EDI Systems Analyst II

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August 29

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CareSource

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Healthcare Insurance

CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.

1001 - 5000 employees

Founded 30+ years

⚕️ Healthcare Insurance

📋 Description

• The EDI Systems Analyst II or III, depending on experience, is responsible for collaborating with internal and external customers to elicit their business requirements and develop workable solutions. • Leverage appropriate modeling techniques to elicit requirements for software development • Recognize inconsistencies and gaps in a complex business process for electronic Claims; Enrollment; Remittance Advice; Eligibility and etc. • Assist in planning activities and development of business case documents and User Stories • Through research and analysis, identify systems impacted by requirements, possible interfaces, cross team dependencies and affected lines of business • Translate business needs and technical requirements by authoring clear agile User Stories and Features • Serve as a liaison between technical teams and users, stakeholders • Experience collaborating with business stakeholders, architects, developers, analysts, and testers to drive end-to-end solutions • Perform root cause analysis • Build, sustain, and leverage relationships with persons within his/her area of immediate responsibility • Assist QA in preparation of test scenarios, test data, research errors and troubleshot stuck files • Participate in feature refinement meetings • Create and write user stories from features • Refine the written user stories with the team members • Take a proactive role in promoting and enforcing effective requirements gathering and documentation practices • Perform any other job duties as requested.

🎯 Requirements

• Bachelor’s degree in Computer Science, Information Systems, Business Administration or related field or equivalent years of relevant work experience is required • Two (2) years of experience in requirements management is required • Two (2) years of experience working in EDI, Facets, CCA, SAP, CRMs or other similar enterprise systems is required • Familiarity with the healthcare environment (Medicaid/Medicare) is required • EDIFEC’s Platform Experience is preferred • Experience designing interfaces and/or mocking up user interfaces to support and display the information in multiple UI disciplines (Web, Mobile, Client Server, etc.) is preferred • Familiar with Agile process and ceremonies • Certifications around our core technical systems is preferred; Facets, CCA, SAP,CRMs or other similar Enterprise systems that mimic those CareSource invests in • Certifications around Agile, SAFE, or the Business or System Analyst role is preferred • Ability to establish effective working relationships with stakeholders at all different levels • Proficient in all areas of requirements elicitation (facilitation, process modeling, requirements documentation) • Experience in creating and writing technical specifications within an agile framework: Epic, Feature, Story, and Task • Understanding of project lifecycles coupled with the software development lifecycle, including processes, techniques, continuous delivery, tools agile, test-driven development, and waterfall • Thorough understanding of business analysis principles • Flexibility during organizational and/or business changes • Effective problem-solving skills with attention to detail • Ability to develop, prioritize and accomplish goals • Strong interpersonal skills including excellent written and verbal communication skills; listening and critical thinking • Ability to effectively prioritize and execute tasks while working both independently and in a team-oriented, collaborative environment • Ability to handle multiple tasks and projects in parallel.

🏖️ Benefits

• CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.