Availity delivers revenue cycle and related business solutions for health care professionals who want to build healthy, thriving organizations. Availity has the powerful tools, actionable insights and expansive network reach that medical businesses need to get an edge in an industry constantly redefined by change.

Job Description
Availity is a Healthcare IT company headquartered in Jacksonville, FL, with additional offices in Indianapolis, IN, and Bangalore, India, and a significant remote workforce throughout the US. Availity is the nation's largest health information network, connecting over 2 million providers with health plans nationwide and processing more than 13 billion transactions a year, and growing! We work collaboratively with health plans and providers to disrupt an antiquated healthcare system by offering solutions that solve core issues in how these stakeholders communicate. Availity also provides revenue cycle management solutions to help providers, hospitals, and health systems receive accurate, timely payment for their services.

As the premier healthcare engagement platform, our mission is to create connections and deliver products that help healthcare businesses succeed. We connect, delight, and empower the nation's premier healthcare ecosystem, providing multi-stakeholder solutions that simplify the business relationship between providers and health plans.

Reporting to the Manager, Connectivity Services, the EDI Implementation Analyst role is technical in nature and requires a strong understanding of the interaction between the Availity systems and Availity customers, both from a submitter and receiver perspective. The EDI Implementation Analyst role focuses on moderate to complex implementation tasks and responsibilities. The role is accountable for assessing, analyzing, and implementing solutions in a timely and efficient manner. Key responsibilities include, but are not limited to a) managing internal and external relationships with partners, providers, and vendors to meet integration objectives; b) creating appropriate documented deliverables, managing deliverables, gaining agreement from internal and external partners; and c) coordinating partner awareness on Availity functionality as requested by Product Management and production issues as requested by internal teams, including but not limited to Operations support team and/or Information Technology team.

Sponsorship, in any form, is not available for this position.

Why you want to work on this team:

• There is a lot of growth opportunity because you get to wear multiple hats and work with multiple teams with this role.
• You build a large knowledge base and get to work with a flexible and fun team.

To be qualified for this position:

• Bachelor's degree or the equivalent work experience
• Minimum of 4 years related experience in a technology (information exchange) and/or health care environment
• Experience working with healthcare and / or internet application
• Must have a working knowledge of X12 transactions specifically 837P, 837I, 835, 270/271, 276/277, 278, CCR/CCD
• Minimum of 4 years' experience with managing simple to moderately complex implementations and delivering results with speed, accountability, and trust.
• Ability to create and execute test plans
• Problem solving skills, strong analytical skills, ability to multi-task
• Ability to establish and maintain effective working relationships, supporting internal and external partners
• Ability to collaborate with external partners and internal partners including production support teams and information technology
• Excellent written and verbal communication skills including strong presentation skills and the ability to present executive summaries in a concise manner
• Ability to create documentation such as training resources and reference materials
• Demonstrated ability to use discretion and make sound decisions
• Ability to effectively manage multiple priorities in a fast-paced environment
• Flexibility and ability to embrace change
• Knowledge of the health care industry specifically claims processing systems, provider office operations, and customer service processes in a health care company
• Understanding of HIPAA implementation guides for claim and other transactions
• Knowledge of the health care industry HIPAA mandated ANSI transaction formats.
• Ability to prepare documented customer requirements

What will set you apart:

• You have experience with Submitters, Vendors and/or Receivers/Payers.
• You enjoy collaboration and thrive working in a team environment.
• You have customer service and/or relationship management experience.
• You have some experience in software implementations.

What you will be doing:

Solutions Integration

Implementation Planning:

• Accountable for all complexity level implementations, including but not limited to submitters, partners, and vendors; to exchange all transaction types through methods such as EDI, B2B, web transactions, API, and others as defined implementations. Tasks involve managing client timelines and deliverables, issue resolution, file transmission, response reporting, testing and results delivery based on customer requirements using Availity processes and tools
• Acts under the guidance of the Sr. Connectivity Solutions Analyst
• Will be responsible for Connectivity Solutions (and Connectivity Solutions Support Specialist when needed) Analyst level tasks of all implementations. Including, but not limited to, developing the implementation plan for all new implementation requests (submitter, direct receiver/payer, and partner and vendor), initiating implementation plan with customer, creating all tickets required to execute implementation plan completely.

