Functional Analyst 834 EDI / Facets

Remote • Posted 2 hours ago • Updated 42 minutes ago
Contract W2
12 Months
Remote
Depends on Experience
Fitment

Dice Job Match Score™

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Job Details

Skills

  • FUNCTIONAL ANALYST
  • BUSINESS ANALYST
  • BUSINESS SYSTEMS ANALYST
  • SYSTEMS ANALYST
  • OPERATIONS ANALYST
  • HEALTHCARE BUSINESS ANALYST
  • HEALTHCARE ANALYST
  • EDI ANALYST
  • ENROLLMENT ANALYST
  • EDI 834
  • 834 EDI
  • EDI 834 ELIGIBILITY
  • 834 ELIGIBILITY
  • 834 TRANSACTION
  • 834 ENROLLMENT
  • FACETS
  • FACETS G6
  • FACETS 6.0
  • FACETS G6.0
  • FACETS LEGACY
  • ELIGIBILITY
  • ENROLLMENT
  • MEMBER ELIGIBILITY
  • ELIGIBILITY FILES
  • TESTING
  • VALIDATION
  • RECONCILIATION
  • AUDITING
  • DATA ANALYSIS

Summary

Company Description
Lumen SolutionsGroupInc. is a technology consulting Services company based inFlorida. Weprovidea wide array of experienced business and IT professionals supporting clients from solution design to implementation and support.We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, and EnterpriseTransformation.

Role: Functional Analyst 834 EDI / Facets
Location: Baltimore, MD (Remote Required Once in a Quarter)
Job Type: 6 Months Contract-To-Hire


Job Summary:
Seeking a Functional Analyst with strong EDI 834 Eligibility and Facets experience to analyze, validate, test, and audit eligibility files. The role will ensure vendor files meet required layouts, specifications, and business requirements before production, while supporting data analysis and process improvement initiatives.

Key Responsibilities
  • Review and validate EDI 834 eligibility file layouts, specifications, and data.
  • Perform data analysis, testing, reconciliation, and auditing of eligibility files.
  • Validate vendor files against business and system requirements before production.
  • Reconcile eligibility data with claims/member data to identify discrepancies.
  • Support QA/testing, enrollment processes, and production implementations.
  • Analyze operational processes, identify gaps, and recommend improvements.
  • Gather requirements, document processes/SOPs, and prepare reports and analysis.
  • Monitor KPIs and support business/operational improvement initiatives.

Required Skills & Qualifications
  • Mandatory: EDI 834 Eligibility experience with strong knowledge of the 834 file layout.
  • Mandatory: Facets experience preferably Facets G6; Facets Legacy is also acceptable.
  • Experience with eligibility file data analysis, testing, validation, and reconciliation.
  • Healthcare payer/claims/enrollment experience strongly preferred.
  • Strong analytical, problem-solving, documentation, and communication skills.
  • Advanced Excel and data analysis skills.
  • Bachelor''s degree or equivalent experience.
  • 4+ years Functional Analyst experience or 6+ years operational/analytical experience.
Lumen SolutionsGroup Inc is an equal opportunity employer. All qualified applicants will be considered for employment without regard to any legally protected status.
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
  • Dice Id: 10483685
  • Position Id: 26-00743
  • Posted 2 hours ago
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