Senior EDI Business Analyst

🔥 23 hours ago

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

SafeRide Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

⚕️ Healthcare Insurance

🚗 Transport

Healthcare Insurance • Transport

SafeRide Health is a company that enhances non-emergency medical transportation (NEMT) through advanced technology and a digitized network, ensuring patients access the right care at the right time. They offer a tech-first, member-centric approach enabling seamless access to transportation services, customizable platforms to fit any health plan, and real-time visibility into rides for reliability and peace of mind. SafeRide Health partners with a broad network of transportation providers to offer nationwide coverage and flexible services, focusing on improving access to life-sustaining care and transforming patient transport experiences.

📋 Description

• Own end-to-end encounter data management processes to ensure compliance with CMS and state Medicaid guidelines • Compile, analyze, and validate encounter submissions to ensure accuracy, completeness, and alignment with Service Level Agreements (SLAs) • Support audit and regulatory reporting initiatives by developing and maintaining documentation and validation frameworks • Develop and maintain processes to extract and transform data from source systems into HIPAA X12 837P format for encounter submissions • Collaborate cross-functionally with account management, data, and operations teams to gather requirements, document workflows, and oversee vendor or client deliverables • Analyze data to identify trends, anomalies, and root causes, providing actionable insights to optimize workflows and improve ETL efficiency • Recommend and implement process improvements that enhance scalability, accuracy, and compliance across encounter data workflows

🎯 Requirements

• Bachelor’s degree or equivalent experience • 4+ years in healthcare technology, managed care, consulting, or a related field focused on regulatory data exchange • Hands-on experience with HIPAA X12 837P Medicaid submissions • Understanding of payer operations, claims processing, and encounter lifecycle management • Proven ability to manage multiple projects independently, prioritize effectively, and meet tight deadlines • Strong analytical, problem-solving, and communication skills • Highly self-sufficient and detail-oriented, comfortable in a fast-paced, dynamic environment

🏖️ Benefits

• Competitive salary and annual bonus opportunities • Remote with flexible hours • Comprehensive health, dental, and vision insurance • 401(k) with company match • Generous PTO, 10 paid company holidays, and paid parental leave • Career growth opportunities in a mission-driven organization