Senior EDI Analyst at Delta Dental of California in Mechanicsburg, Pennsylvania

Job Description:

At Delta Dental, our strategy is only as strong as the people who execute it! We are hiring individuals that are not just right for today but also for our future. We have built a foundation of high-trust by treating all people with dignity, making and keeping commitments, and consistently striving to do the right thing. Our leaders optimistically share future possibilities to inspire and motivate others toward their full potential. We expect our employees to find ways to embrace positive change, be curious and challenge the status quo, and provide solutions to unmet problems. Joining Delta Dental means joining a culture focused on fostering development, building genuine connections, recognizing each other's strengths and sharing in successes.
The Senior Electronic Data Interchange (EDI) Analyst is responsible for managing the electronic file set-up for both external and internal customers. This role encompasses the entire development life cycle - requirements gathering, mapping, coding, testing/validation, production. The Senior Analyst acts as liaison between Delta Dental IT and the internal business during enterprise-wide initiatives related to the exchange of electronic data. In addition, this position serves as the primary stakeholder for EEP (Electronic Enrollment Process) as well as EEP associated tools and products.

How you will make an impact:

• Implement new feeds through file development life cycle (requirements gathering, mapping, coding, testing, production); creates reformat conversion programs, data mapping routines and code development.


• Provide support for newly-created feeds until the feed is turned over to assigned EDI Analyst team member for ongoing support.


• Act as SME representing EDI in feasibility reviews; provide direction to Sales/Onboarding team in handling unique requirements for enrollment/billing/claims/reporting needs.


• Support EDI Analyst team members and act as consultant for solving file issues as well as file enhancements; assist in providing training and development for EDI Analyst, as requested.


• Work with IT Development as required by providing business/processing requirements, test cases, test data etc.


• Support new product development where there is an EDI impact, attending/participating in conference calls, and gathering requirements.


• Continuously analyze the EDI transaction process, including setup, configuration, and structure, in order to meet technical compliance standards and to ensure appropriate operating processes are followed; identify process improvements.


• Document all EDI solutions for system development life cycle, maintain all documents specifications, and develop various transaction specifications per requirements.


• Assess new tools and/or product releases that have a direct impact on the Electronic Enrollment Process.


• Act as a primary point of contact for EEP enhancements. Enhancements may involve user and functional requirement adds/changes/deletions and their impact on Delta Dental Standards (i.e. Enterprise Standard File Layout) as well as enhancements to tool/programs (i.e. EEP Console, Metavance).


• This list is not all-inclusive and you are expected to perform other duties as requested or assigned.

What we look for:

• Minimum of 4 years' experience in file processing and electronic transactional environments.


• Expert knowledge and experience with ANSI formats.


• Strong analytical, problem-solving and logical reasoning skills.


• Ability to work independently and make decisions with limited oversight.


• Knowledgeable in Stylus/coding.


• Ability to multi-task while maintaining excellent attention to detail.


• Strong organizational/time management skills with the ability to adhere to deadlines and adapt to change in work and priorities.


• Excellent customer service skills.


• Ability to maintain confidentiality.


• Strong interpersonal, written and verbal communication skills.


• Ability to interact well with management, all level of employees and outside contacts including vendors, consultants, auditors, etc.


• Ability to perform in a high paced environment with multiple priorities.

Benefits and perks:

• 12 days starting vacation plus 12 holidays and your birthday off!


• Multiple medical insurance options: 100% paid or low cost premiums


• 100% paid dental insurance


• 100% paid vision insurance


• Employee Well-Being Program


• Culture of learning: substantial tuition reimbursement to improve your skills


• Career growth: we love promoting from within


• Strong commitment to work/life balance


• Social responsibility and volunteer opportunities

Due to COVID-19, there is an even greater demand for flexibility and change. As Delta Dental navigates our Return-to-Office strategy, the expectation around work location for certain roles may be offsite until a future date, determined by Delta Dental Management. Should the position you seek be determined by Delta Dental Management to begin your duties offsite, the position would require you to have access to internet in order to meet the expectations outlined in the job duties.
Please note, Delta Dental will not sponsor applicants for work visas for this position.
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At Delta Dental we:Promote accountability, integrity and collaboration: Our employees are collaborative, self-aware, and ethical. It is our expectation to do the right thing and follow through on commitments.Foster professional development: Our employees take ownership of developing themselves and others through coaching, mentoring and providing/being open to constructive feedback and identifying learning opportunities.Value customers and cultivate positive experiences: Our employees take time to build rapport with customers, while anticipating and exceeding their needs to ensure positive outcomes.
If you think this sounds like you, let's chat. We would love to tell you more!
To see some of the smiling faces behind Delta Dental and to learn more about what our values and culture look like in action, connect with us on social media: @lifeatddins on Facebook and Instagram, @deltadentalins on Twitter, and Delta Dental Ins. on LinkedIn. ABOUT Delta DentalDelta Dental covers more Americans than any other dental benefits provider. Our vision is to motivate and empower every employee so we're all inspired to take exceptional care of our customers, providers and each other. Our Enterprise Strategy focuses on pillars of Growth and Diversification, supported by the platforms of Culture and People, Process and Technology. Our employees take pride working for a purpose-driven organization and live our values of Trust, Service, Excellence and Innovation. We are part of the Delta Dental Plans Association, a network of companies that provides dental coverage to 74 million people in the U.S. Delta Dental of California, Delta Dental of New York, Inc., Delta Dental of Pennsylvania and Delta Dental Insurance Company, together with our affiliate companies, form one of the nation's largest dental benefits delivery systems, covering 33 million enrollees. All of our companies are members, or affiliates of members, of the Delta Dental Plans Association, a network of 39 Delta Dental companies throughout the country. Delta Dental provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetics, or any other classification protected by federal or state law. In addition to federal law requirements, Delta Dental complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Proof of eligibility to work in the United States must be provided if selected for hire. Apply Now