*Senior Systems Analyst - (EDI X12, 834, 999, ACA, DB2, SQL, SOA, Testing)*
*Location: Linthicum, MD* *Duration: 12 Months +* *Skills: EDI X12, 834, 999, ACA, DB2, SQL, SOA, Testing* *Responsibilities:* · Perform 8001 Flat File validation and analysis; review multiple MPIs for SSN matching. · Perform Client System Errors analysis. · Validate 1095-A and 1095-B files, and reconcile 8001 transactions. · Work for the EDI Operations team under the IT Project Management Office (PMO) to provide EDI related services for the Exchange. · Analyze EDI files sent to and received from Carriers and identify errors and root cause for EDI file rejections. · Coordinate with the development team, business operations team and the testing team to analyze, fix, test and transmit EDI files on a daily basis. · Analyze the EDI 999 files from the Carriers and perform root cause analysis for exceptions. · Create data change request with the PMO to fix consumer or system reported errors, coordinate with technical and business teams to analyze error reports, access Client database and application to perform root cause analysis for transaction rejections. · Communicate with Client IT team, business team, vendor team and other stakeholders to translate business needs into EDI data fixes and solutions. *Minimum Qualifications:* · *A minimum of four (4) years of experience with EDI validation tools such as Edifecs and WTX.* · *A minimum of four (4) years of experience in creating EDI X12 files for transactions sets such as 834, 999 and TA1.* · *A minimum of four (4) years of experience in reviewing and understanding technical documents such as companion and implementation guides of Healthcare EDI formats 834 and 999.* · *A minimum of (4) years of experience in analyzing and testing SOA, EDI and EAI Applications.* · *A minimum of two (2) years of experience working with DB2 and SQL databases.* · *Strong analytical and problem solving skills* · *Excellent communication skills including the ability to understand and communicate technical information to business users, and gather business requirements that can be translated into technical requirements* · *Experience with establishing and maintaining reporting databases and data warehouses.* · *Ability to manage multiple critical priorities and tight deadlines.* · *Demonstrated analytical and problem solving skills.* *Preferred Qualifications:* · Six (6) years of experience with EDI validation tools such as Edifecs, WTX, EDI X12 files. · Six (6) years of experience with transactions sets such as 834, 999 and TA1, SOA, EDI and EAI Applications. · Knowledge of 8001/IDB file processing. · Knowledge of Medicaid coverage types, coverage span and eligibility rules. · Strong knowledge in the Affordable Care Act (ACA) eligibility rules. · In-depth understanding of 834 enrollment transactions including Adds, Terminations, Cancellations and Life events. · Strong knowledge of DB2 database and SQL scripts. · Experience in quality assurance and quality control of a large scale Healthcare System. · Experience working with PMO processes, policies and procedures. Best Regards, *Fredric Miller | Sr. Recruiter*Pull Skill Technologies, Inc. Office: +1 201 497 1010 Ext: 104 | Fax: +1 201 641 0110 [email protected] *------------------------------* Note: We respect your on-line privacy. This is not an unsolicited mail. Under Bill 1618 Title III passed by the 105th US Congress this mail cannot be considered Spam as long as we include contact information and a method to be removed from our mailing list. If you are not interested in receiving our emails then please reply with a *"REMOVE"* in the subject line. We truly apologize for the inconvenience caused. -- You received this message because you are subscribed to the Google Groups "SAP ABAP" group. To unsubscribe from this group and stop receiving emails from it, send an email to [email protected]. To post to this group, send email to [email protected]. Visit this group at https://groups.google.com/group/sap-abap. For more options, visit https://groups.google.com/d/optout.
