Traffic/Rate Analyst jobs in Concord, CA

Traffic/Rate Analyst evaluates and designs transportation and distribution procedures to maximize delivery efficiency. Researches and analyzes freight costs and classifications, delivery methods, and delivery schedules to minimize delivery costs and maximize customer satisfaction. Being a Traffic/Rate Analyst may require a bachelor's degree. Typically reports to a supervisor or manager. The Traffic/Rate Analyst work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Traffic/Rate Analyst typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)

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EDI Analyst
  • Partnership HealthPlan of California
  • Fairfield, CA FULL_TIME
  • Overview

    The EDI Analyst is accountable for developing best business practice knowledge and supporting the business in integrating into the EDI solutions (standards and non-standard EDI systems). The EDI Analyst will also be assisting EDI team in maintaining and running processes/jobs for electronic claims and other EDI transactions which include working with external trading partners, transferring data through secure channels, loading the data to the production environment, and testing files from new providers/trading partners.

    Responsibilities

    • Work with providers, clearing houses, 3rd party vendors, and software companies to facilitate exchange of HIPAA-compliant ANSI X12 EDI transactions between PHC and its trading partners.
    • Coordinate testing the electronic transactions with trading partners and other certification authorities for projects such as ICD-10 and CORE.Assist EDI team in diagnosing problems with inbound claims, providing assistance to Claims, Member Services, and Provider Relations department staff.
    • Work with internal and external implementation teams and work cross-functionally between the business and IT to resolve technical issues.
    • Meet with end-users inside and outside of PHC and collect the requirements for developing EDI applications.
    • Develop SDLC (Software Development Life Cycle) documents such as Business Requirement Document, Process Flow, Business Case Study Document, and Test Case Document.
    • Research, analyze, and evaluate technical requirements and specifications for the seamless integration of EDI solutions.
    • Analyze and complete EDI requests on time and with high quality including resolving trouble tickets and providing technical solutions.
    • Work with programming staff on data formatting/mapping of electronic data and transmission related tasks and issues.
    • Develop and maintain the documentation for each interface including policies and procedures related to the highly complex integrated EDI interfaces.
    • Assist EDI team in maintaining and running processes/jobs for electronic claims and other EDI transactions using tools such as Active Batch and Oracle TOAD.
    • Gain better understanding on the HIPAA-compliant 5010 TR3 specification documents.
    • Review EDI development work for compliance within the established state and federal guidelines.
    • Participate in negotiation of trading partner agreement and provide assistance to providers in preparing HIPAA-compliant transactions for PHC.

    SECONDARY DUTIES AND RESPONSIBILITIES

    • Participate in special projects and assignments as needed.

    Qualifications

    Education and Experience

    Bachelor’s degree in a related field, or equivalent combination of education and experience. Minimum one (1) year of EDI involvement in healthcare. Experience developing SDLC (Software Development Life Cycle) documents such as Business Requirement Document, Process Flow, and Business Case Study documents are added advantage. Comparable education and experience as an alternative. RDBMS experience to write simple SQL queries is required.

     

    Special Skills, Licenses and Certifications

    Understanding of HMO claims/billing processes; communicate effectively with inside staff and outside sources; ability to research and work with outside providers in a multitude of complex environments; Basic SQL commands for electronic table maintenance. Valid California driver’s license and proof of current automobile insurance compliant with PHC policy are required to operate a vehicle and travel for company business.

     

    Performance Based Competencies

    Excellent interpersonal, team, customer service, and communication (written and verbal) skills with ability to assess and resolve problems and issues in an efficient and effective manner; strong project management skills.

     

    Work Environment And Physical Demands

    Ability to use a computer; 40-50% of work time is spent in front of a computer monitor; frequent phone usage.

     

     

     

    All HealthPlan employees are expected to:

    • Provide the highest possible level of service to clients;
    • Promote teamwork and cooperative effort among employees;
    • Maintain safe practices; and
    • Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.

    HIRING RANGE:

     

    $55,039.22 - $67,422.44

     

    IMPORTANT DISCLAIMER NOTICE

     

    The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.

