EDI Configuration Analyst

Summary

Join SmithRx, a rapidly growing Health-Tech company, as an EDI Configuration Analyst on the Adjudication Platform Team. You will collaborate with business and technology teams to develop and implement streamlined electronic data integration workflows, ensuring efficient PBM file exchanges. Responsibilities include serving as the primary technical contact for data integration discussions, training clients on SmithRx's solution, leading solution configuration and quality assurance, troubleshooting data sharing issues, and managing integrations with third-party systems. You will need 4-6 years of EDI experience and intermediate skills in SQL and Microsoft Excel. SmithRx offers competitive benefits, including medical, dental, vision, life insurance, 401(k), paid time off, paid holidays, and parental leave.

Requirements

• 4-6 years EDI experience required
• Intermediate skill in SQL (preferably PostgreSQL)
• Intermediate skill in Microsoft Excel
• Robust analytical skills, ability to think critically about data and data flow
• General understanding of Healthcare Industry players (PBMs, EHRs,TPAs, Aggregators, Pharmacies)
• Strong communication skills, both in-person and written
• Self-starter mentality: ability to make informed decisions, find creative approaches to difficult challenges, and deliver on commitments
• Execution-focused ethos - you are a solutions-oriented problem solver and efficiency driven
• Flexible, adaptable, and able to respond under the pressure of a fast-paced technology company

Responsibilities

• Ensure project implementation resources are executing on implementation of the solution in a timely manner, and in accordance with solution design
• Serve as the primary technical contact on all eligibility and data integration discussions
• Ensure client understands technical implementation roles & responsibilities
• Attend implementation meetings to provide guidance on our technical integration processes
• Ensure client is trained and empowered on SmithRx’s data integration solution
• Lead and/or assist in solution configuration and quality assurance
• Participate in implementation tasks (including technical tasks) as needed to meet project timelines and deliverables
• Troubleshoot and resolve any current and ongoing electronic data sharing issues to include but not limited to eligibility, accumulator and paid claim file formats, SFTP connectivity, data ingestion and data accuracy
• Develop proficiency on SmithRx data process flows to play role of EDI expert to the client
• Provide product knowledge and expertise to implementation staff, client, and other stakeholders
• Manage implementation resource on project execution, without direct managerial ownership
• Manage integrations with third party systems
• Excellent communication with technical, business, and non-technical team members
• Excellent organizational and multi-tasking skills, attention to quality, self-motivation, and a desire to succeed

Preferred Qualifications

• Bachelor’s degree or equivalent experience preferred
• Pharmacy claims adjudication (NCPDP) experience preferred

Benefits

• Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance
• Flexible Spending Benefits
• 401(k) Retirement Savings Program
• Short-term and long-term disability
• Discretionary Paid Time Off
• 12 Paid Holidays
• Wellness Benefits
• Commuter Benefits
• Paid Parental Leave benefits
• Employee Assistance Program (EAP)
• Well-stocked kitchen in office locations
• Professional development and training opportunities