Support flexible work schedules, including off-hours, weekends, and holidays as required ... Bachelor's degree in Computer Science, Information Systems, Engineering, Business, or a related ...
Support flexible work schedules, including off-hours, weekends, and holidays as required ... Bachelor's degree in Computer Science, Information Systems, Engineering, Business, or a related ...
Systems Analyst
Baltimore, MD · On-site
Six (6) years of experience with EDI validation tools such as Edifecs, WTX, EDI X12 files, or ... Systems, Engineering, Business, or other related scientific or technical discipline *No Visa ...
Systems Analyst
Baltimore, MD · On-site
Six (6) years of experience with EDI validation tools such as Edifecs, WTX, EDI X12 files, or ... Systems, Engineering, Business, or other related scientific or technical discipline *No Visa ...
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Job description
The Senior Systems Analyst (EDI) is responsible for providing Electronic Data Interchange (EDI) data analysis, transaction support, error resolution, and related services for large-scale healthcare or eligibility-based systems. This role works closely with technical, business, and testing teams to analyze, resolve, and transmit EDI transactions accurately and efficiently.
Key Responsibilities
- Provide data analysis, transactional support, error detection, resolution, and ongoing support for EDI operations
- Perform analysis and validation of Medicaid 8001 transaction files
- Review and resolve data issues related to master data, master person identifiers, and other system data discrepancies
- Perform system error analysis and root cause investigation
- Validate 1095-A and 1095-B files and reconcile 8001 transactions
- Analyze inbound and outbound EDI files exchanged with carriers, managed care organizations, and external partners
- Identify EDI file rejections, analyze root causes, and recommend corrective actions
- Analyze EDI 999 acknowledgment files and assist with resolving exceptions and data issues
- Coordinate with development, business, and testing teams to analyze, fix, test, and transmit EDI files on a daily or as-needed basis
- Perform data corrections to resolve consumer- or system-reported issues
- Access databases and applications to perform root cause analysis and implement data fixes
- Translate business needs into technical EDI data solutions
- Communicate effectively with IT teams, business users, vendors, and stakeholders
- Support flexible work schedules, including off-hours, weekends, and holidays as required
Requirements
Minimum Qualifications
- Bachelor's degree in Computer Science, Information Systems, Engineering, Business, or a related field
- Minimum 4 years of experience working with healthcare marketplace or eligibility-based EDI solutions
- Minimum 4 years of experience creating and processing EDI X12 transaction sets such as 834, 999, and TA1
- Minimum 4 years of experience reviewing and interpreting EDI companion guides and implementation guides
- Minimum 4 years of experience analyzing, testing, and providing data solutions for healthcare or eligibility systems
- Minimum 2 years of experience working with SQL databases and writing SQL queries
- Strong analytical and problem-solving skills
- Excellent communication skills with the ability to translate technical concepts for business users
- Ability to manage multiple priorities and meet tight deadlines
- 6+ years of experience using EDI validation tools such as Edifecs, WTX, or equivalent
- 6+ years of experience working with EDI transaction sets including 834, 820, 999, and TA1
- Hands-on experience writing complex SQL scripts
- Knowledge of Affordable Care Act (ACA) eligibility rules for Medicaid and Qualified Health Plans
- Experience with or knowledge of Medicaid 8001 file processing or other inter-agency transactional file processing
- In-depth understanding of EDI 834 enrollment transactions, including adds, changes, terminations, cancellations, and error processing
About ANGARAI
Sourced by ZipRecruiter
Industry
Business management consulting
Company size
11 - 50 Employees
Headquarters location
College Park, MD, US
Year founded
2003