  • 23 Days Ago

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Data Analyst
  • SHELTER, Inc.
  • Concord, CA OTHER
  • Job Details Job Location: Main Office - Concord, CA Position Type: Full Time Education Level: 4 Year Degree Salary Range: $66,560.00 - $80,600.00 Salary Travel Percentage: Negligible Job Shift: Day Jo...
  • 24 Days Ago

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GIS Analyst
  • A.I.S., Inc.
  • Vallejo, CA FULL_TIME
  • A.I.S., Inc. (AIS) is a national scientific services firm supporting maritime activities requiring certification of compliance with environmental regulations as well as collecting data for use by Fede...
  • 2 Days Ago

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BSA Analyst
  • WESTAMERICA BANK
  • FAIRFIELD, CA FULL_TIME
  • DescriptionWestamerica is among the largest commercial banks headquartered in California. We are looking for outstanding people to join our winning team. We reached our current strength because our em...
  • 3 Days Ago

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Deductions Analyst
  • Robert Half
  • Vacaville, CA PER_DIEM
  • Interested in growing with a thriving Food & Food Processing company as a Deductions professional? If you're looking for a position with a noteworthy benefits package, this dynamic organization has an...
  • 8 Days Ago

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Management Analyst
  • City Of San Pablo
  • San Pablo, CA FULL_TIME
  • Filing Deadline: April 8, 2024 at 5:00 p.m. Applications MUST be submitted online at www.GovernmentJobs.com The City of San Pablo is seeking an extraordinary candidate to join its Human Resources Divi...
  • 9 Days Ago

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0 Traffic/Rate Analyst jobs found in Concord, CA area

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Police Cadet - Police (8274)
  • City and County of San Francisco
  • San Francisco, CA
  • Who We Are: The San Francisco Police Department was established in 1849 and continually strives to become a more effecti...
  • 3/27/2024 12:00:00 AM

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Inventory Specialist
  • WALGREENS
  • Concord, CA
  • Responsible for executing, monitoring, and training inventory best practices and standard operating procedures for the e...
  • 3/27/2024 12:00:00 AM

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Public Safety Dispatcher - Lateral
  • City of Livermore, CA
  • Livermore, CA
  • Salary: $6,865.57 - $8,303.48 Monthly Location : Livermore, CA Job Type: Full time Job Number: 24-235-01L Department: Po...
  • 3/26/2024 12:00:00 AM

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SOC Analyst
  • Dew Software
  • Newark, CA
  • Dew Software, a reputable player in the Digital Transformation industry, is seeking a talented and dedicated SOC Analyst...
  • 3/25/2024 12:00:00 AM

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Operations Supervisor
  • CVS Health
  • Concord, CA
  • Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to ever...
  • 3/25/2024 12:00:00 AM

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CDL Route Driver - Hazardous Materials Endorsement required
  • Airgas Inc
  • Concord, CA
  • R10038913 CDL ROUTE DRIVER - HAZARDOUS MATERIALS ENDORSEMENT REQUIRED (Open) Location: Concord, NC - Retail shop How wil...
  • 3/25/2024 12:00:00 AM

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Freezer Stocker
  • Foodservice Supplier
  • Concord, CA
  • Freezer Stocker FULL-TIME $16.90/hr Position Summary: Responsible for providing prompt and courteous customer service, s...
  • 3/24/2024 12:00:00 AM

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Occupational Safety Health Analyst
  • Leidos
  • Fremont, CA
  • Description Looking for an opportunity to make an impact? At Leidos, we deliver innovative solutions through the efforts...
  • 3/11/2024 12:00:00 AM

Concord (/ˈkɒŋkərd/ KON-kord) is the largest city in Contra Costa County, California. At the 2010 census, the city had a population of 122,067 making it the 8th largest city in the San Francisco Bay Area. Founded in 1869 as the community of Todos Santos by Salvio Pacheco, the name was changed to Concord within months. The city is a major regional suburban East Bay center within the San Francisco Bay Area, and is 29 miles (47 kilometres) east of San Francisco. Concord is located at 37°58′41″N 122°01′52″W / 37.97806°N 122.03111°W / 37.97806; -122.03111. It is 29 miles (47 kilometres) northeas...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Traffic/Rate Analyst jobs
$62,004 to $80,151
Concord, California area prices
were up 2.5% from a year ago

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