Senior Business Analyst – EDI

Job not on LinkedIn

🔥 19 hours ago

🇺🇸 United States – Remote

💵 $51.6k - $110.1k / year

⏳ Contract/Temporary

🟠 Senior

🧐 Business Analyst

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Logo of LouisianaNOW.Jobs

LouisianaNOW.Jobs

51 - 200 employees

🎯 Recruiter

🏪 Marketplace

Recruitment • Marketplace

LouisianaNOW. Jobs is a regional jobs portal and talent attraction site focused on connecting job seekers to employers and economic opportunities across Louisiana. The site highlights regional communities, industry sectors, current employers who are hiring, career advice articles, and job listings, and appears to be operated or supported by LED FastStart (Louisiana Economic Development). It’s positioned as a marketplace that promotes Louisiana’s growing industries and helps match talent with local openings and employer investment announcements.

📋 Description

• Analyze, document, and validate business requirements for healthcare claims processing systems focused on EDI transactions • Review and interpret claim gateway processing, HIPAA compliance rules, and claim edits • Develop and maintain design and mapping documents for EDI transaction flows and system integrations • Write, analyze, and optimize complex SQL queries against Teradata for data analysis, validation, and reporting • Support and execute testing and validation of REST APIs used in claims and data exchange processes • Investigate, triage, and drive resolution of production defects with technical teams • Liaise between business stakeholders, IT development teams, and production support • Support Availity enablement activities and Medicare-related claims processing workflows • Participate in requirement walkthroughs, design reviews, and UAT • Communicate status, risks, and issues to technical and non-technical stakeholders

🎯 Requirements

• Strong understanding of U.S. healthcare and the claims lifecycle • Hands-on experience with EDI healthcare transactions: 837, 835, 276/277, 271/270 • Strong understanding of claim gateway (GW) processing, HIPAA compliance requirements, and claim edits • Proficiency with Teradata for data querying and analysis • Strong experience executing and validating REST APIs • Expert-level skill in forming and analyzing complex SQL queries • Proven experience analyzing and triaging production defects • Experience developing design and/or mapping documents for system integrations • Successful completion of a background investigation, where applicable • Ability to work remotely anywhere in the United States

🏖️ Benefits

• Competitive compensation including profit participation program • Comprehensive medical, dental, and vision benefits • Basic life and accidental death & dismemberment insurance • Matching contributions through 401(k) plan • CGI share purchase plan • Flexibility and paid accrued vacation leave, ranging from 10 to 20 days per year • 10 paid holidays per year • At least 80 consecutive hours of paid sick/safe leave • Paid parental leave, ranging from 20 to 70 consecutive business days • Bereavement leave, ranging from 1 to 7 days per year • Paid jury duty leave, up to time summoned • Learning opportunities and tuition assistance • Wellness and Well being programs • Hybrid work model offering flexibility • Leadership mentoring and professional development programs

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