Systems Analyst, EDI Management
Sharp HealthCare
full-time
Posted on:
Location Type: Remote
Location: Remote • California • 🇺🇸 United States
Visit company websiteSalary
💰 $42,790 - $61,840 per year
Job Level
JuniorMid-Level
About the role
- Use technical and analytic skills to complete monitoring, reviewing, developing, triaging, scheduling and mapping inbound and outbound data files for Sharp Health Plan.
- Work with general Health Plan operational data sets including, but not limited to, eligibility, claims, provider, billing, capitation, financial and structural.
- Streamline processes, create efficiencies and complete development within the file management space.
- Utilize Epic Tapestry reporting toolset, inclusive of Cogito, Caboodle and Clarity.
- Configure, oversee and monitor SFTP routing rules.
- Track file movements and patterns to report on abnormalities.
- Work with external partners on data quality concerns related to ANSI EDI file transactions.
Requirements
- H.S. Diploma or Equivalent
- 2 Years experience in a health care and/or health plan organization.
- Experience with data communications standards, data processing, and system configurations.
- Experience analyzing complex issues and/or requests to provide effective solutions with the ability to identify root cause, communicate options and propose solutions.
- Preferred Qualifications Associate's Degree
- 2 Years Direct experience in project planning and system implementation.
- Experience as systems analyst within a large Health Plan.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
data analysisdata processingsystem configurationfile managementmonitoringtriagingschedulingmappingroot cause analysisproject planning
Soft skills
problem solvingcommunicationanalytical thinkingcollaborationefficiency improvement
Certifications
H.S. DiplomaAssociate's Degree