Associate EDI Developer Job at Aptean

New

Minute Clinic Accounts Receivable Associate, Senior Coordinator, Revenue Cycle

We're building a world of health around every individual — shaping a more connec...

Location

United States , Work at Home

Salary:

18.50 - 42.35 USD / Hour

CVS Health

Expiration Date

July 24, 2026

Requirements

The coordinator must have a clear understanding of the intricacies of medical billing encountered in such areas like ambulatory care, physician/provider offices, or professional billing settings
In addition, a clear understanding of CPT, ICD-9/10, CMS 1500 claim formatting, as well as, familiarity with Electronic Data Interchange (EDI) transmission, Electronic Health Record or encounter charge creation is key to success in this position
Knowledge of national HIPPA, PHI, and other regulatory requirements to help ensure compliance when working claims data is important
Minimum of 2 years of Medical Billing Experience or health plan claims adjudication experience
Verifiable High School Diploma or GED required

Job Responsibility

Managing a high volume of medical claims that have denied by refuting the denials within payer guidelines through accurate review, correction, and resubmission
Provide representation when needed of the Accounts Receivable area to internal dept.'s as well as external dept.'s, clients, vendors and processors to clearly relay situational occurrences and provide support when needed
The account receivable associate will be responsible for identifying and quantifying trends/issues, developing potential solutions and then effectively communicate them to the appropriate members of the management team along with what the potential impact could be
Effectively prioritize and manage outstanding refund requests and overpayments to support contract and legal adherence with all payers including Medicare and Medicaid
Identify and implement process efficiencies across the dept. including automation opportunities or workflow enhancement opportunities to reduce manual efforts and improve productivity and overall compliance
Recognize and Identify coding deficiencies and exercise the appropriate action based upon compliance and CMS regulations
Identify key stake holders or primary contacts within payer communities to drive more effective processes

What we offer

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs

Fulltime

New

Senior People and Development Business Partner

Working as a strategic partner across a defined portfolio of academic schools an...

Location

Salary:

Not provided

Burman Recruitment

Expiration Date

Until further notice

Requirements

CIPD qualified to Level 7 essential
Qualified to degree level (or relevant comparable qualification or work experience)
Solid and up to date knowledge of employment legislation
Experience of managing TUPE transfers
Experience of operating and liaising successfully within a Trade Union environment
Leading on business planning organisational change projects with the senior management leadership team within specific schools and services resulting in clearly defined outcomes and the successful achievement of financial targets
Track record of identifying and delivering solution focused practical and effective People and Development solutions within the framework of organisational policies and procedures
Solid experience of managing, coaching, guiding and concluding complex employee relations casework from investigation to appeals in a timely manner
Leading people forums, champion groups and networks as required
Experience of employment tribunals

Job Responsibility

Business Partnering Activities
As Senior Business Partner to designated Schools and Services, you will provide a full range of strategic and operational support across key people areas such as recruitment and selection, performance management, Employee Relations, reward and benefits, organisational development and change management that will benefit and influence throughout the entire employee life cycle
Working across the P&D teams to support, lead and advise colleagues, ensuring the successful implementation and service delivery of the P&D strategy specifically in relation to equality, engagement and wellbeing
Develop and maintain effective working relationships up to and including a senior level to ensure compliance, manage risks, challenge the status quo and influence change
Coach, develop and advise managers to enable them to fully undertake their people management role and embed the leadership behaviours
Regularly monitor, track and evaluate data relating to key employee BP metrics, such as employee relations cases and leaver interviews, identifying trends, providing recommendations for improvements and sharing this information with PDMT and senior leaders
Promote staff engagement outcomes and associated communications within business partnering areas
Alongside managers and Finance review workforce planning data to ensure that staffing decisions are within Department /Service planned budget
Review, challenge, scrutinise and present to senior leader’s appropriate workforce planning and performance reports to inform planning, decision making and talent/succession planning
In support of the Senior BP – Employee Relations and Policy identify, create, design and introduce any new initiatives, employment policies and procedures ensuring that appropriate and robust engagement with, including those that will assist the university in achieving its financial targets and strategic aims

Fulltime

Sr. Integrations Developer

Why Valvoline Global Operations? At Valvoline Global Operations, we're proud to ...

