MTM, Inc.

Communities Without Barriers.

EDI Systems Analyst I

Systems EngineerSystems EngineerFull TimeRemoteTeam 1,001-5,000Since 1995H1B No SponsorCompany SiteLinkedIn

Location

Maryland + 2 moreAll locations: Maryland, Missouri, Pennsylvania

Posted

42 days ago

Salary

$61.5K - $70K / year

High School3 yrs expExperience acceptedEnglishSQL

Job Description

• 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 • 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 • Validate EDI solutions meet both internal and external client needs • Lead 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

Job 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 3 years of EDI technical or business work experience
  • 3+ years of SQL experience
  • 3+ years of working HIPAA X12 Standard Transactions
  • 3+ years’ experience in software development methodologies including Agile and scrum processes
  • 3+ 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

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