MTM Health · 17 hours ago
EDI Systems Analyst I
Work From Home Wyoming
Full-time
Onsite
Mid Level
$62K/yr - $70K/yr
3+ years expMTM Health is a company focused on creating communities without barriers, and they are seeking an EDI Systems Analyst I to guide EDI experts and analyze business needs. The role involves managing EDI requirements, ensuring compliance, and acting as a liaison between business customers and technology providers.
CommunitiesHealth CareHospitalMedical
Responsibilities
Identify, document and educate MTM partners on client EDI requirements
Identify, analyze and document business objectives and requirements by performing analysis and developing the necessary documentation to define, justify, launch and execute projects
Monitor, analyze, and ensure EDI compliance in the following subject areas: Member Eligibility, Encounter and Claims Data, Payment Remittance, Capitation, and Provider Data
Manage and coordinate EDI deliverables to both internal and external stakeholders including but not limited to: EDI data files, accompanying reports, and required attestations
Validate EDI solutions meet both internal and external client needs
Lead requirement gathering sessions, stakeholder interviews, group sessions, and user observations
Act as a liaison between the business customer and the technology providers, both internally and externally
Communicate relative feedback, level of effort, and return on investment to business users for project prioritization
Responsible for making improvements of processes or workflows to enhance performance
Partner with associated departments to ensure uniformity in data
Remain informed on ever changing information to ensure accuracy within business processes
Partner with EDI developers to ensure solutions meet requirements
Qualification
Required
High School Diploma or G.E.D equivalent
Bachelor's degree in technical or business disciplines with outlined experience, however, willing to accept equivalent field experience in lieu of degree
Minimum 3 years of EDI technical or business work experience
3+ years of SQL experience
3+ years of working HIPAA X12 Standard Transactions
3+ years' experience in software development methodologies including Agile and scrum processes
3+ years' experience in eliciting/documenting business requirements using interviews, group facilitation, data/workflow/system analysis and business process documentation
Previous experience collaborating with Business Users, Programmers, and Quality Assurance Testers in a corporate environment
Comprehensive understanding of the common Health Care EDI transactions: 834, 837, 835, 277U, 277CA
Knowledge of EDI subject areas and the ability to translate that into EDI requirements
Ability to create SQL queries to analyze and evaluate EDI data within a SQL database
Accurately articulates technical specifications in a manner the normal business user can understand
Ability to effectively work, demonstrate applications, and conduct presentations to all levels within the organization
Demonstrates a positive attitude and flexibility in areas such as job duties and schedule in order to serve the business and operational goals
Ability to translate business processes into workflows and system requirements
Ability to manage multiple tasks and projects, and forge strong interpersonal relationships with both internal and external stakeholders
Ability to solve problems by utilizing training, knowledge, tools, and analytical skills
Ability to assimilate new and existing technologies
Exemplary communication skills. Must be able to address all levels of employees and customers
Ability to be effective in a fast paced, dynamic environment with minimal supervision
Excellent planning, documentation, organizational, analytical, and problem-solving abilities with a strong attention to detail
Benefits
Health and Life Insurance Plans
Dental and Vision Plans
401(k) with a company match
Paid Time Off and Holiday Pay
Maternity/Paternity Leave
Casual Dress Environment
Tuition Reimbursement
MTM Perks Discount Program
Leadership Mentoring Opportunities
Company
MTM Health
MTM Health is a medical and transportation management company whose mission is to partner with our clients in developing innovative solutions for accessing healthcare, increasing independence, and connecting community resources in the most cost-effective manner.
1001-5000 employees
H1B Sponsorship
MTM Health 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
2024 (1)
Funding
Current Stage
Late StageTotal Funding
$2.5MKey Investors
Advantage Capital
2022-08-01Debt Financing
2016-06-22Debt Financing· $2.5M
2015-11-17Debt Financing
Leadership Team
Rick Holbrook
Chief Technology Officer
Recent News
2025-02-06
Company data provided by crunchbase