Senior EDI Anaylst

Brandon, FL

Posted: 06/07/2019 Job Number: 12855697
Summary

The Senior EDI Analyst is responsible to create and maintain end-to-end healthcare related EDI transactions. The Sr. EDI Analyst keeps the management informed of all the deliverables set for a given project. This position is also responsible for providing advice on EDI mapping and specifications, to review solution designs before implementation is started, and to complete the EDI setup, configuration, and mapping.

Essential Duties and Responsibilities
  • Responsible for understanding EDI transaction set structures and tracking changes to these structure
  • The EDI analyst will leverage EDI knowledge in claims, enrollment, eligibility, and financial systems. Gather requirements, perform analyses, implement solutions and track outcomes to ensure accuracy of all transactions
  • Other duties as assigned
  • Perform EDI mapping for implementation and deployment of plan and vendor EDI implementations
  • Works on multiple vendor integrations simultaneously, with a focus on detail orientation and regular status updates with vendors, operation teams and Management
  • Works closely with Enterprise Architecture and directs business analysts to insure high quality EDI implementations
  • Clarifies requirements and influences business decisions that lead to the right solutions (creates repeatable processes that enable the required business capabilities)
  • Provides day-to-day support and maintenance of existing EDI integrations
  • Implements new EDI integrations, and supports changes to existing integrations
  • Identifies areas of concern and improvement opportunities in current EDI infrastructure
  • Develops EDI best practices and standards
  • Assists in the design and development of new transaction types through EDI
  • Establishes schedules within the EDI tools to transmit, receive and process EDI documents
  • Performs other duties as assigned

Knowledge, Skills and Abilities
  • Ability to navigate and master proprietary software programs successfully
  • Proficient in MS Office with computer and keyboarding skills
  • In depth knowledge of Healthcare EDI transactions (i.E. 837, 834, 820, 277, etc.)
  • A drive for results, with a demonstrable bias for action; high levels of maturity, and professionalism; giving, receiving and responding to feedback effectively
  • A consistently high service orientation; and demonstrable commitments to diversity inclusion, a respectful workplace, and integrity
  • Strong appreciation and ability to handle confidential & sensitive information
  • Excellent verbal and written communication skills
  • Strong customer relations, interpersonal skills
  • Ability to handle difficult situations tactfully and diplomatically
  • Independent judgment in decision making and problem solving
  • Ability to multi-task & anticipate potential needs/problems
  • Strong attention to detail

Qualifications
  • Experience in Benefits Administration Systems
  • General understanding of the file transfer protocol (FTP) process.
  • In depth knowledge of HIPAA/EDI X12 5010 healthcare-related files: 834, 820, 835, 837, 270, 271, 276, 277, 278, and 999 format is required.
  • Knowledge and experience using XML, SQL, PostgreSQL
  • Fluent with commonly used EDI concepts, practices and procedures within the healthcare industry
  • Project management experience in IT and experience in agile teams
  • Analytical and creative problem solving skills
  • Excellent organizational skills with the ability to manage multiple tasks and priorities
  • Leadership, communication, interpersonal skills coupled with strong customer driven orientation
  • Bachelor's degree in a technical, business, or scientific related field

Work Environment / Physical Demands

This position is in a typical office environment, which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment including operation of standard computer and phone equipment. May have occasional high stress when deadlines are approaching.

EOE M/F/D/V
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