6 days old
  • Job Code
  • Payrate
    $35 To $45
job summary:
  • Provide support to all EDI production processes, including developing and modifying all maps for trading partners and coordinating with end users to expand EDI capabilities. Monitor logs daily, resolving issues and identifying needed system or process enhancements.
  • Serve as point person to coordinate with external trading partners, monitoring production data files, identifying and troubleshooting any issues, and ensuring issues are appropriately addressed.
  • Develop operational processes and key performance indicators to manage and monitor the health of the EDI processes; identify mitigation efforts to manage risks and address issues.
  • Analyzes designs and prepares application/system specifications for information systems solutions which address business needs and methods for testing and installing them.
  • Establish consistency and standardization as it relates to operational tools and processes (deliverable templates, change management processes, business models, process flows, etc.).
  • Drive completion of projects and initiatives; follow through on execution of chosen strategies and demonstrate an ability to stay the course despite obstacles.
  • Support reporting requirements for Regulatory requirements including but not limited to Medicaid, CMS.
location: Miami, Florida
job type: Contract
salary: $35 - 45 per hour
work hours: 9 to 5
education: Bachelors
  • Assists in developing user documentation and departmental policies and procedures that impact the use of application systems.
  • Communicate design to all stakeholders at varying levels of the organization
  • Works closely with business teams to implement solutions that support company objectives
  • 5+ years of system analysis, or business analysis experience including writing business specifications requirements / technical design documents / solution overview documentation
  • Knowledge and experience in a healthcare environment with HIPAA requirements
  • Expertise with X12; EDI (focusing on 837, 835, 834 and 278 file formats) or similar
  • Understanding of data workflows
  • Strong SQL querying skills
  • Clear and concise verbal and written communication skills
  • Ability to work independently and as a member of a team
  • Must have ability to exercise independent judgment in planning, organizing, and performing systems analyst tasks.
  • Knowledge with TriZetto Facets a plus.
  • Knowledge with TIBCO product a plus.
  • Excellent analytical skills with ability to read and understand complex data and translate analysis of data into meaningful outputs and recommendations for improvement
  • Exposure and general understanding of Healthcare claims processing
  • Knowledge of HIPAA rules and ANSI 5010 transaction standards
  • Ability to manage multiple priorities with tight deadlines, and demonstrated strong problem-solving skills and attention to detail
  • Ability to identify key opportunities for action in an innovating environment that includes ambiguity and change

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.


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EDI Analyst

Randstad Technologies
Miami, FL 33166

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Randstad Technologies
Miami, FL

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