Electronic Data Interchange Coordinator
Full Time
Remote
Posted
Job description
Overview:
Our Company
Our Locations
WE OFFER: A diverse, progressive culture that supports a work from home model, a “dress for your day” attire when working onsite, and a collaborative, team oriented environment. Our industry leading compensation and health benefits include:
Maxor is an EOE, including disability/vets
MaxorPlus has an opportunity for an experienced
EDI Coordinator to join our growing pharmacy company. The EDI Coordinator will provide initial setup and ongoing support to MaxorPlus PBM clients as well as internal users, systems, applications that pertain to electronic data processes. Processes include data mapping/manipulation/importing/exporting from various sources in various formats. Examples include: Member Eligibility/Enrollment, Accumulation Sharing, Claims Billing, Claims Payment, and ID Card Production.
Our Company
We're Maxor and we're building a different kind of pharmacy company. We're transforming the pharmacy industry to create healthier lives through purposeful engagement across Pharmacy Benefit Management, Pharmacy Management, Specialty Pharmacy, 340B, Rebate and Formulary Management, and Pharmacies. We put people first and are committed to providing outstanding service across all aspects of our business. We believe there's a better way to deliver pharmacy and healthcare services to people across the country, and we'd love for you to help us do it.
Our Locations
The Maxor workforce brings robust experience, diverse perspectives and passion from over 1,000 employees working all over the US in pharmacies, hospitals, home offices, or corporate offices. This is a remote, home-based role.
Responsibilities:
- Configuration and testing of new data communications between internal systems and between the MaxorPlus systems and our clients/data partners
- Configuration and testing of standardized formats (NCPDP/X12) and proprietary formats (flat file, Excel, CSV, etc.)
- Monitoring daily communication/data processes for accuracy and errors
- Communicating both internally and to our clients regarding issues and inquiries
- Promptly report any allegations of impropriety to the Compliance Department.
- Comply with Maxor’s Ethical Business Conduct policy and Maxor’s Compliance Program.
- Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists.
- Complete required training, as assigned, within the established timeframes.
- Must be able to cope with the mental and emotional stress of the position.
- Maintain regular attendance in accordance with established policies.
- Perform other job-related duties as assigned.
Education:
- High School Diploma or equivalent required. Bachelor’s degree from an accredited college or university preferred
Experience:
- At least 24 months proven analytical, communication and organizational skills relating to EDI functions in a high volume/fast paced environment.
- Experience interacting with clients and customers, including accountability for achieving service commitments and resolving customer complaints.
- Must have technical experience with structuring and maintaining data.
- Prior pharmacy benefits management, health care, or managed care experience required.
Knowledge, Skills, and Abilities:
- Experience and understanding of eligibility formats are required
- Experience and understanding of ANSI X12 (834/835) formats required
- Experience in requirements gathering
- Ability to work in a team environment
- FTP/sFTP communication protocol knowledge required
- Experience with raw text files, including format validation, data validation, file transformation required
- Effective communication skills required – including oral and in writing
- Ability to convey technical information to non-technical staff/clients
- Ability to learn new applications/processes
- Analytical aptitude - Problem solving skills is required
- Strong organizational skills with the ability to multi-task
- Will work directly with programming staff to define/test/implement process requirements
- Knowledge of MS Office, Text Editing Software and SQL preferred
- Ability to translate between EDI technical and business language
- Develop training materials
- Develop, write and communicate EDI business requirements
- Define and Document procedures relating to EDI
WHY MAXOR?
Did you know that patients see their pharmacist an average of 12 times a year? Pharmacy is at the heart of healthcare. Come join Maxor and make a direct impact on patients’ lives. Improve your own wellbeing with our robust benefits and flexible work environment. At Maxor, you have a career with limitless possibilities and the charge to make a difference. A company of 1,000 diverse people and almost 100 years of pharmacy experience, we offer the stability of a Fortune 500 company with the energy and innovation of a startup. We provide services and technology that fuel the entire pharmacy ecosystem, but we are more than pharmacy services. We enable pharmacy
care.
WE OFFER: A diverse, progressive culture that supports a work from home model, a “dress for your day” attire when working onsite, and a collaborative, team oriented environment. Our industry leading compensation and health benefits include:
- Comprehensive mental health and wellbeing resources
- Nationwide Blue Cross Blue Shield PPO with employee friendly plan design, including $850 individual annual medical deductible, $25 office visit copays, Low biweekly premiums
- Company paid basic life/AD&D, Short-term and Long-term disability insurance
- Rx, dental, vision, short-term disability, and FSA
- Employer-matched 401k Plan
- Industry leading PTO plan
- And MORE!
Maxor is an EOE, including disability/vets
Please apply online at: https://careers-maxor.icims.com/
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