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EDI HIPPA Oracle Healthcare SQL Data Base Experience Analyst
(Jobs in Greenwood Vi
 
Requirement id 113077
Job title Analyst
Job location in Greenwood Village, CO
Skills required EDI, HIPPA, Oracle, Healthcare SQL Data Base Experience
Open Date 15-Jan-2021
Close Date
Job type Contract
Duration 9 Months
Compensation DOE
Status requirement ---
Job interview type ---
   Email Recruiter: coolsoft
Job Description Analyst: EDI, HIPPA, Oracle, Healthcare SQL Data Base Experience

Candidate must be our W2 Employee.

Job Description:

Oracle EDI Analyst @ GMR (2)

Location: 100% REMOTE

Terms: 6-9 month contract

NOTES:

This position is specifically with GMRs Access to Care organization. I have included the link below, but this is GMRs non-emergency transportation business line that focuses on Medicaid populations

GMR/A2C has been awarded several contracts in Texas with multiple healthcare organizations and a population of 3.5 Million Medicaid patients

Targeting senior-level analysts with 3+ years experience with Oracle EDI documentation

Candidates must have healthcare experience and exposure to Medicaid projects/programs

Need self-motivated resources who can hit the ground running and work independently

Strong Must Haves—Extensive SQL experience & exposure to Texas Medicaid programs specifically

Resources can sit 100% REMOTE but must be willing to work MST hours

Position Summary:

Independent technical contributor with extensive knowledge of Electronic Data Interchange (EDI) concepts and SQL database structure. Must be able to communicate effectively with customers and technical team members. Excels at data analytics, time and priority management, and customer support. This person must have three years of experience working with healthcare related ANSI X12 270/271, 277, 834, 835 and 837 file formats.

Essential Functions:

Serve as a subject matter expert (SME) working within the business team, coordinating with health care clients to identify impacts, analyze issues and implement product solutions based on customers business needs. Perform client assessments, write detail reports and specifications and support activities such as testing and system integration.

Role requires a strong business analyst with health care Payer or Provider experience. Use of HIPAA X12 transaction sets experience, translate technical requirements into business needs, and document technical and business specifications.

Support Functions

Serve as a subject matter expert (SME) working within both the product development team and with clients to identify impacts, analyze issues and implement product solutions based on customers business needs. Perform client assessments, review companion guides, write detail specifications and requirements, create reports and support activities such as testing and system integration.

Strong configuration understanding of enrollment and claims (this is not a configuration role). A conduit to help our project team understand the configuration and how that affects the current business rules that are pre-configured before information is loaded into the clients system. Health care claims, enrollment and pricing configuration is helpful. Experience in overall operations will be helpful.

Coordinates and communicates activities with trading partners, customers, and business partners

Initiates and coordinates EDI related processes – acquiring trading partner agreements, companion guides, specifications/requirements

Integrates new trading partners and other supporting business processes

Provides periodic and on-demand reporting and process documentation

Serves as a technical expert on EDI enveloping, loops, segments, and elements

Assists team and customers in providing technical expertise



Manages trading partner accounts


Maintenance Responsibilities

Maintains documentation on procedures and processes

Coordinates activities to maximize efficiency of all processes

Shares information with team and customers on impending changes with process and/or trading partners

Ensures co
 
Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 113077 while calling.
 
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(Analyst: EDI, HIPPA, Oracle, Healthcare SQL Data Base Experience in Greenwood Village, CO)
     
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