EDI Systems Analyst

Position: EDI Systems Analyst I
Location: Chesterfield

EDI Systems Analyst I page is loaded## EDI Systems Analyst Ilocations:
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Full time posted on:
Posted Todayjob requisition :
REQ
13477

At MTM, we are not just colleagues; we are collaborators on a shared mission; communities without barriers. We have exciting opportunities to join our growing team where your work has a direct impact on the communities we serve. Our company culture is one of innovation, collaboration, and growth. If you are passionate, driven, and ready to join a team where your work will directly transform and shape our industry, then we want to talk to you!

The
** EDI Systems Analyst I
** will be accountable for guiding the actions of EDI experts by working closely with business units to analyze processes, analyze the business needs, and to provide solutions.  The
** EDI Systems Analyst I
** role will solicit, define and manage EDI requirements for internally and externally developed projects and implementations in a team-oriented environment.
*
* What you’ll do:

*** 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
*
* What you’ll need:

***** Experience, Education &

Certifications:

**** 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
**
* Skills:

**** 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,…