Sharp HealthCare ยท 2 months ago
Systems Analyst-EDI Management - SHP Finance - Telecommuter - Day Shift - Full Time
San Diego, CA
Full-time
Onsite
Entry, Mid Level
$42.79/hr - $61.84/hr
2+ years expSharp Healthcare is a healthcare organization, and they are seeking a Systems Analyst-EDI Management. The role involves using technical and analytic skills to manage data files for Sharp Health Plan, ensuring quality assurance, and streamlining processes.
Health CareNon Profit
Responsibilities
Under the direction of the Manager of EDI Management, the Systems Analyst-EDI Mgmt will use technical and analytic skills to complete monitoring, reviewing, developing, triaging, scheduling and mapping inbound and outbound data files for Sharp Health Plan
The Systems Analyst-EDI Mgmt will work with general Health Plan operational data sets including, but not limited to, eligibility, claims, provider, billing, capitation, financial and structural
The Systems Analyst-EDI Mgmt will work to streamline processes, create efficiencies and complete development within the file management space
File Management Systems Analyst-EDI Mgmt will be familiar with tools such as Snowflake and SQL as ways to create data files
Will need to be fluent in database tools to be able to use the data to create outbound data
(SQL queries, views, procedures) Familiar with standard file management practices and oversight tools
Will develop new files based on specifications provided by internal or external partners
Utilizes Epic Tapestry reporting toolset, inclusive of Cogito, Caboodle and Clarity, to deliver on business requirements to external partners
Provide expertise on file structure, specifications and format for a wide variety of file types
Quality Assurance Ensure that files created within the team are checked for quality and measured against another reliable source
Develop and implement quality checks on newly created file processes to ensure data integrity across both incoming and outgoing files
Participates in other duties as assigned Participates in special projects and other duties as assigned
These may include, but are not limited to, work groups, proposals, audits and back-up support for other departments
Data Exchange Configures, oversees and monitors SFTP routing rules
Tracks file movements and patterns to be able to report on abnormalities
Works with external partners on data quality concerns, specifically related to ANSI EDI file transactions
Familiar with business use of standard HealthCare file sets, including but not limited to 837s, 834s, 835s and related acknowledgements
Qualification
Required
H.S. Diploma or Equivalent
2 Years experience in a health care and/or health plan organization
Experience with data communications standards, data processing, and system configurations
Experience analyzing complex issues and/or requests to provide effective solutions with the ability to identify root cause, communicate options and propose solutions
Preferred
Associate's Degree
2 Years Direct experience in project planning and system implementation
Experience as systems analyst within a large Health Plan
Company
Sharp HealthCare
Sharp HealthCare is a not-for-profit integrated regional health care delivery system based in San Diego, Calif.
10001+ employees
H1B Sponsorship
Sharp HealthCare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2024 (3)
2023 (3)
2021 (1)
2020 (3)
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Parkinson's Foundation
2023-07-25Grant
Leadership Team
Dan Exley
Vice President of Clinical Systems
Recent News
Medical Xpress - latest medical and health news stories
2026-01-07
2025-12-27
Company data provided by crunchbase