REMOTE - EDI Systems Analyst II - R9282

CareSource; United States; Remote; USD 70,000 - 114,000; Full time

Job summary

CareSource is seeking an EDI Systems Analyst II or III to collaborate with various stakeholders to understand and translate business needs into technical requirements. This role involves extensive analysis and documentation processes relating to electronic claims and interfaces in the healthcare sector. Candidates are expected to possess a bachelor’s degree and relevant experience in requirements management, Agile practices, and healthcare technologies.

Benefits

Comprehensive total rewards package

Bonus tied to performance

Qualifications

• 2 years of experience in requirements management.
• Experience in EDI and healthcare environment is required.
• Familiarity with Agile process is needed.

Responsibilities

• Collaborate with stakeholders to gather requirements and develop solutions.
• Assist in planning and authoring user stories for software development.
• Perform root cause analysis and liaise between technical teams and users.

Skills

Requirements elicitation

Problem-solving

Interpersonal skills

Effective communication

Agile methodologies

Education

Bachelor’s degree in Computer Science or related field

Tools

Facets

CCA

SAP

CRMs

Job description

Job Summary:

The 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:
Salary

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