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    EDI Senior Business Analyst/ Enrollment File Processing - Tampa, United States - Wipro Technologies

    Wipro Technologies
    Wipro Technologies Tampa, United States

    3 weeks ago

    Default job background
    Description
    The Sr. Business Analyst role is one of both an individual contributor and a deputy manager responsible for

    assisting

    Business A

    nalysts and coordinating their efforts in tandem with Sr. Leadership

    .

    This role is

    vital

    to the

    organizational goal of

    ensuring a seamless Enrollment experience for clients and members

    .

    This role

    requires extensive knowledge of


    EDI
    /

    Enrollment File Processing

    ,

    834 File

    Reading &

    Formatting

    ,

    FFM/SBM Enrollment File Processin

    g

    Requirements

    , and the ability to perform data analysis in these fields

    .

    This role i

    ncludes several crucial responsibilities

    :
    creating

    and

    maintaining

    documentation of business processes, relevant process control points, interna

    l

    and external reporting,

    and

    gap/needs analysis from an

    end-to-end perspective

    .

    Additionally, this role functions as a liaison between Operations,


    IT
    , Regulatory/Government Affairs, Clients, and Regulatory Partners/G

    overning Agencies (Federal and State Based Exchanges, Centers for

    Medicare

    and Medicaid Services,

    etc.

    /)

    .

    The ultimate

    objective

    of this role is to ensure seamless and sound business processes along with any necessary control processes are in place, are documented, and

    adhere

    /comply with

    all exchange/regulatory requirements in the Enrollment File Processing space

    .

    The Analyst will

    participate

    in meetings with Operations, IT, Business Par

    tners/Clients,

    and any applicable Regulatory body to

    facilitate

    the understanding, clarification, and implementation of business performance, processes, and controls.
    Understands business process management and business requirements of the customers and translating them to specific process, control, and reporting requirements
    Very strong

    technical skills, coupled with business intelligence and a deep understanding of the customer's needs so that they can be transformed into application and operational requirements
    Strong data analysis skills – the ability to create business intelligence

    Writing descriptions of business needs and business program functions, including creating process and data flow diagrams, workflow diagrams, test scripts, training curriculum, and quality assurance/audit procedures.

    Drafting raw curriculum to support development of training materials relevant to the approved client business processes.
    Establishing and

    maintaining

    positive client business relationships across the organization, including guiding others in understanding client businesses,

    processes,

    and priorities.
    Subject Matter Expertise with EDI, Enrollment File Processing, 834 Files
    Other tasks as outlined by management
    >2

    years

    '

    work experience that reflects a proven

    track record

    of

    proficiency

    in the operational competencies noted.
    The ideal candidate is

    a self-motivated leader knowledgeable in all aspects of Enrollment

    (
    EDI/ 834)

    File Processing

    as it relates to the Federal and State Based Exchanges
    Demonstrate strong organizational skills ensuring effective cross-team collaboration.
    Strong

    data analysis background is

    required

    #J-18808-Ljbffr
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