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*Position: EDI Analyst* Location: Glendale, CA Duration: 3-6 months Start: ASAP * * Important: medical / healthcare background *Position Summary:* The Information System (IS) EDI Analyst – EDI & Business Operations Analysis is responsible for managing the technical resources involved in EDI & Operations Analysis. The candidate must oversee the day-to-day processes used to collect & process data received from and sent to various vendors and health plans. In addition, the candidate is also responsible for the definition and implementation of product enhancements, which include, but are not limited to operational process change, quality measures, system upgrades and strategic focus of Senior Management. The candidate will be tasked to work and lead cross functional teams in a collaborative manner to deliver structure design, projects on time, and communicate status to all concerned parties.. * * *Job Duties and Essential Functions:* 1. Maintains and keeps in total confidence, all files, documents and records that pertain to the operation of business of Company. 2. Utilizes and demonstrates a working and integrated knowledge of the business relative to: specific applications supported Internal and external departmental policies and procedures, workflow, and business need. 1. Responsible for troubleshooting and problem solving of MS-SQL and other applications. 2. Functions as a lead data expert working collaboratively with other data analysts in support of company initiatives. 3. Develop strategies to improve HEDIS rates. 4. Analyzes HEDIS coding compliance. 5. Identifies issues related to source system data inputs and integrity. Implements short and long-term approach to data and/or reporting capability deficiencies. Validates and verifies accuracy of reports and other outputs. 6. Responsible for implementing, supporting, and customizing applications in support of business requirements and initiatives. 7. Must be able to apply knowledge of business environment to assist in support of implementation and maintenance of software products utilized by company 8. Supports interfaces to/from application environments 9. Will serve as back-up to EDI Technician functions. 10. Provides regular formal (documented) status reports as required by supervisor/manager/department head 11. Maintains and keeps in total confidence, all files, documents and records that pertain to the operation of business of Company. 12. All other job related duties as it relates to the job function or as delegated by the management team * * *Educational Requirements:* Bachelors Degree in Computer Science/other related field preferred or equivalent experience. Some college with a minimum of 3 years technical training required. * * *Experience/Skills Requirements:* Must possess strong written and verbal; communication skills Must possess strong organizational and interpersonal skills Working knowledge of Microsoft Office products and MS Project Specific knowledge or experience with one or more of the following application/programming environments: Microsoft SQL-Server or similar database, Visual Basic, C++ Strong understanding of HEDIS, NCQA, HIPAA, and other regulatory/industry reporting standards and/or previous experience with reporting encounter data. Demonstrated experience in data analysis and report writing using technical tools such as Crystal Reports, MS Access, etc. Strong understanding of claims and coding. Strong research, analytical, problem solving, time and project management skills. Experience in the healthcare field, specifically medical group management preferred. Programming in programs such as VB6/.net, Transact SQL is highly desired. A strong background in statistics is highly desired. Thanks & Regards sandi Recruiter G Technologies Inc. 4340 Stevens Creek Blvd, San Jose, CA 95129. Tel: 408-905-1230 & 408 414 2032 ext 205 Fax:408-716-8873 [email protected] www.gtechnologiesinc.com -- You received this message because you are subscribed to the Google Groups "ORACLE DWH DBA" group. To post to this group, send email to [email protected]. To unsubscribe from this group, send email to [email protected]. For more options, visit this group at http://groups.google.com/group/oracle-dwh-dba?hl=en.
