REQ#: RQ213898Public Trust: None Requisition Type: Regular Your Impact

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Job Description

Systems Analyst Associate

General Dynamics Information Technology (GDIT) is seeking a Systems Analyst Associate to support our client.  In this role, you will be administering all aspects of Electronic Data Interchange (EDI) activities including Coordination of Benefits Agreement (COBA) Crossover Process, Section 111, and Data Sharing Agreements with employers.  You will also be responsible for troubleshooting and diagnosing issues with direct file transfer and issues experienced with the Coordination of Benefits Secure Website (COBSW).  Additionally, you be responsible for the front-line customer service support and education with Stakeholders.

This is a remote opportunity!

Responsibilities

Monitor the processing of files between mainframe and distributed system including compiling error reports and communicating with the Trading Partners, programmers, Insurers, Employers, Medicare contractors and CMS to resolveInteract directly with stakeholders to resolve issuesWork independently on assigned business partners with a minimum of supervisionTroubleshooting and facilitating the resolution of any identified data file transmission and transaction errors including verification that all communication links and interfaces are working correctly and communicating appropriatelyWorking with management to establish, document and maintain EDI procedures by identifying errors and taking corrective action, reconciling EDI transaction through coordination of information with internal and external customers, Accounting Department, IT Department and external vendors to maintain EDI integrityOverseeing and maintain the EDI Inquiry Problem database including the evaluation of problems or issues through to resolutionConducting regular audits of EDI transactions to determine accuracy and areas for improvement and maintaining EDI maps and business rules for HIPAA validation softwareMonitoring the daily receipts and processing of claim files from Medicare contractors along with troubleshooting and resolving data transmission or content problemsPerforming analysis based on claim crossover inquiries related to eligibility files and billing.Interfacing with and/or lead management and technical application teams and both internal and external business partners to define project specifications, time-lines and deliverables through attendance at client meetings for ongoing and prospective projectsIdentifying, new business opportunities, new systems and processes and possible improvements that can be made to ongoing operations to present to managementIdentifying, establishing and maintaining business relationships with internal and external trading partners and business partnersTraining customers and internal employees on the data exchange processes available and the data exchange systemsPerforming other duties in support of the organization/EDI mission as directed by managementCoordinate tasks with our BCRC partners to ensure that all EDI information is correctly formatted to enable us to provide an accurate Response File back to complete the transactionAssist in User Acceptance Testing of system enhancements prior to being moved into productionAssist in the development and updating of educational material for the COBSW Site for all EDI ActivitiesClosely work with our external customers to ensure they have a smooth transition from testing to productionRespond to inquiries from CMS Central Office and CMS Regional Office staff

Education

Bachelor’s Degree or appropriate combination of post-secondary education and relevant work experience.

Qualifications

Required

Experience as a Customer Support Specialist or similar CS roleKnowledge of Amazon Web Services, Linux/Unix, IBM mainframeAbility to communicate effectively with all levels of management and communitiesExcellent verbal and written communication skillsPC skills including working knowledge and proficiency with Microsoft Office productsDesignated office space in order to work from home

Desired

Knowledge of health insurance concepts such as Medicare Part A, B, C and DKnowledge of health insurance concepts and/or experience in HIPAA EDI 837Knowledge of data processing systems and hardware particularly personal computersWorking knowledge of object oriented programmingKnowledge of Professional and Institutional files structures and guidelinesKnowledge of telecommunication data delivery methods and telecommunication software and concepts such as NDM (Connect Direct) and), FTP and dedicated connectionsExperience in the implementation of maintenance of trading partner accounts in a high-volume, high-paced operation using flexibility in terms of managing many account with unique requirementsWorking knowledge of EDI data translation/validator support, i.e. Sterling Gentran/Ingenix Faciledi a plusExcellent interpersonal and customer relationship skills with the ability to work in a very fast paced environmentAbility to learn new concepts quickly and independently while maintaining effective communications with other team membersPast experience working remotely in an at-home office

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