Job details
Job type full-time
Full job description
It’s time for a change…
Your future evolves here
Evolent health has a bold mission to change the health of the nation by changing the way health care is deliveredWe bring our whole selves to work and we’re driven to make a difference every day, from the work we do in our roles to the charitable endeavors we supportWe believe in starting by listening, communicating with candor, fostering inclusion and owning the opportunityWe respect and celebrate individual talents and team winsWhether we’re wearing scrubs, jeans or our finest work-from-home chic, we have fun, work hard and make time to help others.
Are we growing? absolutelyWe have seen about 30% average growth over the last three yearsAre we recognized? definitelyWe were named one of “becker’s 150 great places to work in healthcare” in 2016, 2017, 2018 and 2019 and are proud to be recognized as a leader in driving diversity, equity and inclusion (de&i) effortsEvolent achieved a 100% score on the 2020 human rights campaign`s corporate equality index, making us one of the best places to work for lgbtq+ employeesWe were also named on the best companies for women to advance list 2020 by parity.org and we publish an annual diversity report to share our progress on how we’re building an equitable workplace and performing on various metricsIf you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a missionJoin a mission with a company behind it.
What you’ll be doing:
Manage triaging of edi related inquiries for enrollment, claims, provider payment, and member payment interfaces
Serve as top tier production support subject matter expert
Manage team of onshore and offshore production support analysts
Train and develop junior resources and enhance their edi expertise
Lead development and monitoring of service level agreement compliance for production support ticket system
Lead development and monitoring of productivity monitoring tools
Initiate process improvements to alleviate frequent production support issues and inefficient processes
Monitor health of edi data interfaces using a variety of technologies
Drive solutions for high impact production support issues and communicate with clients and senior leadership on root cause and resolution plans
Manage edi mapping, provides support to all edi production processes and testing of edi data loaded in test production instance, and ongoing maintenance.
Develop detailed standard operating procedure documentation and instruct operational teams on their implementation
The experience you’ll need (required):
Bachelor’s degree in healthcare management, computer science or similar technology/business field of study
3 plus years of experience working within a production support team
2 plus years of experience managing employees
Knowledge of healthcare industry and healthcare x12 format (especially 837 and 834)
Extensive experience with 835s and provider payment processes preferred, but not required
Ability to work independently with minimal supervision and collaboratively within a team
Ability to work with customers and internal staff in fast-paced environment
Ability to work in a team environment across multiple functional groups
Sql, relational database design, and solution analysis experience preferred but not required
Technical requirements:
Currently, evolent employees work remotely across all fifty (50) states temporarily due to covid-19As such, we require that all employees have the following technical capability at their home: high speed internet over 10 mbps and, specifically for all call center employees, the ability to plug in directly to the home internet routerThese at-home technical requirements are subject to change with any scheduled re-opening of our office locations.
“evolent health is committed to the safety and wellbeing of all its employees, partners and patientsWe currently require all employees who may voluntarily return to our evolent offices to be vaccinated and invite all employees regardless of vaccination status to remain working from home.
As we continue to evaluate re-opening our offices more fully and begin to have specific roles that will require face to face interaction with our providers and patients in client facilities or homes, all employees must be prepared to meet our vaccine requirements with or without accommodation at that time.”
Evolent health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.
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