Healthcare analyst Jobs in USA

ASSYST is seeking an experienced Healthcare EDI Analyst for supporting the Electronic Data Interchange (EDI) operations of our client by performing detailed data analysis transaction validation error detection and resolution. This role involves working extensively with healthcare EDI X12 transactions Medicaid and ACA marketplace files and collaborating with technical and business teams to ensure accurate timely and compliant data exchanges with external partners.

Key Duties and Responsibilities :

• Provide data analysis transactional support error detection resolution and related services to ensure successful Electronic Data Interchange (EDI) operations for the client.
• Perform analysis and validation of Medicaid 8001 transaction files and reconcile associated enrollment and eligibility data.
• Review analyze and resolve data issues related to Master Data Management (MDM) Master Person Identifier (MPI) and other data integrity concerns.
• Conduct HBX system error analysis to identify and resolve transaction failures.
• Validate 1095-A and 1095-B files and reconcile 8001 transactions to ensure data accuracy and regulatory compliance.
• Analyze inbound and outbound EDI files exchanged with Carriers Managed Care Organizations (MCOs) and other external entities; identify errors and determine root causes for EDI file rejections.
• Coordinate with development business and testing teams to analyze resolve test and transmit EDI files on a daily basis and as required.
• Analyze EDI 999 acknowledgement files from Carriers and MCOs perform root cause analysis for exceptions and assist in resolving data-related issues.
• Perform data updates to correct consumer- or system-reported errors and work with technical and business teams to analyze error reports.
• Access HBX databases and applications to perform root cause analysis for transaction rejections and implement data fixes and technical solutions.
• Communicate with IT teams business stakeholders vendor teams and external partners to translate business requirements into effective EDI data fixes and solutions.

Minimum Qualifications :

Preferred Qualifications :

ASSYST is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race color religion sex age disability military status national origin or any other characteristic protected under federal state or applicable local law.

Required Experience :

IC

Key Skills

SQL,Information Technology,data integrity,Test Scripts,AS2,Access,Excel,ERP,XML,Troubleshoot,Edifact,Computer information system,Sftp,UNIX

Employment Type : Full Time

Experience : years

Vacancy : 1