Vacancy expired!
General Purpose This position is responsible for basic data processing and detailed technical analytics for simple process automation procedures and limited core system changes for the company. The position works with the business teams and understands some aspects of technical application development; electronic data interchange (EDI) operations, and core system operations. The EDI Analyst solicits basic business requirements through interviews, observation, and/or existing systems documentation. This role assists the EDI team with basic documentation of the technical requirements in a format that facilitates communication and understanding amongst the business department or individuals. The EDI Analyst I must have the ability to analyze data, draw sound conclusions, and is able to interpret and follow detailed and precise written and oral instructions such as checklists. The EDI Analyst I will effectively communicate the documented findings and results from an analytical engagement. The position will be required to work with people of various professional, vocational, and educational backgroundsEssential Duties And Responsibilities
- Must exhibit knowledge of the American National Standards Institute (ANSI) formats that govern healthcare Electronic Data Interchange (EDI).
- Requires at least two (2) years of Healthcare EDI X12N transactions, including analytics, mapping, developing, testing and deployment.
- Independently, or under the direction of a Project Manager or an EDI Analyst III/IV, works with Executives, Management, Staff, or Business representatives to identify basic business concepts or processing conflicts.
- Exhibits understanding of HL-7 and NCPDP File Formats, QNXT Healthcare Core Systems, including QNXT EDI Manager and QNXT Connect (MS BizTalk).
- Must possess an understanding of SDLC (Software Development Life Cycle) and Agile Scrum Methodologies.
- Has the ability to cross-train and provide knowledge exchange to educate team members in Analytical roles in support of team redundancy.
- Shows a knowledge of software productivity tools such as Microsoft Office or Visio to document business or process requirements related to a technology system.
- Capable of understanding the structure query language (SQL) for analytical data mining, software development, TFS, and business reporting.
- Successfully engages in multiple initiatives simultaneously.
- Under direction, evaluates information gathered from multiple sources for reconciliation conflicts.
- Possesses excellent verbal and written communication skills and the ability to interact professionally with a diverse group, executives, managers, and subject matter experts.
- Has an understanding of technological resources and the ability to utilize various forms of electronic resources in everyday communications.
- Capable of work directly with managed care core system software to process data transactions for business functions such as eligibility, claims, authorizations, and case management.
- Processing of programs and applications to support departmental activities through predefined checklists.
- Edifecs/Biztalk preferred
Vacancy expired!