Location

United States

Salary:

Not provided

Valvoline Global

Expiration Date

Until further notice

Requirements

BA/BS degree in Computer Science or related field of study
5-10 years of experience working with following: Software AG's webMethods, Mulesoft Anypoint or SAP Integration Suite
Integration with ERP systems
Document exchange protocols such as AS2, SFTP, https, ftp
Publishing and subscribing messages to queues and topics in a messaging provider
Service Oriented Architecture and Web Services
ANSI X12 and EDIFACT EDI standards
XML based standards such as CIDX, xCBL or OAIGs
Cloud Integration
API development

Job Responsibility

Design, develop and maintain integration services for Valvoline's business applications and external partner's integrations
Lead reviews of junior developers integration designs and coding
Ensure developers are using common integration patterns where applicable
Enforce the practice of creating and maintaining documentation on the integrations within the tools specified for the team
Ensure daily operations remain stable by maintaining support processes and providing day-to-day technical support for the integration services and associated services by working directly with users to research, troubleshoot and resolve issues in accordance with service level agreements and operational level agreements
Provide proper communication to all stakeholders for scheduled and unscheduled activities that will or might impact integrations
Provide daily technical oversight and leadership to the team of integration developers
Allocate routine and prioritized tasks and/or project work
Provide direction, support and guidance as necessary, in line with individuals' skills and abilities
Assist with the hiring, onboarding, training and mentoring of these resources

Fulltime

Sr Associate IS Bus Sys Analyst

Join Amgen’s Mission of Serving Patients. At Amgen, if you feel like you’re part...

Location

United States

Salary:

84517.20 - 114346.80 USD / Year

Amgen

Expiration Date

Until further notice

Requirements

Master's degree OR Bachelor's degree and 2 years of Information Systems experience OR Associate's degree and 6 years of Information Systems experience OR High school diploma / GED and 8 years of Information Systems experience
3-5+ years of experience as a Business Analyst, preferably in data, integration, or revenue management domains
Hands-on experience working with EDI transactions (e.g., 852, 850, 810, 835)
Understanding of data flows, data mapping, and system integrations (e.g., EDI -Model N - SAP)
Experience supporting testing cycles (SIT/UAT), including test case creation and defect management
Strong analytical skills with experience in data validation, reconciliation, and root cause analysis
Familiarity with pharmaceutical or healthcare industry processes (e.g., chargebacks, rebates, 340B) preferred
Experience working with ticketing systems (e.g., ServiceNow) for incident and service request management
Ability to create and maintain documentation (requirements, process flows, SOPs)
Strong communication skills with the ability to work cross-functionally with business, IT, and external partners

Job Responsibility

Stakeholder alignment across business, IT, and external partners to ensure EDI solutions meet business needs
Gather and document business and functional requirements for EDI-related processes, including chargebacks, rebates, and 340B data flows
Develop business & functional requirement documents for EDI-related processes (e.g., chargebacks, rebates, 340B)
Ensure accurate and complete EDI data integration (e.g., EDI 852, chargebacks, rebates) into Revenue Management systems such as Model N
Data mapping integrity between upstream sources (e.g., SAP, wholesalers) and downstream systems to support pricing, chargeback, and 340B processes
Develop and maintain data mapping specifications and validate transformations across systems
Timely identification and resolution of EDI data issues, minimizing impact to financial processing and reporting
Support business-critical processes by ensuring data availability and quality
Maintain compliance with data standards and governance, including audit readiness and traceability of transactions
Support EDI onboarding and changes for trading partners, including coordination with vendors & internal technical teams

What we offer

Health and welfare plans for staff and eligible dependents
Financial plans with opportunities to save towards retirement or other goals
Work/life balance
Career development opportunities
Comprehensive employee benefits package including Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts
Discretionary annual bonus program
Stock-based long-term incentives
Award-winning time-off plans
Flexible work models where possible

Fulltime

Sr Data Engineer

The Senior Data Engineer plays a critical role in delivering strategic and opera...

