EDI Analyst II
MTM, Inc.
full-time
Posted on:
Location Type: Office
Location: Lake Saint Louis • California, Florida, Maryland, Massachusetts, Montana • 🇺🇸 United States
Visit company websiteSalary
💰 $80,000 - $108,000 per year
Job Level
SeniorLead
Tech Stack
SQL
About the role
- 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
- Define, create, and validate user stories necessary to achieve internal and external objectives
- 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
- Lead sessions for small to medium applications/projects or a few large applications/projects
- Validate EDI solutions meet both internal and external client needs
- Evaluate potential future client EDI requirements to support successful RFP and implementations processes
- Lead multi-team 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
Requirements
- 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 7 years of EDI technical or business work experience
- 3+ years of SQL experience
- 3+ years’ experience in software development methodologies including Agile and scrum processes
- 5+ years of working HIPAA X12 Standard Transactions
- 5+ 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
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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
EDISQLAgileScrumHIPAAX12 Standard Transactionsbusiness requirements documentationdata analysisworkflow analysissystem analysis
Soft skills
communicationcollaborationleadershipfacilitationproject managementproblem-solvingstakeholder engagementprocess improvementuser observationfeedback analysis
Certifications
Bachelor’s degreeHigh School Diploma or G.E.D