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    EDI Implementation Analyst - Dallas, United States - BuzzClan

    BuzzClan
    BuzzClan Dallas, United States

    3 weeks ago

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    Description

    BuzzClan is an elite business consulting firm collaborating to provide software, advisory and implementation services. BuzzClan is a certified partner for most of the tier 1 cloud, hardware and software providers. Being a vertically integrated solutions company, BuzzClan is known for their capability in the IT Services space.

    Job Title: EDI Implementation Analyst

    Location: Dallas, TX (Onsite)

    Job Tenure: Full-time

    We are currently seeking a skilled and experienced EDI Implementation Analyst to join our team in Dallas, TX. The ideal candidate will have a strong background in managing EDI transformation and modernization projects, particularly within the healthcare domain. This role requires expertise in Agile methodologies, basic SQL knowledge, and experience with JIRA.

    Responsibilities:

    • Lead and manage EDI transformation and modernization projects, focusing on facilitating the implementation of HIX, EHR, and HIPAA Regulations.
    • Upgrade core systems using TPV to leverage ROI and implement TP Cloud-based EDI systems.
    • Design EDI solutions in collaboration with cross-functional teams, ensuring adherence to industry standards and regulatory compliance.
    • Develop reporting systems to support the team in charge, including charge, reimbursement, productivity, ops improvement, and maintenance cost reporting.
    • Implement Electronic Data Interchange (EDI) standards such as ANSI X12, HL7, and EDIFACT, leading the team in mapping EDI transactions for healthcare claims, remittance advice, eligibility verification, and prior authorization.
    • Adhere to strong project management standards and practices, creating project plans, defining tasks, assigning resources, and monitoring progress using Agile, Waterfall, and Scrum methodologies.
    • Implement project artifacts and archives such as Project Charter, Project Vision, Project Risk Register, Stakeholder Analysis, and Gantt Chart.
    • Collaborate effectively with internal and external stakeholders, including business users, IT teams, vendors, and regulatory agencies, to ensure project success.
    • Work closely with QA teams to develop test plans, test cases, and perform end-to-end testing to ensure the accuracy and compliance of EDI transactions.
    • Stay updated on emerging technologies, industry best practices, and regulatory changes impacting EDI in healthcare, identifying opportunities for process enhancement and system optimization.

    Basic Qualifications:

    • Bachelors degree in Computer Science, Engineering, or related field.
    • Minimum of 5 years of experience in healthcare domain.
    • Basic SQL knowledge and experience with JIRA.
    • Experience with EDI standards such as ANSI X12, HL7, and EDIFACT.
    • Strong understanding of Agile methodologies and project management practices.
    • Excellent communication, leadership, and interpersonal skills.
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