Hot requirement
20+ positions are open
Please send your resumes to govardhan@spgamerica.com
Position: Healthcare EDI
Location: Remote, work from candidate home
Duration: 6 months
Start Date: target is January 26th or as soon as candidate can start with 2 week notice
Interview process: Phone to Hire
What you are looking for:
MUST HAVE A MINIMUM of 4-5 years X12. If less than that, do not submit.
MUST have completed 4 years completed Bachelors degree. (Must list Degree, Major Study, Name of School, City and State, Country and Date of graduation on resume)
Description
Job Description
The EDI Analyst will be a part of a team supporting all phases of the design, development and implementation of an Enrollment Resolution and Reconciliation process for health insurance exchanges. The Analyst will participate in design sessions, report on project progress and identify potential risks and issues.The EDI Analyst will be responsible for troubleshooting and resolving errors in 834 and 820 transactions for health insurance exchanges and performing root cause analysis.
The EDI Analyst will also be responsible for analysis of discrepancies in the eligibility reconciliation process for multiple stakeholders and continuous process improvement of the reconciliation process. He/she will provide content to and for collaboration with training staff on training stakeholders on the transactions and the reconciliation process. The Analyst may be required to provide training on the transactions and on the reconciliation processes.
Additional responsibilities include:
• Participation in all phases of testing
• Perform testing and thoroughly document issues
• Work with the technical and development team to resolve identified issues in a timely manner
• Review documented training material for accuracy and assist in end user training and support
Employee is expected to undertake any additional duties as they are assigned by their Manager.
Minimum Qualifications
• Bachelor's Degree
• Experience in business analysis
• Experience working with IT development teams
• Minimum 5 years of experience in X12 transactions
• Experience with enrollment transactions
Additional Qualifications
• Project management experience preferred
• Strong written and oral communication skills
• Experience with Federal contracts a plus
• Testing experience preferred
• Experience with premium payment transactions
• Experience in reconciliation of enrollment transactions
• Knowledge of X12 standards development processes
SKILLS INVENTORY:
Highlighted Skills:
Working as an EDI Analyst - years
Working as a Business Analyst - years
Project Management Experience - years
Working in the Healthcare Industry - years
Experience working with IT Development Teams - years
Design, development and implementation of an Enrollment Resolution and Reconciliation process for health insurance exchanges – years
Analysis of discrepancies in the eligibility reconciliation process for multiple stakeholders – years
834 transactions – years
820 transactions – years
X12 transitions – years
Reconciliation of Enrollment transactions – years
Premium Payment transactions – years
Eligibility reconciliation – years
QA/Testing experience - year
Training support – years
Federal contacts experience – years
Bachelors Degree – yes or no (must be yes)
Thanks and Regards,
Govardhan
SPG America
15 Corporate Place South, Suite #421, Piscataway, NJ - 08854
Ph : 732-343-7688 x 3024
Fax : 732-343-7689
Email : govardhan@spgamerica.com
URL : www.spgamerica.com
IT Services || Consulting
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