Outbound File Technical Analyst - LH

Luminare Health

9d•$22 - $41•Remote

About The Position

At Luminare Health, our people are what set us apart. Their expertise, dedication, and passion for service excellence are the foundation of our success. We're committed to helping our employees grow through thoughtful development opportunities, meaningful work, and a culture that values collaboration and continuous improvement. When you join Luminare Health, you join a purpose-driven team focused on making healthcare simpler, better, and more affordable. The Outbound File Technical Analyst is the SME (subject matter expert) for hundreds of outbound files in many different file layouts and formats for our client’s vendors and works directly with programmers for new file builds and changes to existing files. This position involves analyzing a vendor file layout(s) and the needs of the particular vendor, writing business requirements, meeting with vendors and programmers to ensure understanding, creating test plans and testing scenarios, documenting testing results and collaborating with programmers to achieve the end result and finally providing user sign off for deployment of files to production. This position requires analytical and critical thinking skills to ensure that programming is accurate based on the needs of a client’s vendor. In addition this position works with team members and other internal customers and external customers by analyzing a question or issue to either provide an explanation or determine if programming changes are needed and work with programmers to implement a change when needed. Problem solving and sound decision making skills are needed.

Requirements

Bachelor’s degree in business or equivalent experience
Minimum of 4 years prior experience working in the insurance or TPA industry in a technical role working with EDI files and/or analyzing and testing electronic data files
Understanding of EDI terminology and file structures
Ability to read, understand and interpret file specifications
Experience with SQL and compare tools like UltraEdit
Proven problem solving, troubleshooting and analytical skills are essential.
Ability to determine solutions and resolve issues with minimal supervision
Ability to work collaboratively with team members and other Luminare Health areas as well as external vendors.
Excellent organizational skills and the ability to prioritize workload in a frequently interrupted environment.
Proficient with Excel and Word
Strong written, verbal, collaboration and interpersonal communication skills
Sound decision making skills
Customer service focused

Nice To Haves

Strong understanding of NextStepp our enterprise data warehouse and the ability to independently create and run SQL queries and review and compare data files.

Responsibilities

Understand the overall purpose of why a vendor needs a particular file(s)
Analyze a vendor file layout(s) field by field
Meet with vendor and/or client to obtain additional information when needs are unclear
Facilitate ongoing communication with vendor and/or client
Write detailed business requirements
Meet with programmers to ensure understanding of needs for each field on a file layout
Create test plans for a specific file(s) based on client and vendor criteria
Create testing scenarios in the test region
Perform review of test files field by field and document testing results. The review and testing cycle may occur multiple times.
Collaborate with programmers on solutions to achieve the end result needed.
Track progress and ensure due dates are met
Provide final user sign off after all requirements have been met so programming can be deployed to the production environment
Review and audit 1st production files to ensure production turnover accuracy
Work collaboratively with team members, other internal departments and external customers to analyze and research a question, determine a solution and provide an explanation or request programming changes when necessary.
Other duties as needed/assigned