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Maganti IT Resource

5 Meadow Street Suite 201 & 202
Naugatuck, CT, United States

Phone: 203-490-0095
Web Site: http://www.mitresource.com/

Company Profile

EDI Systems Analyst (Developer) position


Job ID:



Cerritos, CA, United States 




DOE per hour

Job Views:


Zip Code:


Employment Type:

Full time, Contract - Corp-to-Corp, Contract to Hire - W2, Contract - W2, Contract - 1099



Job Description:

Title: EDI Systems Analyst (Developer)
Location: Cerritos, CA
Duration: 6 months +  
Visa status: All valid US work authorization status.
Top Skills
  • Experience in Edifecs 8.3 X Engine and Spec Builder and Mapper 
  • Knowledge of HIPAA X.12 Standards 
Strong experience with Edifecs XEngine, Edifecs EAM, Edifecs SpecBuilder and Edifecs MapBuilder version 8.X or later
Ability to manage multiple data feeds and trading partners simultaneously with ease
Experience with multiple client data schemas and design patterns and requirements
Consult with management and staff to identify and document business needs and objectives, current operational procedures, problems, input and output requirements, data scope, usage, formatting, and security requirements
Ability to write SQL queries to check the data dictionary tables in the Facets 5 0.1 database, proprietary databases and other data objects
Through understanding of HIPAA X12 and ANSI transactions such as (837, 834, 835, 270, 271, 276 and 277CA) 
Through understanding of Medicare and Medicaid (Long Term Care Plan, PACE Plan, PCCM) and Medicare (part A, B and C) plans  
Ability to define and communicate business requirements and technical specifications to the technical/programming department and business
Develops test cases, coordinate and implement testing plans to test business and functional processes
Write and maintain functional specifications for new or modified business systems. Create or assist others in the writing of user documentation, instructions, and procedures 
Monitor and document post-implementation problems and revision requests
Coordinate the implementation of technological functions to customer's specifications
Analyze existing systems to determine more efficient processing methods 
Develop and analyze business performance reports (e.g. for claims data, provider data, utilization data) and provide notations of performance deviations and anomalies
Provide analytic consultation to other business areas, leadership and external customers
Gather requirements from the user and prepared functional specifications along with data flow and UML diagrams
Develop variation matrices based on the template provided by the Subject Matter Experts 
Quality Analysis of the Trizetto Facets application for Claims processing and billing modules.
Gather and document requirements related to a system enhancement for COB claims
Minimum two years analytical and data processing experience, IT experience preferred. Health Care or other applicable industry experience is also preferred
Strong knowledge of SQL and MDM and SOA solutions
Ability to develop data process modeling and mapping
Ability to develop functional requirements and documentation for technical staff
Excellent communication, analytical, facilitation and interpersonal skills
Ability to work in a team environment
Ability to utilize data mapping or extraction tools
Should need more information I can be reached at kiran@mitresource.com or Ph   # 203-567-0144.
Thank you for your time.

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