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Manager EDI Operations

Marpai Administrators LLC, South Lyon, MI, United States


Marpai Administrators is a technology company transforming the Third-Party Administration sector serving employers with self-funded health plans. Marpai Administrators (“Marpai”) is an AI-powered national TPA (third party administrator) using deep learning and machine learning to maximize population health outcomes with the greatest cost efficiency for any health plan budget. We create healthier members and a healthier bottom line. Marpai proactively targets at-risk members with meaningful clinical interventions to improve outcomes.

ABOUT THE POSITION: The Manager of EDI Operations oversees staff responsible for file analysis, file requirement gathering and communication between the business units, the Developers and vendors.

WHAT YOU WILL BE DOING:

Provide strong people management of the EDI Analysts

Ensure that project/department milestones are met

Be the Laison between the business units and developers for EDI requests

Organize, Standardize and implement EDI processes and documentation

Manage work intake, prioritization and assignment of analyst’s tasks

Perform team administrative duties including status reports, team development and assessments

Carry out personnel management activities including performance management and career development

Mentor, coach and guide data analysts within the EDI operations team

Other duties as required

WHAT DO YOU NEED

Ability to manage multiple projects to successful and timely conclusion, including measurement of milestones, alerting project participants to outliers and project status updates

Able to communicate internally and externally with all levels of people in a manner which illustrates superior professionalism. Communications may include speaking in front of groups of people

Ability to prepare for, lead and direct meetings, both internally and externally, with various group sizes. Directing includes keeping meetings on track, providing follow-up/meeting minutes, Gantt charts, etc.

Relationship focused, with excellent interpersonal skills for dealing with clients, peers, other departments, and senior management

Excellent written communication and documentation skills

Advanced project planning skills with attention to detail, with the ability to prioritize and meet deadlines

Must have the ability to use logical methods to address problems and develop effective solutions, ensuring customer expectations are met or exceeded

Must have able to view processes and suggest change to create or maintain the most efficient, timely and accurate delivery

Ability to analyze, interpret and organize information in a clear and concise manner

Must have expert level knowledge of all desktop computer application such MS Office, including Outlook, Word, Excel, and PowerPoint.

Ability to adapt and be flexible in a variety of situations

Ability to multitask and possess excellent time management skills

Must be able to work independently as well as support, contribute to, and lead teams

WORK REQUIREMENTS

Understanding of HIPAA ANSI formats (837,834, NCPDP, 270 and 271) and EDI response files

Ability to identify and troubleshoot issues, attention to details and ability to lead larger and more complex projects

Strong people management and leadership skills and excellent communication skills

WHY WORK AT MARPAI?

We have great 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

Marpai is an equal opportunity workplace. We are committed to equal opportunity regardless of race, color, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, or veteran status.

This is a remote position.