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EDI - Technical Specialist

Apply now Job no: 494908
Employment type: Regular
Location: Omaha, Nebraska
Categories: Information Technology, Analytics, Project Management

Blue Cross and Blue Shield of Nebraska (BCBSNE) is more than just an insurance company with a solid foundation; our sights are set on reinventing what health care can and should be. As the industry rapidly evolves and we seek ways to optimize business processes and customer experiences, there’s no greater time for forward-thinking professionals like you to join us.

Our employees champion change and are inspired to transform the communities we serve every day. As a member of “the Blues Crew,” you’ll find purpose, opportunities and the support you need to build a meaningful career. Learn more about our culture and what makes BCBSNE such an exceptional place to work by visiting NebraskaBlue.com/Careers.

 

This position is responsible for monitoring EDI (electronic data interchange) systems, controls, and processes used within the Enterprise. This position will work in conjunction with IT, team leadership, and business to assure all EDI (electronic data interchange) related projects, both new builds and enhancements are designed to represent the Enterprise needs.  This individual will be considered an internal expert in the area of EDI.

 

What you'll do:

  • Serve as Product Owner for the EDI (electronic data interchange) delivery team on all projects. To include oversight in the development and prioritization of requirements on projects, and all Agile duties within the scope of the role of Product Owner. As well as collaborating with key business stakeholders on initiatives to coordinate between business and IT on all projects
  • Serve as EDI technical consultant for enterprise initiatives. Serve as the EDI Subject Matter Expert on all systems.  Interact with business and IT in developing and maintaining appropriate controls. Gathering business requirements, flowcharting system and business processes, and monitoring all projects.
  • Identify operational deficiencies within processes and systems that put EDI related departments, operations controls, or BCBSNE customer relationships at risk.
  • Serve as a backup to the Provider Services Operation Support Specialist assisting with daily backlogs as directed by Provider Services Manager.

 

To be considered for this position, you must have:

  • Bachelors Degree in Business, Information Technology or related field.
  • Minimum of Five (5) years experience in a business related role in the health care industry, preferably with claims and/or provider relations. 
  • Knowledge of ANSI X12 Health care transactions.
  • Experience with project management.
  • The ability to work well in a team environment, and be capable of building and maintaining positive relationships with other staff, departments, and customers.

 

The strongest candidates for this position will also possess:

  • Basic SQL knowledge
  • Experience in AGILE methodology
  • Claims and/or provider relations experience. 
  • Certified Product Owner

 

We strongly believe that diversity of experience, perspective and background will lead to a better workplace for our employees and a better product for our customers and members.

Blue Cross and Blue Shield of Nebraska is an Equal Opportunity /Affirmative Action Employer - Minorities/Females/Disabled/Veterans

 

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