Business Analyst (EDI / 834 / Eligibility)

Responsibilities

Seeking an experienced Business Analyst with expertise in Electronic Data Interchange (EDI) to drive key project deliverables. The role involves implementing 834 and proprietary eligibility, COB and group files for various health plans. Responsibilities include, but not limited to:

• Be a self-starter with the ability to work independently and with minimal oversight.
• Quickly develop a comprehensive understanding of the business rules, core platforms, and applications for the data used in EDI exchanges.
• Lead the design and implementation of innovative end-to-end frameworks for processing eligibility exchanges, ensuring they meet both business needs and industry standards.
• Facilitate and lead discussions with plans and other stakeholders to identify and clarify requirements, review UAT test cases, and ensure alignment on project objectives and deliverables. communicating effectively throughout the process.
• Develop comprehensive documentation outlining business rules, process flows, and technical specifications
• Conduct multiple rounds of end-to-end testing with strong prior experience in developing and performing test scenarios.
  
  

Required Skills : Business Analysis

Basic Qualification

Additional Skills : Business Analyst

This is a high PRIORITY requisition. This is a PROACTIVE requisition

Background Check : No

Drug Screen : No