TriTech Enterprise Systems, Inc. · 17 hours ago
Systems Analyst
Baltimore, MD
Full-time
Onsite
Mid, Senior Level
4+ years expTriTech Enterprise Systems is seeking a Senior Systems Analyst to support a Maryland State contract. This role involves providing data analysis and transactional support for Electronic Data Interchange (EDI) operations, including error detection and resolution.
ConsultingCRMCyber SecurityDatabaseInformation TechnologyIT Management
No H1B
U.S. Citizen Only
Responsibilities
Provide data analysis, transactional support, error detection, resolution, and all related services for the successful Electronic Data Interchange (EDI) Operations of the Exchange
Perform 8001 Medicaid transaction file analysis and validations
Review and resolve all data issues, including but not limited to Master Data Management (MDM), Master Person Identifier (MPI), and other data issues
Perform HBX System Error analysis
Validate 1095-A and 1095-B files, and reconcile 8001 transactions
Analyze EDI files sent to and received from Carriers, Managed Care Organizations (MCO), and other entities, and identify errors and root causes for EDI file rejections
Coordinate with the development team, business team, and testing team to analyze, fix, test, and transmit EDI files daily and as required
Analyze the EDI 999 files from the Carriers and MCOs and perform root cause analysis for exceptions, and assist with resolving any data issues
Perform data changes to fix consumer or system-reported errors, coordinate with technical and business teams to analyze error reports, access the HBX databases and applications to perform root cause analysis for transaction rejections, and provide data fixes and technical solutions
Communicate with the IT team, business team, vendor teams, and other stakeholders to translate business needs into EDI data fixes and solutions
Qualification
Required
Candidate must be a U.S. Citizen or Greencard status
Four (4) years of experience with the Health Exchange marketplace EDI solutions
Four (4) years of experience creating EDI X12 files for transaction sets such as 834, 999, and TA1
Four (4) years of experience in reviewing and understanding technical documents such as companion and implementation guides for Healthcare EDI formats 834 and 999
Four (4) years of experience in analyzing, testing, and providing data solutions for healthcare marketplaces
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
Six (6) years of experience with EDI validation tools such as Edifecs, WTX, EDI X12 files, or equivalent
Six (6) years of experience with EDI transaction sets such as 834, 820, 999, and TA1, SOA, EDI, or EAI applications
Two (2) years of hands-on experience writing complex SQL scripts
Knowledge of the Affordable Care Act (ACA) eligibility rules for Medicaid and Qualified Health Plans
Experience with or knowledge of Medicaid 8001 file processing or any other inter-agency transactional file processing
In-depth understanding of EDI 834 enrollment transactions, including Adds, Changes, Terminations, Cancellations, and error processing
Company
TriTech Enterprise Systems, Inc.
TriTech Enterprise Systems, Inc., is an Information Technology (IT) Consulting company committed to increasing the competitive advantage of our clients by providing cutting edge solutions through innovation, research and the application of emerging technologies.
11-50 employees
Funding
Current Stage
Early StageLeadership Team
Randolph 'Randy' Williams, Jr.
President/CEO
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