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.