Experienced EDI Business Analyst

SummaryAs an Experienced EDI Business Analyst at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve - a community's most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare's biggest challenges. Assists in the research and assessment of business goals, objectives and needs to align information technology solutions with business initiatives for multiple, less complex accounts. Serves as the liaison between technical personnel and business area for multiple accounts. Here are the details on this position.Your role in our missionAssists in planning and designing business processes; assists in formulating recommendations to improve and support business activities.Assists in analyzing and documenting client's business requirements and processes; communicates these requirements to technical personnel by constructing basic conceptual data and process models, including data dictionaries and volume estimates.Assists in creating basic test scenarios to be used in testing the business applications in order to verify that client requirements are incorporated into the system design.Assists in developing and modifying systems requirements documentation to meet client needs.Participates in meetings with clients to gather and document requirements and explore potential solutions.Executes systems tests from existing test plans. Assists in analyzing test results in various phases.Participates in technical reviews and inspections to verify 'intent of change' is carried through phase of project.What we're looking forBachelor's degree or equivalent combination of education and experienceBachelor's degree in business administration, information systems, or related field preferredThree or more years of business analysis experienceExperience working with the interface of information technology with functional groups within an organizationExperience working with business processes and re-engineeringExperience working with computer programming concepts and basic languageAdditional Qualifications6 or more years of experience in a relevant Business Analyst position with 3 or more years of Medicaid and Medicare experience preferredInterpersonal skills to interact with customers and team membersMust possess a strong proven, hands-on experience and understanding of the Healthcare EDI X12N transactions formats that govern healthcare Electronic Data Interchange (EDI). In-depth knowledge of and experience with HIPAA/EDI X12 5010 healthcare-related transactions including 270-271, 276-277,277CA,277U, 278, 820, 834, 835, 837, 999, 824, and NCPDP.Claims, Financial and MCO experienceCommunication skillsAnalytical and problem-solving skillsPresentation skills to communicate with management and customersPersonal computer and business solutions software skillsAbility to work in a team environment with multiple team members and the ability to multitaskWillingness to travelKey Technology RequirementsSharepointWord/Excel/PowerpointALMSystem Delivery Life Cycle (SDLC)SNAGIT - Nice to have.SQL - Nice to have.What you should expect in this roleFully remote options from most US locations and territoriesOpportunities to travel through your work (0-10%)Video cameras must be used during all interviews, as well as during the initial week of orientationThe deadline to submit applications for this posting is July 1, 2024Gainwell Technologies LLC is an Equal Opportunity Employer.

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