Location

United States

Salary:

120000.00 - 160000.00 USD / Year

Personify Health

Expiration Date

Until further notice

Requirements

At least one AWS certification (e.g., AWS Certified Data Analytics – Specialty, Big Data – Specialty, Developer – Associate)
7+ years in data engineering or analytics engineering, with a strong focus on cloud-native architectures. Proven experience designing and operating scalable data platforms in AWS
5+ years in healthcare, insurance, or claims processing, including 5+ years working with EDI (834, 835, 837, 2222, 2223, 999), X12 file standards or HL7 standards and familiarity with HIPAA and CMS compliance
Expert-level proficiency in SQL (including pivots, window functions, and complex date calculations) and Python for data processing, transformation, and application development
Hands-on experience with orchestration tools like Airflow, containerization with Docker, and CI/CD pipelines. Strong bias for automation and continuous improvement
Proficient in consuming and transforming REST APIs and JSON data into relational models. Skilled in building robust data ingestion and transformation pipelines
Experience with JIRA, BitBucket Git, BitBucket Pipelines, and collaboration with cross-functional teams including Data Analysts, Data Scientists, Product, and Account Management
Proficient in Excel and BI tools such as Tableau, Power BI, and MicroStrategy for data analysis and reporting
Detail-oriented with a strong focus on data quality, accuracy, and performance tuning for large-scale data systems. Background in cost optimization and system reliability
Ability to mentor engineers, share technical knowledge, and communicate effectively with both technical and non-technical stakeholders. Strong documentation and systems thinking

Job Responsibility

Build data applications and processes using Python, SQL, and Django
manage and query data in PostgreSQL, Oracle, and cloud-native databases
Examine, extract, cleanse, and load data while implementing quality assurance rules and tools to ensure consistent and accurate data
Work with healthcare-specific data processes such as EDI file transfers, claims adjudication, audits, eligibility verification, and reporting workflows
Collaborate with cross-functional teams (Data Analysts, Data Scientists, Product, Reporting, Account Management) to define requirements and deliver data-driven solutions
Ensure data quality, integrity, and security through automated validation, auditing, and monitoring, with compliance to HIPAA and CMS regulations
Monitor, maintain, and tune pipeline performance
proactively troubleshoot and resolve complex data flow and system issues
Provide technical mentorship to Data Engineers, sharing expertise in data modeling, pipeline development, and troubleshooting practices
Research and propose improvements to the tech stack and data engineering processes

What we offer

Competitive base salary and benefits effective day one
Comprehensive medical and dental through our own health solutions (yes, we use what we build)
Unlimited PTO—rest and recharge time is non-negotiable
Mental health support, retirement planning, and financial protection
Professional development with clear career progression and learning budgets
Mission-driven culture where diverse perspectives drive real impact on people's health

Fulltime

Production Planner

The Production Planner plays a crucial role within the plant, balancing producti...

Location

United States , Arden

Salary:

62000.00 - 85250.00 USD / Year

BorgWarner

Expiration Date

Until further notice

Requirements

Completion of high school or equivalent. Associates Degree or higher preferred.
Proven experience in production planning within an automotive manufacturing environment.
Proficiency in SAP and Excel.
Agile. Quickly adapt to changing environments with flexibility and responsiveness.
Possess, strong decision making, analytical, critical thinking, and problem-solving skills.
Excel at expressing ideas clearly and persuasively, ensuring communication inspires action.
Ability to maintain high levels of accuracy and precision.
Collaborative.
Ability to prioritize tasks based on significance.
Attendance on the job is essential.

Job Responsibility

Create and maintain production schedules to meet customer demands on time while considering manufacturing efficiency, customer priorities, capacity constraints, upstream material flow, planned downtime, PPAP, and other internal customer demands.
Ensure meticulous management of all aspects of production planning with keen attention to detail.
Collaborate with customer service to fulfill customer EDI requirements and respond to changes to ensure customer satisfaction.
Adapt to changing environments with flexibility and responsiveness to pivot
Monitor downtime calendar and incorporate it into the production plan to manage interruptions effectively while ensuring on-time delivery.
Populate and update the Clear to Build file with missing parts and follow up with appropriate individuals to obtain necessary information to support the production plan.
Use SAP to assess production capacity, and dispatch orders to meet production targets without overloading the work center.
Ensure on-time delivery of finished goods, and WIP by managing production schedules and addressing any delays.
Make data-centric recommendations for overtime scheduling or propose alternatives in the event of delays.
Identify and work with manufacturing engineering and team leads to resolve issues with routings to optimize production efficiency and capacity utilization.

