy, all hires for in-scope populations should be placed into a hybrid or office-based location, working onsite three days a week.</b></p><p><b>
Aetna Service Operations office/hub locations will be discussed with the selected candidate.</b></p></div><p></p><p><b>
Anticipated Weekly Hours</b></p>
40<p></p><p><b>
Time Type</b></p>
Full time<p></p><p><b>
Pay Range</b></p><p>
The typical pay range for this role is:</p><p></p>
$60,300.00 - $132,600.00<p></p><p>
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.</p><p><br>
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.</p><p></p><p><b>
Great benefits for great people</b></p><p></p><p>
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.</p><br>
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.<p><br>
Additional details about available benefits are provided during the application process and on Benefits Moments.</p><br>
We anticipate the application window for this opening will close on: 04/15/2026<p></p><p>
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</p></div>

Mgr, Claims Technical Analyst (Medicaid Intake Operations)

Availity, LLC.

<div><div>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.</div><div></div>
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.<br>
<br>
We're on a mission to bring the focus back to what truly matters &ndash; 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.<br>
<br>
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.<div></div><div>
Reporting to the Manager, Provider Services the Operations Support Analyst provides resolution to client issues that require more in-depth knowledge of the technology, platform, products and/or processes. Issues are typically identified by the Client Services Team and can include complicated electronic data interchange (EDI) claim errors and transmission problems.<br>
<br>
Sponsorship, in any form, is not available for this position.</div><div><br>
Location: Remote, US</div><div></div><div><br>
Why you want to work on this team:</div><ul><li><div>
Highly communicative and collaborative team environment, there is always a chance to learn new things</div></li><li><div>
Opportunities for growth into an Operations Support Analyst III, Clearinghouse Support, and other roles</div></li></ul><div></div><div><br>
To be qualified for this position you have:</div><ul><li><div>
High School diploma or GED</div></li><li><div>
2 or more years of work experience as a Client Services Representative at Availity (if internal), with an emphasis on technical skills</div></li><li><div>
ANSI transaction experience</div></li><li><div>
Ability to read ANSI guides</div></li><li><div>
Experience supporting EDI/X12 transactions</div></li></ul><div></div><div><br>
You will set yourself apart:</div><ul><li><div>
You have experience working with Essentials Pro</div></li><li><div>
Strong analytical thinking and skillset</div></li></ul><div></div><div><br>
You will be:</div><ul><li><div>
Interacting with trading partners as well as direct-connect payers to facilitate resolution to client issues.</div></li><li><div>
Supporting the development of client support documentation as needed.</div></li><li><div>
Interacting closely with other team members in Availity to provide the highest quality of customer service.</div></li><li><div>
Serving as the subject matter expert and liaison between Operations, Customers, and the Availity Development team, handling more advanced technical issues as they arise.</div></li><li><div>
Provides training to first level support representatives as necessary to facilitate rapid resolution of client issues.</div></li><li><div>
May be called upon to serve in multiple roles and perform other duties, projects, or activities as specified by their management.</div></li></ul><div></div><div><br>
Availity culture and benefits:</div><ul><li><div>
Availity is a certified &ldquo;Great Place to Work&rdquo;, a &ldquo;Best Workplaces for Technology Companies&rdquo;, a &ldquo;Best Workplaces for Women&rdquo; and a &ldquo;Best Workplaces for Millennials&rdquo;!</div></li><li><div>
Culture is important to us and there are many ways for you to make your mark here!</div></li><li><div>
