Senior Business Analyst - Healthcare EDI

Gainwell Technologies LLC

31d•$69,400 - $99,200•Remote

About The Position

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. SummaryAs a Senior Business Analyst - Healthcare EDI at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.Your role in our missionPlay a critical part in ensuring Gainwell is meeting our clients’ objectives in important areas.

Requirements

6 or more years of experience in an Healthcare EDI Business Analyst position with 3 or more years of Medicaid and Medicare experience
Must possess a strong proven, hands-on experience and understanding of the Healthcare EDI X12N transactions formats that govern healthcare Electronic Data Interchange (EDI).
In depth knowledge of and experience with HIPAA/EDI X12 5010 healthcare-related transactions including 270-271, 276-277,277CA,277U, 278, 820, 834, 835, 837, 999, 824, and 277CA including NCPDP D.0
Expert with commonly used EDI concepts, practices, and procedures within a healthcare field
Medicaid domain knowledge
Knowledge of industry standard health data code sets such as ICD-9/ICD-10, CPT/HCPCS, revenue codes
4 or more years of experience providing technical support for ANSI X12 trading partners
Ability to work 8a-5p eastern time.

Nice To Haves

Experience with ITXA or EDIFECS Suite is a plus.

Responsibilities

Demonstrating specific and in-depth knowledge of ANSI X12 transactions to support accurate and efficient data exchange.
Applying expertise in WEDI SNIP edits to ensure compliance and data integrity.
Effectively working within a trouble ticket application to resolve trading partner questions and issues promptly.
Being self-motivated and capable of working independently with minimal supervision.
Exhibiting excellent verbal and written communication skills for clear and professional interactions.
Building and maintaining positive, effective work relationships with coworkers, clients, members, providers, and customers.
Maintaining confidentiality and ensuring compliance with HIPAA regulations.
Troubleshooting EDI files and issues with precision and efficiency.
Leveraging analytical and creative problem-solving skills to address complex challenges.