Judi Health - Analyst, Data Exchange (Medical, Dental & Vision)
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Requirements
• Bachelor's degree in Computer Science, Information Systems, Healthcare Informatics, or a related field. Equivalent work experience may be considered • Knowledge of healthcare claim adjudication processes for medical, dental, and vision • Strong knowledge and familiarity with EDI SNIP validations and one of the most widely used tools in the healthcare industry (e.g., EDIFECS) • 2+ years of experience in data analysis, data integration, or EDI (Electronic Data Interchange) specifically within the healthcare industry • Strong understanding of healthcare EDI transactions (e.g., 834 Enrollment, 837 Professional/Institutional/Dental Claims, 835 Remittance Advice) • Excellent analytical, problem-solving, and critical thinking skills • Familiarity with various file transfer protocols (FTP, SFTP, FTPS) • Understanding of HIPAA compliance and other relevant healthcare regulations • Strong attention to detail and a commitment to data accuracy • Ability to analyze complex business problems to discover and resolve root causes • Proficiency in SQL, Excel, JSON and other technical data skills preferred • Strong communication skills with the ability to develop effective work relationships with internal and external stakeholders • Self-motivated and detail-oriented problem solver • Ability to handle multiple competing priorities in a dynamic environment and collaborate in a team • This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. • This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job.
Benefits
• $85,000—$100,000 USD • $96,800—$121,000 USD • $88,800—$111,000 USD • All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.
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