Technical Analyst (EDI)

Job Summary

The Technical Analyst Int. facilitates the coordination and integration of program related activities through vendor-supported and in-house developed software. The incumbent will define system scope, objectives, and business requirements to meet user needs, assist business customers in making informed decisions regarding the development, configuration, and functionality of various application, and provide technical consulting to end users on systems projects. The incumbent provides coordination and services relevant to key functions of software supported by the Information Technology Services (ITS) department, which supports a variety of end users and software, usually provided by a third-party vendor. The incumbent will contribute to the support and maintenance of assigned applications and serve as a technical point-of-contact.

Position Responsibilities:

• Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
  
• Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
  
• Works with in-house development staff or vendor and business department to devise or modify procedures to solve complex problems.
  
• Develops, generates, and maintains standard, custom, and ad-hoc documentation, including reports and/or queries from the applicable source system. Monitors, audits and administers database integrity and security. Researches and recommends solutions to system issues.
  
• Creates companion documentation to assist our partners (Health Networks, Trading Partners, providers, etc.) in implementing new transactions with ITS.
  
• Designs, analyzes, and maintains system configuration data and new ITS modules, work process design and flow. Assists in identifying new application requirements and software products to fulfill needs.
  
• Collaborates with business departments to assist with their requirements and define options and methods to accomplish their desired results.
  
• Works with business departments to Quality Assurance (QA) data to their satisfaction for program implementation to production.
  
• Participates in progressively more complex projects and perform progressively more complex analyses as s/he advances.
  
• Monitors daily production processes to ensure that any issues that present themselves, can be easily mitigated and not negatively impact the business.
  
• Completes other projects and duties as assigned.
  

Possesses the Ability To:

• Identify and analyze issues, and methodically track down the source of problems and recommend solutions.
  
• Assist business with possible solutions and test scenarios for optimal outcome.
  
• Act as a liaison between relevant internal departments and trading partner community.
  
• Perform the day-to-day Electronic Data Interchange (EDI) system operations.
  
• Communicate clearly and concisely, both orally and in writing.
  
• Establish and maintain effective working relationships with CalOptima Health leadership and staff.
  
• Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.
  

Requirements

Experience & Education:

• Bachelor s degree in Information Services or related field or equivalent work experience in Information Services required.
  
• 1 year of experience in Healthcare EDI background with an understanding of Healthcare EDI standards (X12) and transactions sets required.
  
• 1 year of experience in Information Technology Services related to Health Services required.
  
• 1 year of experience in ITS technical application support experience required.
  
• 1 year of experience in computer hardware and/or software troubleshooting techniques and system support required.
  

Preferred Qualifications:

• 1 year of recent experience with the Microsoft Office tools: SQL Analyzer, Word, Excel (MS Project and Visio a plus) preferred.
  
• Prior experience with SQL Server 2016 is preferred.
  
• Experience with Project Management Software Development Life Cycle (SDLC) methodologies such as Waterfall or Agile preferred.
  
• Experience with system interfaces and an understanding of data mapping preferred.
  

Knowledge of:

• Health Insurance Portability and Accountability Act (HIPAA) X12 transactions and code sets; preferably 5010 transaction standards for Health Care.
  
• Basic computer hardware and software troubleshooting techniques.
  
• Healthcare, Managed Care, Claims and Provider Operations.
  

Benefits

At Sunshine Enterprise USA LLC, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits:

• Competitive pay & weekly paychecks
  
• Health, dental, vision, and life insurance
  
• 401(k) savings plan
  
• Awards and recognition programs
  
• Benefit eligibility is dependent on employment status.
  

Sunshine Enterprise USA is an Equal Opportunity Employer Minorities, Females, Veterans and Disabled Persons