About Texas Children's HospitalTexas Children’s Health Plan (TCHP) is the largest Texas Medicaid managed care organization, and is part of the Texas Children’s healthcare system. Founded in 1996, TCHP is the nation's first health maintenance organization (HMO) created just for children and pregnant women. Our plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area. Currently the Health Plan serves more than 450,000 members across three service areas (Harris, Jefferson, North East). Members of the plan receive care from our network of more than 4,000 primary care physicians, 8,000 specialists, and 110 hospitals. They can also receive care at The Center for Children and Women, a patient and family-centered medical home with two convenient locations for TCHP members who can have all their medical needs met in one place, receiving multiple services the same day. TCHP is a recognized leader at encouraging holistic care that empowers families to live healthier lives. To join our community of 13,000 dedicated team members, visit www.texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at www.infinitepassion.org
We are searching for a Senior EDI Analyst – Someone who implements and maintains health plan electronic data interchange, (EDI), standards by identifying EDI solutions based on business needs and technical requirements. The Senior EDI Analyst is responsible for working with business clients, 3rd party vendors and technical developers to interpret and document requirements, create data mapping documentation, design, test, and follow change management procedures to implement data interchange solutions. The Senior EDI Analyst is a subject matter expert in X12 HIPAA transaction sets, (primarily the professional and institutional claims 837 and the eligibility 834 transaction sets), and is responsible for interpreting state X12 requirements, authoring transaction companion guides, and analyzing claims and eligibility transaction data in problem solving. Additionally, they will represent the team in a lead role in developing process improvements, documenting policy, providing training and representing EDI on project teams.