What we offer

Day 1 Medical Coverage with potential of no monthly premium
Onsite Health Clinic for employees and dependents (age 14 and over) at no cost
Dental, Vision, Life, AD&D, and Disability Coverage
Tuition Reimbursement Program after 18 months
Retirement Savings Plan (401k) with a matching program
Company paid holidays and vacation starting Day 1

Fulltime

Inventory Manager

A fast-growing Orange County-based fulfillment / 3PL operation is hiring an Inve...

Location

United States , Santa Ana

Salary:

70000.00 - 80000.00 USD / Year

Strategic Employment Partners

Expiration Date

Until further notice

Requirements

3+ years in inventory management within a 3PL, distribution, DC, or fulfillment environment
Hands-on experience with cycle counting + physical inventories (and not just delegating)
Experience with at least one WMS (examples: Manhattan, NetSuite WMS, Extensiv/3PL Central, Fishbowl, SAP EWM, etc.)
Strong Excel skills (pivot tables, XLOOKUP/VLOOKUP, reporting)
Solid understanding of inventory methods (FIFO/LIFO/weighted average) and controls mindset

Job Responsibility

Drive real-time inventory accuracy across multiple client accounts (targeting 99.5%+)
Plan and execute cycle counts, quarterly physical inventories, and root-cause analysis on variances
Tighten receiving/putaway/pick-pack/returns workflows to reduce shrink, misallocation, and “phantom inventory”
Enforce inventory rotation practices (FIFO / FEFO / LIFO) based on product requirements
Serve as the main inventory POC for assigned client accounts: reporting, discrepancy resolution, aging/slow-movers
Maintain strong WMS configuration (SKU setup, location mapping, slotting) + operational reporting
Build dashboards and reporting around turns, fill rate, shrink, aging, count results
Partner with IT/ops on process improvements and potential EDI / ERP integration enhancements
Lead and develop a small team (typical range 4–10 associates across inventory control / cycle count / receiving)

Fulltime

Sap Itd S4 Hana Im Logistics

SAP ITD (inventory to deliver) S4 HANA IM, Logistics- EWM, SD

Location

United States , Salisbury

Salary:

183000.00 USD / Year

Realign

Expiration Date

Until further notice

Requirements

6-8 Years IT or equivalent experience with application systems used within the Sales & Distribution, Manufacture and logistics Processes
Strong technical experience in project management, system analysis, process design, software development, testing and training in IT management & services
Experience in SAP ECC/S4 Hana - E2E SAP project implementations (Greenfield), production support & system upgrade for supply chain solutions concentrating on the above areas or equivalent
Expertise in working on SAP SD, Inventory management, SAP EDI and B2B integration projects using IBM Sterling integrator and should be proficient in mapping SAP Idoc with XML/X12
specialized in the areas of SAP Master Data, Logistics execution (LE), SAP MM and EWM processes
Familiar with interfacing and using radio frequency devices (RF), weighing, labeling and warehouse stock movements
Expertise in batch management, serialization and handling units
Working knowledge of Integration with services such as SAP EDI, SAP PI, AS2, API, SFTP (file transfer protocols) with our 3PL trading partners and with the manufacturing systems on the plant floor
Efficient in working with business teams, gathering business requirements, identify process gaps and implementing solutions through strategic road map projects. Experienced in ticket resolutions and troubleshooting
Experienced in writing technical documents such as business requirement specifications, functional specifications, and training documentation

Job Responsibility

Translates the requirements for system function to detail program designs using Client Methodology and Clarizen for project management
Configures, testing and documents programs and systems from detailed specifications using Client methodology and structured programming practices to produce reliable programs
Actively supports the Team Management and Quality Improvement Process through demonstrated commitment of its concepts and tools (teambuilding, zero defects, measurement, goal setting, process models, etc.)
Works as a team member in the development, enhancement and support of applications that meet or exceed customer requirements
Maintains technical proficiency by training and using the latest techniques in developing and maintaining systems
Provide advanced level technical training to internal resources and business areas as needed
Understand business goals and requirements associated with IT strategic roadmap
Responsible to formulate and deliver an enterprise level functional design for all supported systems in respective area including process flows and architecture landscape
Participates in IT Architecture activities as needed
Participate in Pre-Planning, Blueprinting, Realization, Final Preparation and Go-Live/Support phases of IT Strategic Roadmap projects assigned

Fulltime

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Associate EDI Developer

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