Claims Management Analyst III

Job description

Job Summary: The Claims Management Analyst III is responsible for leading eBusiness initiatives and coordination of activities across multiple functional areas. Essential Functions: - Manage the EDI (Electronic Data Interchange) trading partners and network of clearinghouses to ensure accurate and timely exchange of information - Works closely with Vendor Management to improve and maintain the trading partner agreement with the trading partners. This includes cost reduction and adding services - Develop and maintain a partnership with the trading partner account representatives - Manage trading partner performance, establish and monitor service level agreements, regulatory requirements, and contractual metrics - Provide Subject Matter Expertise (SME) to all departments regarding eBusiness specific EDI transactions - Build, sustain and leverage relationships to constantly allow for continuous improvement of the EDI business process - Responsible for eBusiness EDI requirements that support regulatory, compliance, and business needs And eBusiness EDI regulatory reporting - Provide critical reporting and analysis of functional performance, and make recommendations for enhancements, cos...