EDI BSA

Overview

Remote
Up to $85,000
Full Time

Skills

EDI

Job Details

BSA experienced working with APIs (REST, SOAP) and EDI

Job Title: Sr System Analyst - Healthcare
Department: Healthcare Payer Portals and client websites

  • 8+ years of US Healthcare, Techno functional, system analyst (SA) experience in Healthcare Payer Portals and client websites development projects.
  • 5+ years of lead SA experience handling techno functional requirements through Agile methodology
  • 5+ years of experience working directly with the client business group to gather requirements for process and system enhancement in a large payer healthcare setting.
  • Experience integrating multiple data sources and standardization of business processes
  • Querying skills and understanding of relational databases / data structure, Data warehousing concepts, ETL processes, and business intelligence concepts / applications (Portal services, provide/member portals, payer website, SQL)
  • Experience working with agile/scrum development teams. Good understanding of ADO workflows.
  • Understand the concepts of member eligibility and claims (medical and Rx), Payer/TPA eligibility and claims file structure and standard codes like, ICD, CPT, HCPCS, LOINC, NDC codes, Rev codes etc.
  • Strong experience in requirement gathering and understanding the client requirements for business analytics and reporting. Conver business requirements in to technical specs.
  • Requirement documentation in the form of BRDs, use case analysis, prototype designs, and source to target mapping documentation
  • Good understanding of various data sources and workflows for clinical, claims, member, and operational data in a primary care setting
  • Understanding of SQL DB and backend structure of Portals
  • Tech Stack experience and understanding - .NET technologies (C#, ), web services and RESTful APIs for healthcare portals, MySQL and SQL Server databases.
  • Collaborate with Business/client stakeholders, Development team, cross-functional teams including product managers, UI/UX designers, and QA engineers to ensure successful application delivery.
  • Experience in product management, overseeing complex application functionality both for internal and externally facing applications
  • Excellent interpersonal, business communication and writing skills
  • Able to learn, navigate, and influence both functional and technical elements of client technologies

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