Position Title: Analyst, EDI II
Working Location: McLean, VA (Fairfax County)
Employment Status: Full Time
Required Education: Bachelor's degree in Computer Science, Health Informatics or closely related, and three years of experience in the job offered or closely related role. Requires three years of experience in Healthcare IT claims processing, HIPAA regulations, FHIR, EDIFECS Specbuilder, SQL, EDI and HL7. Experience may be concurrent.
Travel Required: 0%
Job Description:
Analyst, EDI II wanted by a health insurance company (McLean, VA). Manage the
technical efforts associated with implementing complex Electronic Data Interchange (EDI) and Web Services trading partners. Provide HIPAA compliant guidance about MPI requirements and industry standard for EDI protocols. Conduct system testing and in-depth analysis. Telecommuting is available. NO VISA SPONSORSHIP AVAILABLE. #LI-DNI
EEO STATEMENT
MultiPlan is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you'd like more information on your EEO rights under the law, please click here.
Skills Required
- Bachelor's degree in Computer Science, Health Informatics, or closely related field
- Three years of experience in the offered job or a closely related role
- Three years experience in Healthcare IT claims processing
- Knowledge of HIPAA regulations
- Experience with FHIR
- Experience with EDIFECS Specbuilder
- Proficiency in SQL
- Experience with EDI
- Experience with HL7
- Experience implementing Electronic Data Interchange and Web Services trading partners
- Ability to conduct system testing and in-depth analysis
- Knowledge of MPI (Master Patient Index) requirements
Claritev Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Claritev and has not been reviewed or approved by Claritev.
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Leave & Time Off Breadth — Paid time off, paid holidays, and paid parental leave are part of the offering. Flexible schedules expand practical time‑off and scheduling options.
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Healthcare Strength — Medical (PPO and HDHP), dental, vision, and HSA/FSA options are available alongside an EAP and a Noom weight‑management program. These elements indicate broad healthcare coverage with added wellness support.
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Flexible Benefits — Work‑from‑home opportunities and flexible schedules are commonly advertised. Remote work and schedule flexibility are highlighted as positives that can offset cash‑pay concerns for some employees.
Claritev Insights
What We Do
Claritev is an independent and public healthcare technology, data and insights company making healthcare more transparent, fair and affordable for all. We work across the healthcare value chain to expose imbalanced and inefficient pricing practices. Led by deeply experienced analysts, negotiators and innovators, Claritev provides tech-enabled solutions and services fueled by proprietary data from over 40 years of experience. Today, along with machine learning and AI, we utilize a robust enterprise platform to deliver price transparency, improve payment accuracy, and drive more meaningful analytics and decision-making. Through Claritev, providers are able to make data-enabled decisions to optimize their service offerings, market position and ultimately deliver high-quality care. Payors and third-party administrators can deliver greater flexibility and value to plan sponsors. Employers can drive cost-efficient benefit design and patients can finally afford the care they need. By focusing on customized solutions that that improve transparency, affordability and quality for all key players, we’re igniting a more competitive marketplace — one that lowers overall costs while improving quality. Claritev brings the transparency our nation needs to see its way to a better healthcare system.
