Healthcare compliance [h1.location_city]
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Healthcare compliance • baltimore md
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ASSYST is seeking an experienced Healthcare EDI Analyst for supporting the Electronic Data Interchange (EDI) operations of our client by performing detailed data analysis transaction validation err...[show_more][last_updated.last_updated_variable_days]
At Alertus, protecting people from harm is our mission and our passion.As the leader in mass notification, we are committed to providing customizable, scalable, and cost-effective solutions, as we ...[show_more][last_updated.last_updated_variable_days]
Employment Type : Full-Time, Mid-Level.Department : Litigation Support.CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN.The...[show_more][last_updated.last_updated_30]
Internal Compliance Review (ICR) is seeking a detail-oriented and proactive Senior Compliance Analyst to join our investigative team.
This role supports the company's compliance management system by...[show_more][last_updated.last_updated_variable_days])
A healthcare organization in Maryland seeks a Collections Representative to manage patient account balances and assist in collections for co-pays and deductibles.
Candidates should have customer ser...[show_more][last_updated.last_updated_variable_days]
Volunteers of America Chesapeake and Carolinas.The Compliance Specialist is responsible for ensuring that agency programs and services are implemented in accordance with federal, state, local and a...[show_more][last_updated.last_updated_variable_hours]
Under the direction and supervision of the Home Care Coordinator, RN the Home Health Aide is responsible for providing and assisting participants with activities of daily living and supportive care...[show_more][last_updated.last_updated_variable_days]
Fully remote Remote East Coast - Linthicum, MD 21090.Diversity, Equity, and Inclusion : .At NFM Family of Lenders ("COMPANY") we are a diverse team of champions, industry pioneers and action leaders...[show_more][last_updated.last_updated_variable_days]
Title : Transactional Healthcare Attorney.Location : Wilmington, DE, Boca Raton, FL, Baltimore, MD, Dallas, TX.We are seeking a mid- to senior-level Transactional Healthcare Attorney to join a nation...[show_more][last_updated.last_updated_30]
A well-established commercial general contractor is confidentially seeking a.This role is suited for a field leader experienced in complex, regulated medical environments and occupied facilities.Le...[show_more][last_updated.last_updated_variable_days]
A company is looking for an Accountant (Healthcare / Hospital).Key Responsibilities Prepare and validate journal entries and manage month-end / quarter-end close activities Review reconciliations, ...[show_more][last_updated.last_updated_variable_hours]
Welcome to Gordon Food Service! We are excited that you are thinking about opportunities with us, and we have an amazing story to share.
See below for a quick glance of who we are and the impact you...[show_more][last_updated.last_updated_variable_days]
Compensation is commensurate based on education and experience.The budgeted annual salary for this role is $70,000-80,000 per year.
This role will be a Compliance Specialist or Manager depending on ...[show_more][last_updated.last_updated_variable_days]
Johns Hopkins University is seeking a highly skilled and self-motivated.Associate General Counsel, Healthcare & Research / Compliance.
This attorney will act as a legal advisor to the Johns Hopkins ...[show_more][last_updated.last_updated_variable_days]
About the Company : This prominent law firm, with offices in New Jersey, New York, Maryland, Delaware, Texas, and Florida, offers a wide range of legal services across over 35 practice areas, includ...[show_more][last_updated.last_updated_variable_days]
OT300 : NPB - LINTHICUM (BALT) MD 1705 Twin Springs Road Suite 110 Baltimore MD 21227 USA.Otis Elevator Company is searching for a highly motivated Compliance the.
The individual must be a team play...[show_more][last_updated.last_updated_variable_days]
In this high-impact role, you will be the trusted advisor and primary liaison for one of our most strategic healthcare accounts, driving transformation and innovation across the client's ecosystem....[show_more][last_updated.last_updated_variable_days]
Operational Compliance Specialist.Position Summary : The Operational Compliance Specialist ensures adherence to federal and state mortgage lending regulations for a non-depository residential lendin...[show_more][last_updated.last_updated_variable_days]
We are currently looking for individuals to fulfill Part-Time and Full-Time Healthcare positions.No experience is required to apply for the position.
Training is provided through former experienced ...[show_more][last_updated.last_updated_30]
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MyJobResourceBaltimore, MD, United States[job_card.full_time]
Healthcare EDI Analyst
ASSYSTBaltimore, Maryland, USA[job_card.variable_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]Experience supporting Health Exchange marketplace EDI solutions. Experience creating EDI X12 files including transaction sets 834 999 and TA1. Experience reviewing and interpreting technical documentation such as EDI companion guides and implementation guides for healthcare EDI formats (834 and 999). Experience analyzing testing and delivering data solutions for healthcare marketplaces. Experience working with SQL databases and queries. Strong analytical and problem-solving skills. Excellent communication skills with the ability to explain technical concepts to business users and translate business requirements into technical solutions. Ability to manage multiple critical priorities and work effectively under tight deadlines. Experience using EDI validation tools such as Edifecs WTX or equivalent. Experience working with EDI transaction sets includingand TA1 as well as SOA EDI or EAI applications. Hands-on experience writing complex SQL scripts. Knowledge of Affordable Care Act (ACA) eligibility rules for Medicaid and Qualified Health Plans. Experience with Medicaid 8001 file processing or other inter-agency transactional file processing. In-depth understanding of EDI 834 enrollment transactions including adds changes terminations cancellations and error processing.
ASSYST is seeking an experienced Healthcare EDI Analyst for supporting the Electronic Data Interchange (EDI) operations of our client by performing detailed data analysis transaction validation error detection and resolution. This role involves working extensively with healthcare EDI X12 transactions Medicaid and ACA marketplace files and collaborating with technical and business teams to ensure accurate timely and compliant data exchanges with external partners.
Key Duties and Responsibilities :
- Provide data analysis transactional support error detection resolution and related services to ensure successful Electronic Data Interchange (EDI) operations for the client.
- Perform analysis and validation of Medicaid 8001 transaction files and reconcile associated enrollment and eligibility data.
- Review analyze and resolve data issues related to Master Data Management (MDM) Master Person Identifier (MPI) and other data integrity concerns.
- Conduct HBX system error analysis to identify and resolve transaction failures.
- Validate 1095-A and 1095-B files and reconcile 8001 transactions to ensure data accuracy and regulatory compliance.
- Analyze inbound and outbound EDI files exchanged with Carriers Managed Care Organizations (MCOs) and other external entities; identify errors and determine root causes for EDI file rejections.
- Coordinate with development business and testing teams to analyze resolve test and transmit EDI files on a daily basis and as required.
- Analyze EDI 999 acknowledgement files from Carriers and MCOs perform root cause analysis for exceptions and assist in resolving data-related issues.
- Perform data updates to correct consumer- or system-reported errors and work with technical and business teams to analyze error reports.
- Access HBX databases and applications to perform root cause analysis for transaction rejections and implement data fixes and technical solutions.
- Communicate with IT teams business stakeholders vendor teams and external partners to translate business requirements into effective EDI data fixes and solutions.
Minimum Qualifications :
Preferred Qualifications :
ASSYST is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race color religion sex age disability military status national origin or any other characteristic protected under federal state or applicable local law.
Required Experience :
IC
Key Skills
SQL,Information Technology,data integrity,Test Scripts,AS2,Access,Excel,ERP,XML,Troubleshoot,Edifact,Computer information system,Sftp,UNIX
Employment Type : Full Time
Experience : years
Vacancy : 1