3 Openings
Taguig
Role description
Responsible for ensuring successful transfer of inbound EDI enrollment data to include troubleshooting/reconciliation of data integrity issues
Responsible for managing EDI file activity for high-profile/complex EDI client business
Direct contact between EDI senders, clients, Account Management teams, Customer Experience teams, BizTalk/.Net teams, and project teams
Responsible for supporting project work within the business area (lead and/or participate in project meetings, sprint work, business requirement documentation, system upgrades, and business check-outs)
Responsible for managing all robotic process automation (RPA) work for the business area
Responsible for providing support to the Department's Business Systems Analyst with client specific EDI enrollment testing
Meet departmental quality and production standards
Additional Job Responsibilities as Needed
Assist in the development of user system documentation and desk level procedures
Assist with manual enrollment processing for all lines of business
Support Member Enrollment System platform (to include development work, inquiries, and EDI file activity)
Other duties as assigned by the Leadership Team
Qualifications:
Requires extensive knowledge in EDI Portal and managing inbound EDI enrollment file activity
Ability to work with multiple business systems and have a general understanding of system design
Knowledgeable in MicrosoftOoffice products and project management tools
Effective oral and written communications skills necessary
Must have a general understanding the business environment and associated systems
Must be detail oriented and have a general understanding of corporate business systems
Must be able to work independently with assigned task
Ability to investigate, perform preliminary testing and present findings
Must have related enrollment experience in the Health Rules system platform, a full understanding of the Front Office System and how these platforms interact with EDI Portal for EDI enrollment validation
Amenable to working onsite and nightshift
Education & Experience
Bachelor's degree in business administration, Management Information Systems, Computer Science, or equivalent work experience in the Healthcare/Technology space
In lieu of degree, minimum 2- 3 years proven EDI/eligibility experience
Strong communication and analytical skills required
Skills
Healthcare, BPO, EDI
About UST
UST is a global digital transformation solutions provider. For more than 20 years, UST has worked side by side with the world's best companies to make a real impact through transformation. Powered by technology, inspired by people and led by purpose, UST partners with their clients from design to operation. With deep domain expertise and a future-proof philosophy, UST embeds innovation and agility into their clients organizations. With over 30,000 employees in 30 countries, UST builds for boundless impacttouching billions of lives in the process.
