Systems Analyst, EDI Management

October 26

🏄 California – Remote

Although this job is listed in California, this company may be open to hiring remote in other states.

💵 $42.8k - $61.8k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

⚙️ Systems Engineer

🚫👨‍🎓 No degree required

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Sharp HealthCare

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Healthcare • Nursing • Wellness

Sharp HealthCare is a healthcare organization dedicated to providing high-quality medical services to patients and families. With a commitment to innovation, safety, and excellence, Sharp HealthCare offers a range of career opportunities in nursing, clinical support, administration, and various medical specialties. The organization emphasizes a collaborative work environment and is recognized for its nursing excellence, aiming to advance the science of medicine alongside compassionate patient care.

10,000+ employees

Founded 1946

🧘 Wellness

📋 Description

• Use technical and analytic skills to complete monitoring, reviewing, developing, triaging, scheduling and mapping inbound and outbound data files for Sharp Health Plan. • Work with general Health Plan operational data sets including, but not limited to, eligibility, claims, provider, billing, capitation, financial and structural. • Streamline processes, create efficiencies and complete development within the file management space. • Utilize Epic Tapestry reporting toolset, inclusive of Cogito, Caboodle and Clarity. • Configure, oversee and monitor SFTP routing rules. • Track file movements and patterns to report on abnormalities. • Work with external partners on data quality concerns related to ANSI EDI file transactions.

🎯 Requirements

• H.S. Diploma or Equivalent • 2 Years experience in a health care and/or health plan organization. • Experience with data communications standards, data processing, and system configurations. • Experience analyzing complex issues and/or requests to provide effective solutions with the ability to identify root cause, communicate options and propose solutions. • Preferred Qualifications Associate's Degree • 2 Years Direct experience in project planning and system implementation. • Experience as systems analyst within a large Health Plan.