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*EDI Analyst* *Mode: Phone and Skype* *Location: Linthicum, MD* *Duration: 2-3 month * *USC/GC* New role I’m working on. 2-3 month contract ,. On-site in Linthicum, MD. US citizens or Green Card holders only. Willing to hire from Skype. Need healthcare experience. Candidates need to be very strong in EDI 834 or EDI 837 (development, mapping, writing queries, etc). Rate is. Overall, needs to be strong with EDI 834 or 837, HIPAA/Healthcare, and SQL.Candidate must send me write up of 834 or 837 experience (whichever they are stronger with) before I can submit. *Scope and Purpose of Position: * Primary job responsibility is to assume responsibilities for the development and internal processes related to the eligibility and claims adjudication system's file processing. *Major Duties and Responsibilities: * Primary development role related to the eligibility and claims adjudication system and internal processes. Responsible for importing data feeds into Oracle database or exporting data from the database into appropriate EDI formats to support member 'eligibility' and 'encounter' business processes. Responsible for developing and testing HIPAA EDI 5010 X12 mapping formats (834,837,277,999) as well as industry standard and custom formats using ETL tools. Review, evaluate, design and implement systems processes to ensure data integrity is consistently maintained. Coordinate with external clients and internal operations depts. to ensure effectual setup and design of data formatting and flow for new client implementations. Own and project manage the development of ongoing implementations start to finish from client meeting and companion guide, through internal testing process and development and into production with documentation. Provides ad-hoc data/reports to clients or internal departments per request. Produce comprehensive documentation of all developed software & repositories. Automation of routine processes with appropriate monitoring controls. Other duties as assigned. *Qualifications: * *Education: *Bachelor's Degree in Computer Science or related field. *Experience: *Minimum of 3-5 years relevant work experience and experience in managed health care *Competencies: * Prior experience in EDI Programmer/Analyst role. Accuracy, attention to details. SQL Server database (2012) SQL Server Integration Services (SSIS) SQL Server Reporting Services (SSRS) Experience in implementation of control and reconciliation reports. Advanced knowledge and understanding of relational database environments. 2 Must have Previous experience in a healthcare claims adjudication system. and strong healthcare background Experience developing encounter and eligibility transactions set maps and processes in HIPAA EDI 5010 X12. Experience writing PL/SQL queries in Oracle or SQL Server. Experience with an ETL and data mapping tools. Experience in structured, data-driven, functional logic programming Team oriented with the ability to work effectively across functional areas of the company. Excellent analytical, problem resolution and people skills. Ability to deliver quality results under tight deadlines. Excellent customer service orientation. Ability to work independently with moderate supervision. Understanding of vision care insurance or health care insurance data is a plus. Best Regards Mohit Arora mar...@apetan.com *201-620-9700* ** 152 * -- You received this message because you are subscribed to the Google Groups "Vendors" group. To unsubscribe from this group and stop receiving emails from it, send an email to vendors+unsubscr...@googlegroups.com. To post to this group, send email to vendors@googlegroups.com. Visit this group at https://groups.google.com/group/vendors. For more options, visit https://groups.google.com/d/optout.
