SQL Databases SQL Queries WTX Edifecs EDI SOA EAI Affordable Care Act 8001IDB File   Requirement id 87392 Job title Analyst Job location in Baltimore, MD Skills required Health Exchange EDI Solutions, EDI X12, Healthcare EDI, SQL Databases SQL Queries WTX Edifecs ED Open Date 17-Jan-2019 Close Date Job type Not specified Duration 29 Months Compensation DOE Status requirement --- Job interview type Phone Screen and Face to Face interview    Email Recruiter: coolsoft Job Description Analyst: Health Exchange EDI Solutions, EDI X12, Healthcare EDI, SQL Databases SQL Queries WTX Edifecs ED Note: Email Submission Submission Deadline: 1/31/2019 12:00 p.m. EST Start Date: 2/6/2019 End Date: 6/30/2021 Client: Maryland Health Benefit Exchange (MHBE) Description: The Maryland Health Benefit Exchange (MHBE) created a website and call center operating under the name Maryland Health Connection (MHC). Through MHC, Maryland residents explore health insurance plans, compare rates, and determine their eligibility for advanced premium tax credits (APTC), cost sharing reductions (CSR) and public assistance programs such as Medicaid and the Maryland Childrens Health Insurance Program (MCHP). MHBE seeks one (1) Analyst, Systems (Senior) to provide EDI data analysis and support services for the Maryland Health Benefit Exchange (HBX) system. Duties / Responsibilities Work for the EDI Operations team to provide EDI related services for the Exchange. Perform 8001 Flat File validation and analysis; review and resolve multiple MPI and other related data issues. Perform HBX System Error analysis. Validate 1095-A and 1095-B files, reconcile 8001 transactions. Analyze EDI files sent to and received from Carriers/Managed Care Organizations (MCO) and identify errors and root cause for EDI file rejections. Coordinate with the development team, business operations team and the testing team to analyze, fix, test and transmit EDI files on a daily basis. Analyze the EDI 999 files from the Carriers and MCOs and perform root cause analysis for exceptions. Perform data changes to fix consumer or system reported errors, coordinate with technical and business teams to analyze error reports, access HBX database and application to perform root cause analysis for transaction rejections. Communicate with MHBE IT team, business team, vendor team and other stakeholders to translate business needs into EDI data fixes and solutions. Note: The candidate must have the flexibility to work overtime as needed, including weekends, holidays, and off-hours. Minimum Qualifications A minimum of four (4) years of experience with Health Exchange EDI solutions. A minimum of four (4) years of experience in creating EDI X12 files for transactions sets such as 834, 999 and TA1. A minimum of four (4) years of experience in reviewing and understanding technical documents such as companion and implementation guides for Healthcare EDI formats 834 and 999. A minimum of four (4) years of experience in analyzing/testing Healthcare/Marketplace EDI Applications. A minimum of two (2) years of experience working with SQL databases/queries. Strong analytical and problem solving skills. Excellent communication skills including the ability to understand and communicate technical information to business users, and gather business requirements that can be translated into technical requirements. Ability to manage multiple critical priorities and tight deadlines. Preferred Qualifications Analyst, Systems (Senior) Six (6) years of experience with EDI validation tools such as Edifecs, WTX, EDI X12 files. Six (6) years of experience with transactions sets such as 834, 999 and TA1, SOA, EDI and EAI Applications. Strong knowledge in the Affordable Care Act (ACA) eligibility rules. Experience with or knowledge of 8001/IDB file processing. Knowledge of Medicaid coverage types, coverage span and eligibility rules. In-depth understanding of 834 enrollment transactions including Adds, Terminations, Cancellations and Life events. Strong knowledge of database and SQL scripts.   Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 87392 while calling.   Other jobs in MD: Annapolis (1), Baltimore (34), Baltimore Maryland (1), Beltsville (3), Downtown Baltimore (1), Elkridge (1), Frederick (2), Hanover (1), North Baltimore (2), Owings Mills (1), Rockville (1), Sparks (2), Timonium (4), Woodlawn (7), Health Exchange EDI Solutions job openings in Baltimore, MD Jobs List MD78 Senior Systems Analyst EDI - RFR050418 -SP Create date: 07-May-2018 Note: 1. MHBE reserves the right to make awards for up to fifteen (15) resources. 2. Each Master Contractor may submit resumes for up to four (4) candidates for consideration. Submission Deadline: 5/18/2018 12:00 p.m Start Date: 7/1/2018 End Date: 6/30/2021 Client: Maryland Health Benefit Exchange (MHBE) <.... (This job is for - Healthcare Jobs in MD Baltimore Analyst - (in Baltimore, MD))         (Analyst: Health Exchange EDI Solutions, EDI X12, Healthcare EDI, SQL Databases SQL Queries WTX Edifecs ED in Baltimore, MD)

Featured Jobs .Net Developer (Jobs in Nampa, Idaho) - Consultant (Jobs in Lincoln, Nebraska) Project Analyst (Jobs in Lincoln, Nebraska) Process Consultant (Jobs in Polk County, Iowa) - Consultant (Jobs in Bismarck, North Dakota) VOIP Critical Analyst (Jobs in Columbus, Ohio) API Architect (Jobs in Madison, Wisconsin) RAC OEM Vulnerability Administrator (Jobs in Lansing, Michigan) JavaScript IT Consultant (Jobs in Dimondale, Michigan) MSP Developer (Jobs in Atlanta, Georgia)