Kforce | EDI Analyst | Orange, CA | United States | BigDataKB.com | 2022/10/29

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Job Location: Orange, CA

RESPONSIBILITIES:
Kforce has a client in Orange, CA that is seeking an EDI Analyst.

Responsibilities:

  • In this role, the EDI Analyst assists the team in carrying out department responsibilities and collaborates with others to support short and long-term goals/priorities for the department
  • Works with in-house development staff or vendor and business department to devise or modify procedures to solve complex problems
  • Develops, generates, and maintains standard, custom, and ad-hoc documentation, including reports and/or queries from the applicable source system
  • Monitors, audits and administers database integrity and security
  • Researches and recommends solutions to system issues
  • Creates companion documentation to assist our partners (Health Networks, Trading Partners, providers, etc.) in implementing new transactions with ITS
  • As an EDI Analyst, this role designs, analyzes, and maintains system configuration data and new ITS modules, work process design and flow
  • Assists in identifying new application requirements and software products to fulfill needs
  • Collaborates with business departments to assist with their requirements and define options and methods to accomplish their desired results
  • Works with business departments to Quality Assurance (QA) data to their satisfaction for program implementation to production
  • Participates in progressively more complex projects and perform progressively more complex analyses as s/he advances
  • Monitors daily production processes to ensure that any issues that present themselves, can be easily mitigated and not negatively impact the business
  • The EDI Analyst completes other projects and duties as assigned

REQUIREMENTS:

  • Bachelor’s degree in Information Services or related field or equivalent work experience in Information Services required
  • 1 year of experience in Healthcare EDI background with an understanding of Healthcare EDI standards (X12) and transactions sets required
  • 1 year of experience in Information Technology Services related to Health Services required
  • 1 year of experience in ITS technical application support experience required
  • 1 year of experience in computer hardware and/or software troubleshooting techniques and system support required
  • 1 year of recent experience with the Microsoft Office tools: SQL Analyzer, Word, Excel (MS Project and Visio a plus) preferred
  • Prior experience with SQL Server 2016 preferred
  • Experience with Project Management Software Development Life Cycle (SDLC) methodologies such as Waterfall or Agile preferred
  • Experience with system interfaces and an understanding of data mapping preferred

Knowledge of:

  • Health Insurance Portability and Accountability Act (HIPAA) X12 transactions and code sets; Preferably 5010 transaction standards for Health Care
  • Basic computer hardware and software troubleshooting techniques
  • Healthcare, Managed Care, Claims and Provider Operations

Possesses the ability to:

  • Identify and analyze issues, and methodically track down source of problems and recommend solutions
  • Assist business with possible solutions and test scenarios for optimal outcome
  • Act as a liaison between relevant internal departments and trading partner community
  • Perform the day-to-day Electronic Data Interchange (EDI) system operations

Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.




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