Edifecs/EDI Systems Analyst II

Reposted 24 Days Ago
Hiring Remotely in USA
Remote
71K-113K Annually
Mid level
Healthtech • Insurance
The Role
The Edifecs/EDI Systems Analyst II manages business requirements for software development, translates business needs into user stories, and collaborates with stakeholders to facilitate effective solutions.
Summary Generated by Built In

Job Summary:

The Edifecs/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.

Essential Functions:

  • 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.
  • Sets day-to-day objectives and delivers job responsibilities that may vary outside typical norms or practices.  Work consists of tasks that are occasionally not routine and often works independently and is required to apply discretion within established operational boundaries and procedures.
  • Problems and issues faced are occasionally vague and may need some analysis to understand.  Makes adjustments to work methods to solve problems that may not be immediately evident in existing work processes and systems. However, may have references or help from norms and/or standard procedures to solve these problems.
  • 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.

Education and Experience:

  • 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

Competencies, Knowledge, and Skills:

  • 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; understands key components of good story writing to enable adaptation of standard industry formats and approaches for effective use
  • 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.

Licensure and Certification:

  • 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

Working Conditions:

  • General office environment; may be required to sit or stand for extended periods of time

Compensation Range:

$70,800.00 - $113,200.00

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.

Compensation Type (hourly/salary):

Salary

Organization Level Competencies

  • Create an Inclusive Environment

  • Cultivate Partnerships

  • Develop Self and Others

  • Drive Execution

  • Influence Others

  • Pursue Personal Excellence

  • Understand the Business


 

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.#LI-GM1

Top Skills

Agile
Cca
Edi
Edifecs
Facets
SAP
Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
HQ: Dayton, OH
3,668 Employees

What We Do

Health Care with Heart. It is more than a tagline; it’s how we do business. CareSource has been providing life-changing health care to people and communities for nearly 30 years and we will continue to be a transformative force in the industry by placing people over profits.

CareSource is and will always be members first. Even as we grow, we remember the reason we are here – to make a difference in our members’ lives by improving their health and well-being. Today, CareSource offers a lifetime of health coverage to nearly 2 million members through plan offerings including Marketplace, Medicare Advantage and Medicaid. With our team of 4,000 employees located across the country, we continue to clear a path to better life for our members. Visit the "Life"​ section to see how we are living our mission in the states we serve.

CareSource is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, age, national origin, disability, sexual orientation, gender identity, genetic information, protected veteran status or any other characteristic protected by applicable federal, state or local law. If you’d like more information about your EEO rights as an applicant under the law, please click here: https://www.eeoc.gov/employers/upload/poster_screen_reader_optimized.pdf and here: https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf

Si usted o alguien a quien ayuda tienen preguntas sobre CareSource, tiene derecho a recibir esta información y ayuda en su propio idioma sin costo. Para hablar con un intérprete, Por favor, llame al número de Servicios para Afiliados que figura en su tarjeta de identificación.

如果您或者您在帮助的人对 CareSource 存有疑问,您有权 免费获得以您的语言提供的帮助和信息。 如果您需要与一 位翻译交谈,请拨打您的会员 ID 卡上的会员服务电话号码

Similar Jobs

mabl Logo mabl

Enterprise Account Executive

Artificial Intelligence • Machine Learning • Software
Remote or Hybrid
United States
80 Employees
130K-150K Annually

mabl Logo mabl

Partner Manager

Artificial Intelligence • Machine Learning • Software
Remote or Hybrid
United States
80 Employees
90K-100K Annually

CDW Logo CDW

SR FSA

Artificial Intelligence • eCommerce • Information Technology • Internet of Things • Automation
Remote or Hybrid
US
15100 Employees
121K-170K Annually

Chamberlain Group Logo Chamberlain Group

Sales Representative

Automotive • Hardware • Internet of Things • Mobile • Software • App development • PropTech
Remote or Hybrid
2 Locations
5769 Employees
80K-131K Annually

Similar Companies Hiring

Axle Health Thumbnail
Logistics • Information Technology • Healthtech • Artificial Intelligence
Santa Monica, CA
17 Employees
Camber Thumbnail
Social Impact • Healthtech • Fintech
New York, NY
53 Employees
Sailor Health Thumbnail
Telehealth • Social Impact • Healthtech
New York City, NY
20 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account