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