What are the responsibilities and job description for the Business Analyst (EDI Accumulators) position at Sumeru Inc?
Need an associate with over 10 years with experience in EDI, Eligibility, Encounter and claims.
Resource should have in depth knowledge in US Healthcare.
1 BSA - Accumulator SME - Informatica knowledge is great 3 Encounters, Claims - 837, proprietary claims files - Informatica knowledge is great, flat files 3 for Eligibility - 834 - proprietary claims files, group files, Cobol, FTP, COB, flat files Seeking an experienced Business Analyst with expertise in Electronic Data Interchange (EDI) to drive key project deliverables. The role involves implementing inbound and outbound accumulator files related to claim cost shares across various health plans.
Responsibilities include, but not limited to:
1. Be a self-starter with the ability to work independently and with minimal oversight.
2. Quickly develop a comprehensive understanding of the business rules, core platforms, and applications for the data used in EDI exchanges.
3. Lead the design and implementation of innovative end-to-end frameworks for processing accumulator exchanges, ensuring they meet both business needs and industry standards.
4. 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.
5. Develop comprehensive documentation outlining business rules, process flows, and technical specifications 5. Conduct multiple rounds of end-to-end testing with strong prior experience in developing and performing test scenarios
Regards,
Braj Tiwari
Brajbhushan.tiwari@sumerusolutions.com
(408) 520 0940
