What Will Your Job Look Like?
The EDI Systems Analyst will be accountable for guiding the actions of EDI experts by working closely with business units to analyze processes, analyze the business needs, and to provide solutions. The EDI Systems Analyst role will solicit, define, and manage EDI requirements for internally and externally developed projects and implementations in a team-oriented environment.
What Youll Do:
Identify, document, and educate MTM partners on client EDI requirements
identify, analyze, and document business objectives and requirements by performing analysis and developing the necessary documentation to define, justify, launch, and execute projects
Monitor, analyze, and ensure EDI compliance in the following subject areas: Member Eligibility, Encounter and Claims Data, Payment Remittance, Capitation, and Provider Data
Manage and coordinate EDI deliverables to both internal and external stakeholders including but not limited to: EDI data files, accompanying reports, and required attestations
Lead sessions for small to medium applications/projects or a few large applications/projects
Validate EDI solutions meet both internal and external client needs
Evaluate potential future client EDI requirements to support successful RFP and implementations processes
Lead requirement gathering sessions, stakeholder interviews, group sessions, and user observations
Act as a liaison between the business customer and the technology providers, both internally and externally
Communicate relative feedback, level of effort, and return on investment to business users for project prioritization
Responsible for making improvements of processes or workflows to enhance performance
Partner with associated departments to ensure uniformity in data
Remain informed on ever changing information to ensure accuracy within business processes
Partner with EDI developers to ensure solutions meet requirements
What Youll need:
High School Graduate or G.E.D
Bachelors degree in technical or business disciplines with outlined experience, however, willing to accept equivalent field experience in lieu of degree
Minimum three (3) years of EDI technical or business work experience
3+ years of SQL experience
3+ years of working HIPAA X12 Standard Transactions
3+ years experience in software development methodologies including Agile and scrum processes
3+ years experience in eliciting/documenting business requirements using interviews, group facilitation, data/workflow/system analysis and business process documentation
Previous experience collaborating with Business Users, Programmers, and Quality Assurance Testers in a corporate environment
Even better if you have...
Comprehensive understanding of the common Health Care EDI transactions: 834, 837, 835, 820, 270/271
Knowledge of EDI subject areas and the ability to translate that into EDI requirements
Ability to create SQL queries to analyze and evaluate EDI data within a SQL database
Accurately articulates technical specifications in a manner the normal business user can understand
Ability to effectively work, demonstrate applications, and conduct presentations to all levels within the organization
Demonstrates a positive attitude and flexibility in areas such as job duties and schedule in order to serve the business and operational goals
Ability to translate business processes into workflows and system requirements
Ability to manage multiple tasks and projects, and forge strong interpersonal relationships with both internal and external stakeholders
Ability to solve problems by utilizing training, knowledge, tools, and analytical skills
Ability to assimilate new and existing technologies
Exemplary communication skills. Must be able to address all levels of employees and customers
Ability to be effective in a fast paced, dynamic environment with minimal supervision
Excellent planning, documentation, organizational, analytical, and problem-solving abilities with a strong attention to detail
Whats in it for you:
Health and Life Insurance Plans
Dental and Vision Plans
401(k) with a company match
Flexible Scheduling
Paid Time Off and Holiday Pay
Maternity/Paternity Leave
Birthday Holiday
Casual Dress Environment
Tuition Reimbursement
MTM Perks Discount Program
Milestone Anniversary One Month Sabbatical
Leadership Mentoring Opportunities
Salary Range:
Salary Min: $ 90,000
Salary Max: $100,000
This information reflects the base salary pay range for this job based on current national market data. Ranges may vary based on the job's location. We offer competitive pay that varies based on individual skills, experience, and other relevant factors. We encourage you to apply to positions that you are interested in and for which you believe you are qualified. To learn more, you are welcome to discuss with us as you move through the selection process.
Equal Opportunity Employer: MTM is an equal opportunity employer. MTM considers qualified candidates with a criminal history in a manner consistent with the requirements of applicable local, State, and Federal law. If you are in need of accommodations, please contact MTMs People & Culture.
