57 applicants

Company

Original Job Post

Lucet · 3 days ago

EDI Analyst

United States

Full-time

Remote

Mid Level

$70K/yr - $85K/yr

4+ years exp

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Health CareMedical Device

Work & Life Balance

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Responsibilities

Work with internal and/or external partners to identify business requirements for exchanging data via an Electronic Data Interchange (EDI) process.

Identify, gather, translate and document the business requirements for EDI processes in a concise and organized manner to facilitate development and communication between involved partners.

Perform analysis of data to ensure it conforms to the requirements and meets the needs of the EDI Process and the business products that it supports.

Work closely with developers and business owners and act as a liaison to ensure that EDI requirements are comprehensive and mutually understood.

Perform testing of the data and the EDI Processes and be able to clearly communicate issues with the appropriate business partners and/or the developers to initiate solutions.

Perform analysis and work with additional resources, as required, to appropriately respond to data-related questions or issues from internal and external sources.

Prepare audience appropriate documentation of EDI Interfaces, as requested.

Work with development and management staff to calculate estimates for upcoming or proposed future projects, based on experience, and anticipated effort.

Demonstrate an understanding of the data on EDI Interfaces in internal and external project collaborations.

Work to expand the overall effectiveness and cohesiveness of the EDI Department.

Adhere to Lucet's Mission Statement, Core Values, Code of Business Conduct, and Compliance Program.

Comply with all Federal and applicable State laws and Lucet Policies regarding, privacy, confidentiality, and security of health information, and other designated information.

Qualification

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EDIData AnalysisTestingHealthcare ClaimsManaged CareSQL QuerySDLCAgile MethodologiesWaterfall MethodologiesData MappingBusiness RequirementsX12 FormatsMedical InsuranceClaims IndustryBehavioral Health IndustryMicrosoft WordOutlookPowerPointSQLData gatheringDatabase architecturesOrganizational skillsCommunication skillsProblem-solving skills

Required

Bachelor's degree in healthcare-related field, Information Systems, Computer Science, or similar academic discipline is preferred. Experience considered in lieu of degree

Minimum 4 years of experience in EDI, Data Analysis and Testing. Healthcare claims and managed care experience is highly preferred.

SQL Query Experience

Understanding of SDLC (Software Development Life Cycle) using Agile and Waterfall methodologies.

Experience doing data mapping and documenting business and technical requirements.

Experience working with X12 formats preferred.