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C2C Requirments Remote Senior Data Analyst - EDI at Remote, Remote, USA
Email: [email protected]
http://bit.ly/4ey8w48
https://jobs.nvoids.com/job_details.jsp?id=2158152&uid=

Must have EDI
Title: Remote Senior Data Analyst EDI
VISA: No Sponsorship
Duration: 4 months/contract

Senior Data Analyst/EDI is responsible for managing and analyzing electronic data interchange (EDI) transactions, ensuring accurate data flow between the organization and external partners, including providers, payers, and vendors. This role involves troubleshooting, maintaining compliance with healthcare industry standards, and leveraging data insights to support decision-making and operational efficiency.
POSITION SUMMARY
Senior Data Analyst/EDI is responsible for managing and analyzing electronic data interchange (EDI) transactions, ensuring accurate data flow between the organization and external partners, including providers, payers, and vendors. This role involves troubleshooting, maintaining compliance with healthcare industry standards, and leveraging data insights to support decision-making and operational efficiency.

Reasonable Accommodations Statement
To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.

ESSENTIAL FUNCTIONS

Job Function & Responsibilities(s)

The following duties are expected to be performed for both Medicare and Medicaid and any new business units:

        Performs regular system monitoring to verify the integrity, health and availability of all systems and key processes, reviewing application and system logs and ensuring completion of scheduled jobs
        Responsible for ensuring that data received from external and internal parties (such as our Clients and Vendor partners) are successfully ingested and available for processing in our transactional systems, while also ensuring that file extracts for external and internal business partners are produced and delivered on the agreed upon schedule.
        Assists in the development and optimization of file exchange process monitoring tools and processes
        Owns version control of all EDI mapping documentation
        Participates in Data Governance Council meetings
        Oversee the integration of various data sources and ensure seamless data flow across different systems within the organization
        Partner with Data Engineering and Data Governance on the accuracy of the data models and the outputs to optimize operational performance and achieve financial targets
        Provide ad-hoc analysis to support L2 inquiry requests
        Assist in managing EDI projects, system upgrades, implementations, and enhancements, ensuring successful completion within agreed timelines and budgets
        Partners with Vendors on issue resolution

MINIMUM QUALIFICATIONS

Education & Experience:
        BA/BS in MIS, statistics, computer science, mathematics, information management, business, or a related field Preferred
        4+ years of experience of performing data analysis and reporting development
        4+ years of experience with writing SQL queries and stored procedures with relational databases
        Experienced with supporting healthcare business transactions for Medicare and Medicaid business
        IT Service desk experience
        Comfortable working with large raw data files (Csv, Txt , EDI) is necessary (editing, manipulating, searching.
        Intermediate level of proficiency in MS packages including ADO
        Ability to plan, implement, test, and troubleshoot complex technology, software, and system solutions
        Understanding of statistical tools
        Passion for problem-solving and customer service
        Experience with Health Insurance or Health Care related data X12 EDI, FHIR, and other structured JSON, XML, or proprietary formats
        Strong ability to translate insights from the data

Equivalent In lieu of degree:  
Will accept experience in any combination of academic education, professional training, or work experience, which demonstrates the ability to perform the duties of the position.
4 -5 years of EDI experience  must be added in lieu of a bachelors degree.

KNOWLEDGE, SKILLS & ABILITIES

Preferred Qualifications:   

Additional experience or related experience in managed care, Medi-Cal, Medicare, leadership experience, etc. Proven experience working as an EDI Analyst or in a similar role.
Experienced with WEDI SNP Editing
Proficient experience with FHIR formats and tooling
Strong knowledge of EDI protocols and standards, such as ANSI X12, EDIFACT, XML, and AS2.
Proficient in EDI mapping and translation tools, such as Edifecs Spec Builder, Sterling Integrator, or similar software.
Excellent analytical and problem-solving skills, with the ability to identify and troubleshoot issues related to data communication and system integration.
Solid understanding of business processes and workflows in the healthcare industry
Strong attention to detail and accuracy, with the ability to handle large volumes of data and ensure data integrity
Excellent communication and interpersonal skills, with the ability to work effectively with cross-functional teams and external partners.
In-depth knowledge of EDI protocols, standards, and best practices
Experience in working with EDI VANs (Value-Added Networks)
Knowledge of industry-specific EDI documents and transactions, such as 837, 835, 834, 820, 274, 837 encounters, and 27x series and their corresponding responses
Tableau, Power BI
Excellent Problem-solving skills

Thanks & Regards

Shalini

Sr. Technical Recruiter
-------------------------------------
SR Talent Solution INC.

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Keywords: business analyst business intelligence active directory information technology microsoft
C2C Requirments Remote Senior Data Analyst - EDI
[email protected]
http://bit.ly/4ey8w48
https://jobs.nvoids.com/job_details.jsp?id=2158152&uid=
[email protected]
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07:27 PM 10-Feb-25


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