EDI Technical Analyst (Claims) - Hybrid

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.

At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:

• Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week

• Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week

• Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month

• Onsite: daily onsite requirement based on the essential functions of the job

• Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building

Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week.

This position is hybrid within the state of AZ only. This hybrid work opportunity requires residency, and work to be performed, within the State of Arizona.

Do you thrive on developing technical documentation, analyzing systems and data, testing applications, and supporting healthcare EDI processes? If so, Blue Cross Blue Shield of Arizona (AZ Blue) has an opportunity for you. We're looking for EDI Technical Analysts of all experience levels to join our award-winning team.

What to Expect

This is a hybrid work opportunity for Arizona residents. In this full-time role, you will support Trading Partner EDI and flat files by developing documentation, analyzing data and system processes, testing files and applications, and providing end-user support and training. You will have the flexibility to work remotely 4 days a week and spend 1 day a week at our award-winning healthy campus in Phoenix. The in-office requirements are subject to change based on organizational need.

Inspiring Health in Arizona Starts with You

Our benefits support work-life balance and the flexibility you need to be your best.

They include:

• Eleven (11) paid holidays, including floating holidays when eligible
• Accrued paid time off (up to 18 days per calendar year)
• Comprehensive medical, dental, and vision coverage
• 401k up to 5% dollar-per-dollar match, 2% employer contribution
• Up to 10% annual bonus based on corporate goals and individual performance
• Eight (8) paid volunteer hours to serve your community
• Tuition reimbursement for you; scholarship opportunities for your children
• Employee discounts and wellness programs
• Treadmill desks, full-service fitness center, and healthy meals and snacks
• Ongoing training for employees who wish to grow in their careers, acquire skills, and become managers

As an EDI Technical Analyst, you’ll get to:

• Track, research, analyze, and resolve production problems related to EDI, files, applications, and related processes.
• Develop business objectives, processing requirements, technical specifications, functional specifications, logic flows, and mapping documents.
• Analyze files and map data between systems; write SQL queries needed for production support, testing, and reporting.
• Use tools such as Splunk and App Insights to review logging results and troubleshoot processing issues.
• Develop test data and test files, process test files, analyze results, document outcomes, log defects, and support regression testing.
• Assist with root cause analysis, defect triage, traceability, and defect review meetings.
• Support technical and data-centered research required to produce and test Trading Partner files, including applying TR3, CORE CAQH, and Blue Exchange rules.
• Work with IT Infrastructure to develop and implement production monitoring for APIs, data loads, Trading Partner transactions, and other critical processes.
• Participate in or lead projects by creating project plans, estimates, schedules, presentations, priority lists, and ad hoc reports.
• At senior and lead levels, mentor peers, serve as a subject matter expert, lead complex technical projects, and help ensure service level agreements are met.

Qualifications:

• High School Diploma or GED in a general field of study required for all levels.
• Level 1: 1 year of college-level coursework in system requirements design and interpretation and/or support of production systems.
• Level 1: 2 years of EDI experience.
• Levels 2–4: 3 years of experience in computer technology and/or information systems.
• Levels 2–4: 2 years of experience in data analysis, data management and integration, extracting, and analysis reporting.
• Intermediate PC proficiency and intermediate proficiency in spreadsheet, database, flow charting, and word processing software.
• Intermediate knowledge of data mapping techniques, data analysis software, computer operating systems, Microsoft Applications and Suites, Windows Server, and Microsoft SQL databases.

Why Join Blue Cross Blue Shield of Arizona?

Imagine doing life-changing work and helping more than two million Arizonans live healthier and longer lives. That’s the kind of satisfaction you’ll find when you work here. Our exceptional teams in Phoenix, Tucson, and Flagstaff have been transforming healthcare for more than 80 years. Explore what's possible with a career at AZ Blue. Our award-winning healthy campus in Phoenix is designed with you in mind. Check your blood pressure at our kiosk, fuel up with healthy meals and snacks at our café, The Hub, and make the most of our onsite fitness center.

Our Commitment

AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.

Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.