We have several Diversity &amp; Inclusion teams and various ways to engage with fellow Availity associates. &ldquo;Availadies&rdquo;, &ldquo;Beyond Black&rdquo;, &ldquo;HOLA&rdquo;, &ldquo;Availity Pride&rdquo;, &ldquo;VetAvaility&rdquo; a Young Professionals Group and &ldquo;She Can Code IT&rdquo; a group for women in tech are some of the groups you can get involved in.</div></li><li><div>
Availity is a culture of continuous learning. We have many resources and experts in our tech stack and in our industry that can help get you there too!</div></li><li><div>
We offer a competitive salary, bonus structure, generous HSA company contribution, healthcare, vision, dental benefits and a 401k match program that you can take advantage of on day one!</div></li><li><div>
We offer unlimited PTO for salaried associates + 9 paid holidays. Hourly associates start at 19 days of PTO and go up from there with all the same holiday benefits.</div></li><li><div>
Interested in wellness? We allow our associates to reimburse up to $250/year for gym memberships, participation in racing events, weight management programs, etc.</div></li><li><div>
Interested in furthering your education? We offer education reimbursement!</div></li><li><div>
Availity offers Paid Parental Leave for both moms and dads, both birth parents and adoptive parents.</div></li><li><div>
Want to work for an organization that gives back to the community? You&rsquo;re at the right place! Availity partners with various organizations, both locally and nationally, to raise awareness, funds and morale as our staff members volunteer their time and funds to engage the organizations campaign.</div></li></ul><div></div><div>
Next steps:</div><div>
After you apply, you will receive text/email messages thanking you for applying and then you will continue to receive more text/email messages alerting you as to where you are in the recruitment process.</div><div></div><div><br>
Interview process:</div><ul><li><div>
Recruiter Resume Review</div></li><li><div>
Manager Resume Review</div></li><li><div>
Manager Video Interview</div></li><li><div>
Team Video Interview</div></li></ul><div></div><div><i>
Video Camera Usage:</i></div><div><i>
Availity fosters a collaborative and open culture where communication and engagement are central to our success. As a remote first company, we are also camera-first and provide all associates with camera/video capability to simulate the office environment. If you are not able to use your camera for all virtual meetings, you should not apply for this role.</i></div><div></div><div><i>
Having cameras on helps create a more connected, interactive, and productive environment, allowing teams to communicate more effectively and build stronger working relationships. The usage of cameras also enhances security and protects sensitive company information. Video participation is required to ensure that only authorized personnel are present in meetings and to prevent unauthorized access, data breaches, preventing social engineering, or the sharing of confidential information with non-participants.</i></div><div></div><div><i>
Disclaimers:</i></div><div><i>
Availity is an equal opportunity employer and makes decisions in employment matters without regard to race, religious creed, color, age, sex, sexual orientation, gender identity, gender expression, genetic information, national origin, religion, marital status, medical condition, disability, military service, pregnancy, childbirth and related medical conditions, or any other classification protected by federal, state, and local laws and ordinances.</i></div><div></div><div><i><br>
Availity is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.</i></div><div></div><div><i><br>
NOTICE: Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. When required by state law or federal regulation, Availity uses I-9, Employment Eligibility Verification in conjunction with E-Verify to determine employment eligibility. Learn more about E-Verify at </i><div><i>http://www.dhs.gov/e-verify</i></div><i>.</i></div></div><div></div>

