Healthcare EDI and Insurance Discovery Team Lead (Remote)

The Healthcare EDI and Insurance Discovery Team Lead will oversee a team of analysts responsible for Electronic Data Interchange (EDI) operations and healthcare insurance coverage verification. This role involves leading, mentoring, and developing the team, defining team goals, monitoring performance, and ensuring alignment with departmental objectives. The Team Lead will develop and implement strategic plans for EDI and insurance discovery initiatives, foster a culture of continuous improvement, and oversee the monitoring, troubleshooting, and optimization of EDI transactions. Responsibilities also include ensuring accurate data exchange, collaborating with IT and vendors to resolve complex EDI issues, guiding the design and execution of insurance verification and discovery processes, ensuring data accuracy and integrity through audits, and partnering with payers and clearinghouses to resolve escalated coverage issues. The Team Lead will serve as the primary liaison between the EDI insurance team and Revenue Cycle, IT, Compliance, and Product, provide subject matter expertise for new product development and system integrations, and lead training initiatives across the organization.