Edifecs Careers

Description

Product Analyst

Overview

Edifecs is hiring a Product Analyst to join our dynamic products team. As a Product Analyst, you will play a crucial role in guiding our products from conception through launch and beyond, managing the entire product lifecycle. You will be instrumental in integrating our new product with various partner products. Your expertise will be key to ensuring seamless integration, particularly in the realm of claims management and standard EDI processes.

What you will do:

• Drive agile adoption and practices by communicating and supporting applicable ceremonies with the engineering team.
• Communicate with internal and external stakeholders to gather requirements and feedback to drive feature prioritization and development.
• Support training and documentation to internal and external stakeholders as required for claim management.
• Communicate with customers on release and delivery information.
• Work closely with Product Management to support roadmap development and priority.
• Critically evaluate initiative and capability backlogs to produce epic and user stories that the engineering team can execute. 
• Work with stakeholders to drive design efforts for claim management features.

What you will bring:

• • Master’s degree in Computer Science or MBA-related fields; Certification in Business Analysis (CBAP) and/or Healthcare (AHM 250) is a plus.
• 4+ years’ experience as a business analyst/ Systems Analyst
• Good understanding of healthcare reforms and regulatory framework
• Strong knowledge of claim processing across all lines of business
• Experience working on Claims Editing, Claims Integrations, and Claims Adjudication Systems.
• Strong Knowledge of HIPAA X12 837, 834, 270, 271, and 834 transactions
• Experience in Claims Corrections and operations including understanding the acknowledgement processing like 999, 277, etc.
• Ability to document product features and functionalities by analyzing various state or CMS requirements for claims.
• Experience working in Agile environments, with a deep understanding of Agile principles and practices.
• Experience in interpreting requirements and developing functional specifications
   

Note: The expected base pay range for this position is $102,096 - $125,610 per year. Base pay offered may vary depending on location, job-related knowledge, education, and experience. 

We are pleased to offer our associates a comprehensive well-being plan.  Our offerings include medical, dental, vision, life, and disability insurance, a 401(k) retirement savings plan including an Edifecs matching contribution, and up to 25 days of PTO and 10 holidays per year.  More information on these and additional well-being offerings can be found here.

About Edifecs
 

Edifecs provides market-leading technology to its payer and health system customers, which serve nearly 300 million people in the U.S. healthcare market. For over 25 years, Edifecs has enabled customers to unlock greater value with their healthcare data management platform which includes its Best in KLAS healthcare interoperability cloud solution. Edifecs’ healthcare SaaS solutions, available on both public and private clouds, serve as the foundation that eliminates stakeholder friction to overcome healthcare’s biggest challenges, including accelerating value-based payment adoption and obtaining more complete and accurate care funding for alternative payment models. Edifecs’ solutions are powered by AI that incorporates generative AI and LLMs, natural language processing, and machine learning, to provide deeper insights into patients, populations, and business processes. As new standards and regulations continually emerge from government agencies, Edifecs is a proven partner to support its customers road to “evergreen” compliance. Edifecs customers include 24 of the 25 top commercial health plans in the country, 29 of the 52 Medicaid programs, and 6 out of 10 of the largest health systems.
 

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, religion, national origin, protected veteran status, disability status, or any other characteristic protected by law.

Edifecs will provide reasonable accommodation to individuals with disabilities who need assistance applying for a job.  Please contact careers@edifecs.com for more information.