Centivo is a new type of health plan anchored around leading providers of value-based careCentivo saves self-funded employers 15 percent or more compared to traditional insurance carriers and is easy to use for employers and employees.
Centivo’s mission is to bring affordable, high quality healthcare to the millions of working americans who struggle to pay their healthcare billsWith centivo, employers can offer their employees affordable and predictable costs, a high-tech member experience, exceptional service, and a range of benefit options including both proprietary primary care-centered aco models as well as traditional networksAn alternative to traditional insurance carriers or third-party administrators (tpas), centivo builds proprietary networks and offers all of the technology and service to fully administer health benefits.
Employers get a benefits solution that saves them money, provides full transparency into costs and data, and allows them to offer a range of benefit options to meet the needs of a diverse employee populationEmployees and their families get quality care at affordable and predictable costs, a partner to help them navigate the healthcare system, and a great member experience.
With offices in buffalo, ny, denver, co, new york city and stamford, ct, centivo is backed by leading investors including b capital group, bain capital ventures, bessemer venture partners, company ventures, define ventures, f-prime capital, harbourvest partners, ingleside investors, maverick ventures, nassau street ventures (an avg fund), oxeon investments, and rand capital.
Summary of role:
The edi analyst will be responsible for implementing, troubleshooting, maintaining, and optimizing the edi processes and data flowsThe ideal candidate has experience and comfort working cross functionally to establish the necessary edi processes to support the organizational growth and strategy utilizing various methods, systems, and productsThe right candidate is expected to understand the business needs of our data and how it is applied to meet the expected business results.
Coordinate with external vendors, internal business users, and internal technicians to gather required data and execute on required edi processes
Translate business requirements into technical specifications, data mapping and transformation rules
Perform root cause analysis on all processes, validate and reconcile data, and resolve production issues within the edi realm
Perform analysis and develop testing procedures to ensure data integrity and accuracy.
Implement or enhance edi solutions to meet current and future business needs
Advanced working sql knowledge and experience working with relational databases, query authoring (sql) as well as working familiarity with a variety of database
Education and experience:
Bachelor’s degree or equivalent work experience
3+ years of experience of hands on data management experience within a payor, health plan, health system or provider organization
3+ years of experience with edi, etl and proprietary data interfaces
Working sql knowledge and experience working with relational databases, query authoring (sql) as well as working familiarity with a variety of databases
Experience performing root cause analysis on internal and external data and processes to answer specific business questions and identify opportunities for improvement
Build processes supporting data transformation, data structures, metadata, dependency, and workload management
Experience working with managed file transfer software
In-depth knowledge of the various data types utilized in the healthcare space and their respective business usage
Strong background with healthcare payer solution platforms
Ability to apply strategic thinking and planning to execute with operational excellence
Superior analytical skills and ability to efficiently diagnose, and provide solutions to, operational issues
Strong interpersonal and communication skills