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Functional Analyst 834 EDI / Facets

Lumen Solutions Group Inc.

Remote • Yesterday

Easy Apply

Contract

Depends on Experience

EDI 834 Functional Analyst (Healthcare Domain)

Symphony Enterprises

Albany, New York • 16d ago

Easy Apply

Contract

7000 - 8000

Facets Business Analyst - Healthcare

Talent Groups

Remote • 11d ago

Easy Apply

Contract, Third Party

50 - 55

Facets QA Engineer - Automation Testing

Spar Information Systems

Bellevue, Washington • Today

Easy Apply

Full-time, Part-time, Third Party, Contract

Facets Configuration Consultant

Mindlance

Remote • 25d ago

Easy Apply

Contract

50 - 55

EDI Analyst

Apex Systems

Grand Rapids, Michigan • Today

Easy Apply

Full-time

$40 - $50 per hour

EDI Compliance Analyst

iSphere

Remote • 8d ago

Easy Apply

Third Party, Contract

Depends on Experience

EDI Analyst

Vernus Technologies

Remote • 18d ago

Easy Apply

Full-time, Third Party

Depends on Experience

EDI Solutions Architect

SysMind, LLC

Hybrid in Richardson, Texas • 2d ago

Easy Apply

Contract, Third Party

$55 - $59

QA Analyst EDIFECS

Lares IT Solutions Inc

Remote • 9d ago

Easy Apply

Full-time

Depends on Experience

Lead Healthcare EDI Analyst

Icon International Group LLC

Remote • Yesterday

Easy Apply

Full-time

80+

EDI QA Tester

Infinite Computer Solutions (ICS)

Remote • 16d ago

Easy Apply

Full-time

Up to 90,000

Remote EDI ERA/EFT Analyst

EDI Specialists, Inc.

Remote • 30+d ago

Easy Apply

Full-time, Third Party

Depends on Experience

FACETS Architect (with Healthcare Claims)

Mindlance

Remote • Yesterday

Easy Apply

Contract

$80 - $90

Business Systems Analyst (FACETS )

Spar Information Systems

Seattle, Washington • Today

Easy Apply

Contract, Third Party

FACETS Developer

Pacific Consultancy Services

Seattle, Washington • Yesterday

Easy Apply

Third Party, Contract

Depends on Experience

TMS Functional Consultant / Architect

Infobahn Softworld Inc.

Austin, Texas • Today

Easy Apply

Full-time, Contract, Third Party

Blue Yonder TMS Functional Expert with EDI Focus

iTech US, Inc.

Austin, Texas • 23d ago

Easy Apply

Contract, Third Party

Depends on Experience

EDI Developer

The Avian Consulting LLC

Plano, Texas • Yesterday

Easy Apply

Full-time

$60 - $70

EDI Technical Architect

CIS Technologies Inc.

Remote • 2d ago

Easy Apply

Third Party, Contract

Depends on Experience

EDI Analyst

cyberThink, Inc.

Plano, Texas • 30+d ago

Easy Apply

Full-time

Up to $35

EDI Technical Architect

ADDSOURCE

Dallas, Texas • Today

Easy Apply

Third Party

Business Systems Analyst (FACETS Membership)

RITWIK Infotech Inc

Remote • 9d ago

Easy Apply

Part-time

$60 - $70

FACETS Developer

InfiCare

Seattle, Washington • 4d ago

Easy Apply

Contract, Third Party

Depends on Experience

Facets Developer with API

E-Solutions, Inc.

Remote • 21d ago

Easy Apply

Contract, Third Party

Depends on Experience

FACETS Developer

Spar Information Systems

Seattle, Washington • Today

Easy Apply

Full-time, Part-time, Third Party, Contract

FACETS Developer

WB Solutions LLC

Seattle, Washington • 17d ago

Easy Apply

Contract

Depends on Experience

EDI Architect

JC CORPORATIONS

Irving, Texas • Yesterday

Easy Apply

Contract, Third Party

$50 - $60

EDI Developer / Analyst

Kforce Technology Staffing

New Jersey • Today

Contract

$35 - $45 hourly

Healthcare Business Analyst with Facets

Shakti Solutions

Remote • 13d ago

Easy Apply

Contract

Depends on Experience

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 30+ days ago

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Job Title: Business Analyst with MA Active and EDI Integration Location: Remote USA Duration: Long term Contract Job Summary: We are seeking an experienced Integration Business Analyst with strong expertise in Electronic Data Interchange (EDI) and MA Active Warehouse Management (MAWM) transaction mapping. The ideal candidate will work with internal teams, external trading partners, and third-party logistics providers to analyze, document, and implement EDI integration solutions involving key WMS

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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

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.

Dice Id: 10483685
Position Id: 26-00743
Posted 30+ days ago

Fitment

Dice Job Match Score™

To see how well you match this job, please log in or create an account.

Once logged in, be sure to complete your profile to get the most accurate match score.

Create job alert

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