• Senior EDI Analyst / Business Analyst Healthcare

    Job ID
    Project Location
    IT/Software Development - Healthcare
    Employment Status
    Regular Full-Time
    Travel Requirements
    Years of Experience
  • 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.  


    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 Senior EDI/Business 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 EDI Gateway application TransSend. 





    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  based on customers business needs.  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 the client's system.  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 X12 transaction sets experience, translate technical requirements into business needs, and document technical and business specifications. 




    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 willing 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, HealthRules, Facets, IDX, QuadraMed, QNXT, Power MHS, Diamond, etc.)
    • Bachelor’s degree or equivalent in a relevant field.


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