Description

Role Description:

  • 8+ years of experience within the US healthcare industry
  • Good understanding on 834, 837, 820 X12 data formats and standards.  
  • Experience with CMS Submission Process, EDI transactions and response file processing flow 
  • Solicit, review and analyze business requirements
  • Write business and technical requirements
  • Communicate and validate requirements with stakeholders
  • Validate solution meets business needs
  • Apply technology to enable business solution
  • Work with technology teams to create and deliver high quality system solutions for applications, products and services across technology functions (engineering, operations, capability strategy and delivery.)
  • Consult with users and technology specialists to define, document and analyze business processes and the information systems for supporting those processes
  • Perform analysis and serve as business liaisons to understand and refine business requirements.
  • Provide technical support in developing systems that are cost effective and meet users’ requirements. This function works to create systems that work together in a cohesive manner, enforcing standards and methods consistently across the enterprise.