Note: The job is a remote job and is open to candidates in USA. Marpai Administrators is an AI-powered national third-party administrator transforming healthcare administration for employers with self-funded health plans through deep learning and machine learning. The EDI Operations Analyst monitors and validates production jobs and inbound and outbound file transmissions, troubleshoots issues, supports quality assurance, and coordinates with vendors, business stakeholders, and technical teams to maintain accurate and timely data operations.
Responsibilities
- Monitor daily scheduled production jobs using automation and scheduling tools (e.g., VisualCron, Obsidian, SFTP platforms, and related applications)
- Verify successful completion of all inbound and outbound file processing
- Review production dashboards, logs, alerts, and system notifications for processing exceptions
- Perform routine operational health checks throughout the day
- Maintain production monitoring schedules to ensure all processing deadlines are met
- Validate inbound and outbound EDI files for completeness and successful processing
- Confirm files are transmitted successfully to clients, vendors, and business partners
- Verify receipt acknowledgments and processing confirmations when applicable
- Monitor file sizes, processing counts, and expected delivery timelines
- Investigate missing, delayed, duplicate, or rejected files
- Troubleshoot production failures and restart scheduled jobs when appropriate
- Coordinate issue resolution with vendors, and business stakeholders
- Document production incidents, root causes, corrective actions, and resolutions
- Escalate critical production issues according to established procedures
- Assist in identifying opportunities to reduce recurring operational issues
- Perform quality checks to ensure files processed accurately and according to business requirements
- Communicate production issues and processing exceptions to impacted operational teams, with a strong focus on supporting Quality Assurance activities
- Verify processing results align with expected outcomes before business distribution
- Assist with production testing following system changes or vendor updates
- Support implementation of new EDI processes and operational enhancements
- Maintain daily production checklists and operational documentation
- Update production logs and operational run books
- Track production metrics and recurring issues
- Assist in developing standard operating procedures (SOPs)
- Participate in continuous process improvement initiatives
- Other duties as required
Skills
- Strong analytical and problem-solving skills
- Ability to identify, troubleshoot, and resolve production issues
- Excellent attention to detail and organizational skills
- Ability to prioritize multiple production activities in a fast-paced environment
- Strong written and verbal communication skills
- Ability to work independently while collaborating across departments
- Comfortable working with production logs, exception reports, and operational dashboards
- Intermediate proficiency with Microsoft Excel and Microsoft Office Suite
- Equivalent combination of education and experience may be considered
- 2–4 years of experience supporting production operations, EDI processing, healthcare operations, or related operational support
- Experience working within a Third-Party Administrator (TPA) environment is a plus
- Occasional travel may be required to attend company meetings, training sessions, conferences, or other business-related events
- This is a remote position
- Familiarity with EDI transaction processing and healthcare data workflows is preferred
- Associate's or Bachelor's degree in Information Systems, Business Administration, Healthcare Administration, or a related field preferred
- Experience working with file transfer protocols (SFTP), batch processing, or production scheduling tools preferred
- Healthcare claims, eligibility, enrollment, or EDI experience strongly preferred
Benefits
- Generous PTO
- Medical and Prescription
- EAP
- FSA / HSA / Dependent Care
- Dental
- Vision
- Life and Disability
- STD/LTD
- Voluntary Benefits: Critical Illness, Accident, Hospital
- 401k with Employer Match
- LegalShield
- Identity Theft Protection
- This is a remote position.
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