Systems Analyst Jobs

About The Position

Requirements

• Minimum 2 years of experience in EDI, Data Analysis and Testing required.
• SQL Query experience required
• Experience data mapping and documenting business and technical requirements
• Effective organizational and prioritization skills
• Experience communicating complex technical information to a non-technical audience
• Intermediate knowledge of Microsoft Word, Outlook, and PowerPoint
• Ability to learn new systems and continually update technical skills to adapt to changing technology
• Basic data-gathering skills including coding (SQL), testing, debugging, and documentation
• Knowledge of common database architectures and how to extract and transform complex datasets

Nice To Haves

• Healthcare claims and managed care experience is highly preferred
• Experience working with X 12 formats preferred.

Responsibilities

• Analyze and maintain benefit files, including ANSI X12 834 file specifications.
• Capture and document business and functional requirements, perform analysis, and testing.
• Ensure EDI offerings adhere to client needs and regulatory requirements.
• Collaborate with carriers and vendors to review requirements, coordinate testing, and ensure new files are production-ready.
• Track an active pipeline of assigned ongoing file integrations.
• Troubleshoot and support client and partner inquiries regarding existing EDI integrations.
• Utilize available configuration tools to build file process automations.
• Work with the internal team to build, manage and improve file automation and maintain SFTP exchanges.
• Participate in sustainment activities such as production monitoring, file maintenance, and tracking the EDI lifecycle.
• Resolve issues, answer customer questions, and identify patterns or trends to recommend solutions.
• Provide technical support to colleagues, offering recommendations for problem resolution.
• Develop new processes and procedural documentation.
• Collaborate with various business teams to enhance efficiency and speed of internal operations through process or system improvements.
• Responsible for ensuring successful transfer of inbound EDI enrollment data to include troubleshooting/reconciliation of data integrity issues.
• Responsible for managing EDI file activity for high-profile/complex EDI client business (BPO, non-standard, etc.).
• Communications between EDI vendors, clients, Account Management teams, Customer Experience teams, and project teams.
• Responsible for supporting project work within the business area (lead and/or participate in project meetings, business requirement documentation, etc.).

Benefits

• Medical
• Dental
• Vision
• Life and Disability Insurance
• Generous Paid Time Off
• Tuition Reimbursement
• EAP
• Technology Stipend