Sr. EDI Analyst

Job details mentioned below

Position

Sr. EDI Analyst

Location

Linthicum, MD

Duration

12+ months

REQUIRED SKILLS

A minimum of four (4) years of experience with Health Exchange EDI solutions.

A minimum of four (4) years of experience in creating EDI X12 files for transactions sets such as 834, 999 and TA1.

A minimum of four (4) years of experience in reviewing and understanding technical documents such as companion and implementation guides for Healthcare EDI formats 834 and 999.

A minimum of four (4) years of experience in analyzing/testing Healthcare/Marketplace EDI Applications.

A minimum of two (2) years of experience working with SQL databases/queries.

Strong analytical and problem solving skills.

Excellent communication skills including the ability to understand and communicate technical information to business users, and gather business requirements that can be translated into technical requirements.

Ability to manage multiple critical priorities and tight deadlines.

PREFERRED SKILLS

Six (6) years of experience with EDI validation tools such as Edifecs, WTX, EDI X12 files.

Six (6) years of experience with transactions sets such as 834, 999 and TA1, SOA, EDI and EAI Applications.

Knowledge of 8001/IDB file processing.

Knowledge of Medicaid coverage types, coverage span and eligibility rules.

Strong knowledge in the Affordable Care Act (ACA) eligibility rules.

In-depth understanding of 834 enrollment transactions including Adds, Terminations, Cancellations and Life events.

Strong knowledge of DB2 database and SQL scripts.

Experience in quality assurance and quality control of a large scale Healthcare System.

All your information will be kept confidential according to EEO guidelines.