Please revert with resume @ vi...@sourceinfotech.com
*Title: EDI Programmer Analyst * *Location: San Francisco,CA* *Client: SFHP* *Duration: 6+ Month* UPDATED Position SFHP does not need an EDI Programmer Analyst/ Developer, just an EDI Analyst. Heavy experience on the HIPAA 5010 set. POSITION SUMMARY The EDI Analyst is responsible for providing documentation support of various EDI files, performing quality assurance data analysis, and act as a liaison between SFHP and external data partners, including State and other contractual/regulatory agencies. EDUCATION, EXPERIENCE & TRAINING REQUIRED - Bachelor’s degree or higher in relevant field (or 5 years of working in similar capacity). - Minimum 3-5 years of proven ability to interpret data in order to locate anomalies and recommending corrections plans. - Minimum 3-5 years of experience in analysis of healthcare data (pharmacy, encounter, and membership), including knowledge of relevant code sets (diagnosis, procedure, revenue codes). - Minimum 2-3 years experience using Microsoft Excel to perform analysis and create reports - Minimum 2-3 years of data analysis. *ESSENTIAL DUTIES & RESPONSIBILITIES* - Review and assess the quality and accuracy of SFHP’s current HIPAA Companion Guides for many transactions sets (to include 834, 837, 835 and 997/9) - Recommend and draft specific updates to Companion Guides and submit for review by EDI Manager. - Perform Daily inbound and outbound EDI process workflow and accuracy analyses; ensure processes are completed correctly on time; perform necessary quality assurance; assess and communicate any issues related to these processes with internal/external entities when necessary. - Assist with requirements gathering as needed. - Create test cases and perform unit and system testing in support of in/outbound data exchanges. - Perform ad-hoc data analysis and QA; propose and execute solutions to data issues · Analyze various health care data from conceptualization through presentation of the data. - Build and maintain reliable customer service to internal and external entities. - Collaborate with internal business units to create and document analysis specifications. - Identify data anomalies and gaps; propose solutions. - Performs other related duties and special projects as assigned. *INDIVIDUAL CONTRIBUTOR EXPECTATIONS* · Understands and supports the SFHP mission and its overarching business goals and objectives. · Acts with integrity, honesty and fairness, remaining mindful of the duty of trust SFHP has to it employees, and to its providers, employers and members. · Accepts and adapts to changes in SFHP policy, practice, procedures quickly and positively and proactively supports his/her colleagues in adapting to changes in the workplace. · Contributes actively and effectively to team discussions, sharing his/her knowledge and expertise willingly and collaboratively. · Utilizes, supports and communicates agreed upon departmental performance competencies metrics. · Identifies business process improvements that are aligned with and supportive of SFHP business goals and objectives. Provides thoughtful analyses and recommendations. · Models professional behavior/conduct that remains in concert with the SFHP culture and business values. *CORE COMPETENCIES / KNOWLEDGE & SKILL REQUIREMENTS* - Virtuoso knowledge of HIPAA/EDI X12 4010/5010 healthcare-related file formats including 834, 835, 837, 997/9, 277, 820, and NCPDP formats. - Ability to synthesize data from various sources and perform various types of data analysis. - Moderate skill level using SQL programming language, MS Access, and/or MS Excel. - Familiarity with standard regulatory reporting requirements such as HEDIS measures. - Familiarity with industry standard health data code sets such as ICD-9/ICD-10, CPT/HCPCS, revenue codes, and NDC (Pharmacy). - Strong organization, time management and multi-tasking abilities. - Solid analytical skills and problem solving skills with the ability to formulate and communicate recommendations for improvement. · Have the ability to work effectively with others and have good interpersonal skills. · Be highly organized and work well under pressure. · Must be willing to accept responsibility and to show good judgment, initiative, and resourcefulness. Thanks & Regards, *Viren Yadav* *Source Infotech Inc.* 40 Brunswick Avenue, Suite # 200, Edison, NJ, 08817 EMAIL: *vi...@sourceinfotech.com* <lya...@sourceinfotech.com> *Phone:* *609-945-0827*| Fax: *732-909-2282* | Gtalk/Yahoo: *viren.rgtalent* -- You received this message because you are subscribed to the Google Groups "US_IT.Groups" group. To unsubscribe from this group and stop receiving emails from it, send an email to us_itgroups+unsubscr...@googlegroups.com. To post to this group, send email to us_itgroups@googlegroups.com. Visit this group at http://groups.google.com/group/us_itgroups. For more options, visit https://groups.google.com/d/optout.