Implementation Tracking and Execution:

• Manages multiple moderate to complex implementations, including timelines, issue resolution and results delivery using Availity standard tools and processes
• Assesses and analyzes moderately complex standard and non-standard implementations, including HIPAA rules and Availity standards and options and follows processes accordingly
• In partnership with external and internal stakeholders, the Connectivity Solutions Analyst conducts pre-production functional testing protocols, including creating and executing test plans for the implementation
• Tracks progress of specific implementation projects via Availity tools including JIRA, Confluence and Salesforce

Resource Coordination:

• Mentors Connectivity Solutions Support Specialist to ensure projects are completed on a timely basis and ensures Availity standards are followed.
• Interacts with Payer/Trading Partner, Vendor and Provider Marketing, Business Development, Business Technology Solutions, Product Management, Finance, and Operations
• Communication and coordination between all Availity platforms- (HEW, Patient Access, RCM)
• The Connectivity Solutions Analyst will be engaged in providing estimates of work for implementations for submitters, partners and vendors when required.
• The Connectivity Solutions Analyst is responsible for managing the workflow of moderate to complex implementations and any other responsibilities of the Connectivity Solutions Analyst and ensuring all commitments are maintained.

Customer Relationship Management:

• Interacts with business, technical, internal and external resources on new and existing implementation solutions and partners. The Connectivity Solutions Analyst will be required to represent the company in a professional manner to external customers with supervision as needed.
• Assists the Channels Sales, Account Management, and Payer Solutions staff in finalizing opportunities by providing technical guidance to external stakeholders.
• Ensures market validation (utilization) of solution by driving clean hand off to account management or operational support teams.
• Communicates new implementations and all related changes including detailed specifications
• Monitors customer communications (submitter, payer, trading partners, etc) to be apprised of any changes that may impact business operations (new edits, connectivity updates, system downtime)
• Interacts closely with other technology teams and development staff to ensure requirements able to be met accurately and executed within the expected timeline for the implementations.

Monitoring and Evaluation:

• Understands profitability and loss; supports and communicates implementation decisions that have a positive benefit to the company
• Evaluates work products of Connectivity Solutions Support Specialist and assists where necessary.
• Proactively monitors production systems to ensure production issues are resolved in a timely manner
• Provides departmental level reporting, communications and presentations of key connectivity solutions
• Drives connectivity solutions to revenue generation, ensuring customer awareness, marketing and operational support are in place

Operations Support

Process Documentation and Improvement:

• Leads in the development of Availity support documentation (such as production issues, impact and solution as it relates to the responsibilities of the Connectivity Solutions Analyst).
• Documents moderately complex standard processes (such as standard testing procedures) as necessary for continuous process improvement
• Responsible for documenting all information related to assigned implementations. Including but not limited to submitter and partner and vendor implementations, such as requirements, test plans, contact information, escalation procedures, etc.
• Supports process improvement of workflow, endeavors to stay current with technology trends, industry standards, and Availity strategy - specifically driving close to cash process for faster and higher quality connectivity solutions.

Customer Support and Issue Resolution

• This role is required to provide support to Connectivity Solutions Analyst for operational issues where assistance is needed.
• Supports organization thru researching, resolving and documenting operational issues. Must be able to communicate simple to medium business, technical, and HIPAA issues and resolutions
• Supports and maintains implementations by execution of customer maintenance requests including but not limited to change requests, connectivity changes, and edit and enrichment enhancements.
• Responsibilities of support for a Connectivity Solutions Analyst include but are not limited to the migration of clearinghouse partner configurations, migration of clearinghouse partner specification documentation, configuration of alternate routes for submitters.
• Connectivity Solutions Analysts will also be responsible for updating and maintaining payer routing and the payer list to ensure data is accurate. Including validation of payer routes to guarantee satisfaction.