Operations Support Analyst

Troutman Pepper Locke

<div><p>We are always seeking talented, motivated, growth-minded, and creative individuals. Our firm is committed to providing employee support and advancement, while embracing inclusion and innovation as keys to a stronger future.</p><p></p><p>
We invite you to explore the position below and to submit your application to join our team!</p><p></p><p>
The IP Docket Trademark Analyst will provide detailed, accurate information on a daily basis to IP attorneys and staff regarding client information and deadlines, assisting the overall effective operations of the Docket Department. The Analyst maintains their assigned docket portfolios according to established policies and procedures, performs all job functions relating to review of documents and established process and procedure, and exercises discretion and confidentiality in maintaining contact with clients, attorneys, and staff for docket-related matters. The Analyst works closely with the Docket Specialists and as a team member to meet the goals of the firm.</p><p></p><p><b>
Essential Duties and Responsibilities:</b></p><ul><li><p>
Read, sort and distribute incoming trademark mail, either from the U.S. Patent and Trademark Office &ldquo;USPTO,&rdquo; all other foreign government agencies, and/or foreign associates in a timely manner and in accordance with established procedures.</p></li><li><p>
Provide guidance and respond to docket-related questions and problems from the IP team of attorneys and staff.</p></li><li><p>
Ensure full docket clearance on a daily basis, including monitoring workflow and maintaining the integrity of the filing logs, in accordance with established policies and procedures.</p></li><li><p>
Maintain an accurate docket database and provide reports as requested or required.</p></li><li><p>
Electronically distribute USPTO mail to attorneys and staff.</p></li><li><p>
Scan client and legal documents to firm&rsquo;s electronic document management system.</p></li><li><p>
Process abandoned and/or inactive files.</p></li><li><p>
Maintain positive contact with attorneys, staff and clients and observe confidentiality of the Docket Department and firm&rsquo;s clients.</p></li><li><p>
Ensure the accuracy and completeness of docketing of documents received from the USPTO within the requirements set by the Code of Federal Regulations, clients, all other foreign government agencies, and/or foreign associates.</p></li><li><p>
Maintain and distribute an electronic global docket calendar, as assigned, for domestic/international patents, trademarks and inter-parties and as required within established guidelines and procedures.</p></li><li><p>
Manage foreign invoices and data within the firm&rsquo;s designated applications</p></li><li><p>
Maintain e-files through the firm&rsquo;s IP Management System/iManage integration</p></li><li><p>
Perform special projects as assigned, with accuracy and within the specified timeline.</p></li></ul><p></p><p><b>
Knowledge, Skills and Abilities:</b></p><ul><li><p>
Effective communication skills, both verbal and written.</p></li><li><p>
Ability to work under pressure while producing a high volume of information with a high level of accuracy.</p></li><li><p>
Excellent proofreading skills.</p></li><li><p>
Ability to identify and analyze complex issues and problems in relation to managing data.</p></li><li><p>
Strong attention to detail</p></li><li><p>
Ability to work independently as well as work well as a team member.</p></li><li><p>
Ability to work closely with all departments in understanding their processes in order to assist with the day-to-day operations of the IP Practice Section&rsquo;s.</p></li><li><p>
Effective interpersonal skills to be able to communicate and follow instructions effectively from a diverse group of attorneys and staff.</p></li><li><p>
Ability to multi-task, work independently with minimal supervision, and work under pressure with high quality results.</p></li><li><p>
Possess a working knowledge of docket software applications.</p></li><li><p>
Proficient in Microsoft Office Suite.</p></li></ul><p></p><p><b>
Education and/or Experience:</b></p><ul><li><p>
High school degree or equivalent. College degree or equivalent specialized training (ex, paralegal studies) beneficial.</p></li><li><p>
Minimum of four (4) years of progressive Intellectual Property experience.</p></li><li><p>
Demonstrated experience with and strong understanding of domestic/foreign trademark matters, copyright, TM infringements, and oppositions.</p></li></ul><p></p><h3 class="jobSectionHeader"><b>
#LI-Hybrid</b></h3><p></p><p>
The Firm will comply with any applicable city or state workplace mandates in effect in regards to Covid-19.
</p><p></p><p><i>This position description is intended to describe the general content of and requirements for the performance of the job. The statements contained in the position description are not necessarily all-inclusive and additional duties and responsibilities may be assigned as determined by business needs.</i></p><p></p><p><i>
This position description does not constitute a written or implied contract of employment.</i></p><p></p><p><i>
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</i></p><p></p><p><b>
By applying for this position, you agree and understand that Troutman Pepper Locke will process your Personal Information</b><b> If you have questions about our data handling practices, or you are a resident of California, the United Kingdom, or the European Union and wish to exercise your privacy rights, please contact us at </b><b>privacy@troutman.com</b><b>.</b></p><p></p><p><b>
Equal Employment Opportunity</b><br>
Troutman Pepper Locke adheres to a policy of equal opportunity and will make all employment decisions, which include hiring, promotion, transfer, demotion, evaluation, compensation and separation, without regard to race, color, religion, sex, age, sexual orientation, gender identity or expression, national origin, pregnancy, citizenship, disability, genetic information, marital or armed forces status and any other classification as protected by law.</p><p></p><h2 class="jobSectionHeader"><b>
Compensation is dependent on several factors, such as position, location, market, education, training, and/or experience.</b></h2><p></p><div><div><div><div><div><div><div><p><b>
Hiring Salary Range:</b></p></div></div></div></div></div></div></div>
$70,000.00 - $110,000.00</div>

IP Docketing Analyst

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