- Creating and maintaining documentation of business processes, relevant process control points, internal 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/Governing 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 Partners/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
- Minimum education of High School Diploma or equivalent
- Minimum of 2 years of 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
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EDI Senior Business Analyst/ Enrollment File Processing - Tampa, United States - Wipro
Description
Here we grow again
Wipro is seeking individuals who combine excellent customer service and problem-solving skills with the ability to function effectively both as part of a team or on an individual basis to bring their talent to our team.
Wipro is a leading global IT Solutions and Services company with over 200,000 dedicated employees serving clients across more than 66 countries.
We offer a strong compensation package that includes competitive pay and day one benefits. Wipro also offers many opportunities for career advancement within our engaging and exciting culture.
Onsite Tampa, FL
USC and Green Card only
No relocation
Job Summary:
The Sr. Business Analyst role is one of both an individual contributor and a deputy manager responsible for assisting Business Analysts 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.
Extensive knowledge of EDI / Enrollment File Processing, 834 File Reading & Formatting, FFM/SBM Enrollment File Processing Requirements, and the ability to perform data analysis in these fields is required.
This role includes several crucial responsibilities:
