EDI Analyst

Job ID
092017-1707
Project Location
Nationwide
Category
IT/Software Development - Healthcare
Employment Status
Regular Full-Time
Travel Requirements
50%-75%
Years of Experience
5

Overview

Healthcare payer experience is required.  Please DO NOT APPLY if you do not have actual healthcare experience dealing with payers, claims processing, etc...  

 

Candidates must be local to Frederick, MD.

If not local to Frederick, must be willing to relocate.  (We do not provide a relocation package). 

 

AXIOM Systems, Inc. is the premier healthcare IT and business solutions provider specializing in support for the system integration, implementation, enterprise reporting, and HIPAA and EDI needs of healthcare organizations.  AXIOM is unique in its ability to develop and implement practical, effective solutions based on its deep knowledge of the healthcare industry.

 

To support its clients AXIOM is looking to fill a Product EDI Analyst position. The ideal candidate will have experience working as part of a team or as a team lead within a pre-packaged product environment and will:

 

Provide business and technical consulting and implementation services to clients related to assessment, and implementation of AXIOM’s HIPAA 5010 application TransSend. 

 

 

Responsibilities

Serve as a subject matter expert (SME) working within the product development team and with clients to identify impacts, analyze issues and implement product solutions for both the HIPAA 5010 initiatives. Perform client assessments, write detail reports and specifications and support activities such as testing and system integration. 

 

Strong configuration understanding of enrollment and claims (this is not a configuration role). A conduit to help our project team understand the configuration and how that affects the current business rules that are pre-configured before information is loaded into AMISYS.  Claims, enrollment and pricing configuration is helpful.  Experience in overall operations will be helpful.

 

Role requires a strong business analyst with Payer or Provider experience.  Use of HIPAA transaction set experience, translate technical requirements into business needs, and document technical and business specifications. 

 

 

Qualifications

The successful candidate will have:

  • Must have strong EDI experience. 
  • Strong understanding of business rules.
  • Claims, enrollment and pricing configuration is a plus. 
  • Must have strong previous experience in the HIPAA transaction set.
  • At least five years experience working in a payer or provider environment.
  • Healthcare operational experience is not required, but is highly preferred.  
  • Five plus years of IT Business Analysis experience gathering/documenting business requirements and translating into technical specifications.
  • General knowledge of healthcare operations, payer business processes and/or provider and EDI infrastructures.
  • Excellent organizational, and communication skills (verbal and writing).
  • Self-starter, problem solver and wlling to travel up to 50-75%
  • Previous leadership assignments and project management experience a plus.
  • Experience in HIPAA logical mapping and system implementation is preferred.
  • Experience in implementation of payer or provider applications –examples.  (AMISYS, Facets, IDX, QuadraMed, QNXT, Power MHS, Diamond, etc.)

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