Job Description
Analyze, implement, and resolve EDI workflow, SQL data, and other technical issues reported via internal support channels.
Monitor and support production systems via alerts, dashboards, and daily reports
Perform root cause analysis to identify and implement solutions that reduce recurring issues.
Map and transform non-standard data to standard formats using ETL tools and custom logic.
Monitor EDI processes and ensure timely resolution of internal support tickets.
Perform database development tasks, including writing queries, stored procedures, and supporting database objects in Microsoft SQL Server.
Participate in EDI implementations using X12 transaction sets (e.g., 837, 835, 270/271, 276/277) and other proprietary formats.
Respond to internal inquiries regarding EDI and healthcare claims workflows, enrollment, and payment file processing.
Collaborate with developers, analysts, and peers to improve application performance and reliability.
Assist in documenting technical processes and maintaining operational runbooks and knowledge bases.
Contribute to technology projects that enhance system stability and data accuracy.
This individual will be responsible for completing a large volume of tickets either creatively solving the root of the problem or escalating it to the right people if necessary.
This individual needs to be curious about create problem solving solutions and be willing to learn new skills.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.
Required Skills & Experience
- 2+ years EDI experience in a healthcare setting, ability to troubleshoot EDI issues.
- Advanced SQL experience, ability to write complex SQL queries and troubleshoot moderate to complex issues.
- Proficiency with Microsoft Excel, Word, SQL Server Management Studio (SSMS), and familiarity with Visio or process flow tools.
- Very strong communication skills, a go-getter attitude, and overall curiosity to learn and grow current skillsets.
Nice to Have Skills & Experience
- Medicaid and Medicare encounter data reporting
- EDI Clearinghouse workflow experience
Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.