Availity culture and benefits:

• Availity is a certified "Great Place to Work"! Culture is important to us and there are many ways for you to make your mark here!
• We have several Diversity & Inclusion teams, a Young Professionals Group, a She Can Code IT group for women in tech, and various ways to engage with fellow Availity associates.
• Availity is a culture of continuous learning. We have many resources and experts in our tech stack and in our industry that can help get you there too!
• Do not feel like wearing business attire? Cool, you can wear jeans - we are a casual place.
• Availity offers a robust total rewards package that is competitive and meaningful. We offer a competitive salary and bonus structure. We offer two different types of medical plans: a HDHP plan that has the lowest permitted deductible allowed by the IRS with a generous HSA company contribution and a PPO plan with a low deductible and out of pocket maximum. In addition, Availity offers two dental plans including orthodontia care (even for adults), vision, Employee Assistance Program (EAP), pet care, legal/ID shield services and a 401k match program that you can take advantage of on day one!
• We offer unlimited PTO for salaried associates + 9 paid holidays. Hourly associates start at 19 days of PTO and go up from there with all the same holiday benefits.
• Interested in wellness? We allow our associates to reimburse up to $300/year for gym memberships, participation in racing events, weight management programs, etc.
• Interested in furthering your education? We offer education reimbursement!
• Availity offers Paid Parental Leave for both moms and dads, both birth parents and adoptive parents.
• Want to work for an organization that gives back to the community? You are at the right place! Availity partners with various organizations, both locally and nationally, to raise awareness, funds and morale as our staff members volunteer their time and funds to engage the organizations campaign. Each associate has 1 paid day per year to volunteer at the non-profit charity of your choice.

Availity perks for remote, hybrid and office-based associates:

• We offer a flexible working environment! Whether you are a fully remote associate or one that enjoys a hybrid or fully onsite approach we are flexible to help ensure you have a working environment to thrive in!
• Do not feel like going too far to eat? We occasionally have food trucks at our Jacksonville Office as well as food available for purchase in our cafe and an onsite café next to our Indianapolis office
• We also have onsite Fitness Centers with showers for our Jacksonville & Indianapolis offices and an annual Wellness reimbursement you can use for a gym membership, classes, sports activities, etc.
• We appreciate work/life balance! Need to get a quick break in between meetings? We offer online Yoga, virtual total body condition classes, step challenges, and health and wellness courses and in our Jacksonville office, we have Ping Pong, Foosball, Arcade games, and Xbox to help you decompress - and we have a massage therapist onsite once a week for a little relaxation too
• We've got you covered with free coffee, lemonade and tea anytime you want in Jacksonville

Next steps in process:

After you apply, you will receive text/email messages thanking you for applying and then you will continue to receive more text/email messages alerting you as to where you are in the recruitment process.

Interview process:

• Recruiter resume review
• Manager resume review
• Recruiter phone screen
• Manager Video Interview
• Panel Interview

Availity is an equal opportunity employer and makes decisions in employment matters without regard to race, religious creed, color, age, sex, sexual orientation, gender identity, gender expression, genetic information, national origin, religion, marital status, medical condition, disability, military service, pregnancy, childbirth and related medical conditions, or any other classification protected by federal, state, and local laws and ordinances.

Availity is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

NOTICE: Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. When required by state law or federal regulation, Availity uses I-9, Employment Eligibility Verification in conjunction with E-Verify to determine employment eligibility. Learn more about E-Verify at http://www.dhs.gov/e-verify.

Click the links below to view Federal Employment Notices.

Family & Medical Leave Act Equal Employment Law Poster Pay Transparency Employee Polygraph Protection Act IER Right to Work Poster Important Notice about Employee Rights to Organize and Bargain Collectively with Their Employers