We are the first and only personalized health platform to provide health plan administration, holistic wellbeing solutions, and comprehensive health navigation – all in one place. Personalized, human-centric, and powerfully simple, Personify Health helps businesses optimize investments in their members while empowering people to engage more deeply with their health.

Personify Health aims to address the issues of increasing healthcare costs and complexity by breaking down traditional silos found in healthcare and rejecting a one-size-fits-all mentality. Backed by decades of experience and global operations, the company brings together industry-leading health, wellbeing, navigation, and benefits solutions to offer a first-of-its-kind personalized health platform. The end-to-end platform makes it easier to proactively respond to people’s unique needs across their lives through a combination of data-driven personalization capabilities, a science-backed methodology, and concierge-level clinical services.

Who are you?

The EDI Business Analyst will monitor the electronic flow of data and manage files that are processed by our systems. The ideal candidate will demonstrate an understanding of the overall departmental workflow to effectively collaborate with other teams and departments, and clearly communicate needs and expectations.

In this role you will wear many hats, but your knowledge will be essential in the following:

• Maintain an understanding of the workflows between operational departments
• Collaborate with cross-functional teams to identify, validate, and clarify business requirements, ensuring a comprehensive understanding of needs and expectations so that changes or new clients are implemented seamlessly
• Communicate status of ongoing tasks on a regular basis to end users and the Manager of Technical Operations
• Analyze the mapping of insurance claims, import/export files, and eligibility files for troubleshooting any operational inquiry
• Identify technical issues that may arise from improper enrollment or enrollment changes on electronic data interchange (EDI) files and coordinate with engineering partners to resolve issues
• Coordinates ongoing EDI testing, implementations, and upgrades
• Ensure that business requirements are translated into actionable solutions that align with organizational goals, leveraging expertise to bridge the gap between needs and implementable solutions
• Other Duties as assigned the Manager of Technical Operations or Senior Technical Operations Specialist

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

What you bring to the Personify Health team:

In Order To Represent The Best Of What We Have To Offer You Come To Us With a Multitude Of Positive Attributes Including

• 2+ years of experience with system analysis, data analysis, and/or process improvement
• 1+ years of experience in the Healthcare Industry
• An associate or bachelor’s degree is preferred, but not required
• Knowledge of the Healthcare & TPA Industry preferred
• Excellent critical thinking skills
• Strong analytical and problem-solving skills
• Intermediate to Advanced knowledge of Microsoft Office Suite, i.e. Excel, Outlook, Word, etc.
• Experience in using various data analysis tools, such as Excel, SQL, Tableau, Power BI, or other relevant software
• Demonstrated track record of successfully analyzing data, gathering requirements, and providing valuable insights and solutions to support business decision-making.
• Ability to work collaboratively, facilitate discussions, and negotiate requirements among various teams
• Knowledge/Experience with ANSI 5010 transactions like 837, 835, 834, 270/271 preferred

No candidate will meet every single desired qualification. If your experience looks a little different from what we’ve identified and you think you can bring value to the role, we’d love to learn more about you!