
EDI & Eligibility Quality Analyst II
Job Description
At Collective Health, weβre transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.
Eligibility flows through and impacts every aspect of the Collective Health platform, and we are building out the team responsible for receiving, processing, validating and sending our eligibility information with our partners. We exchange a high volume of files per day with customers, networks, and partners, and are looking for people to be responsible for the operation, quality, and scaling of our data management systems. Through your experiences at Collective Health, you will be a pivotal part of improving the member healthcare experience by operating and scaling our data operations platform.
What you'll do:
- Monitor quality and perform audits of configurations and EDI files.
- Develop and apply deep understanding of all of the file formats ingested, generated, or sent by our systems.
- Review file level validations to ensure they are being dispositioned correctly
- Review ...
The Real Dill βοΈ
The employee benefits pool was an attractive area to monetize for startups - if insurers weren't willing to pay, it makes sense that employers would be looking for ways to attract (and retain) top talent, with benefits being a huge portion of it. Countless startups have ridden the employee benefits wave to superstardom (see: Hinge Health), but there is a downside - when the economy experiences a downturn, benefits are one of the first things on the chopping block. Collective Health is not immune to this, as shown by recent layoffs. However, it's hard to believe that employee benefits will totally go away - and there's always going to be a space to manage these benefits more efficiently and effectively. (August 2023)
Jon Lee, PT, DPT, OCS, FAAOMPT, MBA
Pickle co-founder
About Collective Health
Integrated software solution that makes administering company health benefit plans simpler and more insightful than traditional health insurance company solutions
MissionTo make understanding, navigating, and paying for care effortless, we've evolved the way health benefits work
Wow FactorThird-party study in 2023 from Aon estimated approximately $11 million in lower claims over five years as compared to similar control group
Company benefits
- π¦· Dental
- π§ Mental health benefits
- π Vision
- π Stock/equity
- π£ Maternity/paternity leave
- ποΈ Paid vacation leave
- π©· Wellness Benefits
- π§ Paid sabbatical
Pickle is not affiliated with listed companies unless otherwise noted.
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