EDI Analyst II

At MTM, we are not just colleagues; we are collaborators on a shared mission; communities without barriers. We have exciting opportunities to join our growing team where your work has a direct impact on the communities we serve. Our company culture is one of innovation, collaboration, and growth. If you are passionate, driven, and ready to join a team where your work will directly transform and shape our industry, then we want to talk to you!

What will your job look like?

The EDI Systems Analyst II will be accountable for guiding the actions of EDI experts by working closely with business units to analyze processes, analyze the business needs, and to provide solutions. The EDI Systems Analyst II role will solicit, define and manage EDI requirements for internally and externally developed projects and implementations in a team-oriented environment.

What you’ll do :

Identify, document and educate MTM partners on client EDI requirements

Identify, analyze and document business objectives and requirements by performing analysis and developing the necessary documentation to define, justify, launch and execute projects

Define, create, and validate user stories necessary to achieve internal and external objectives

Monitor, analyze, and ensure EDI compliance in the following subject areas : Member Eligibility, Encounter and Claims Data, Payment Remittance, Capitation, and Provider Data

Manage and coordinate EDI deliverables to both internal and external stakeholders including but not limited to : EDI data files, accompanying reports, and required attestations

Lead sessions for small to medium applications / projects or a few large applications / projects

Validate EDI solutions meet both internal and external client needs

Evaluate potential future client EDI requirements to support successful RFP and implementations processes

Lead multi-team requirement gathering sessions, stakeholder interviews, group sessions, and user observations

Act as a liaison between the business customer and the technology providers, both internally and externally

Communicate relative feedback, level of effort, and return on investment to business users for project prioritization

Responsible for making improvements of processes or workflows to enhance performance

Partner with associated departments to ensure uniformity in data

Remain informed on ever-changing information to ensure accuracy within business processes

Partner with EDI developers to ensure solutions meet requirements

What you’ll need :

High School Diploma or G.E.D equivalent

Bachelor’s degree in technical or business disciplines with outlined experience, however, willing to accept equivalent field experience in lieu of degree

Minimum 7 years of EDI technical or business work experience

3+ years of SQL experience

3+ years’ experience in software development methodologies including Agile and scrum processes

5+ years of working HIPAA X12 Standard Transactions

5+ years’ experience in eliciting / documenting business requirements using interviews, group facilitation, data / workflow / system analysis and business process documentation

Previous experience collaborating with Business Users, Programmers, and Quality Assurance Testers in a corporate environment

Comprehensive understanding of the common Health Care EDI transactions : 834, 837, 277U, 277CA, 835, 820, 270 / 271, 999

Advanced knowledge of Health Care EDI subject areas and the ability to translate that into EDI requirements

Ability to create SQL queries utilizing multiple tables and datasets to analyze and evaluate EDI data within a SQL database

Accurately articulates technical specifications in a manner the normal business user can understand in both written and verbal form

Ability to effectively work, demonstrate applications, and conduct presentations to all levels within the organization

Demonstrates a positive attitude and flexibility in areas such as job duties and schedule in order to serve the business and operational goals

Ability to translate business processes into workflows and system requirements

Ability to manage multiple tasks and projects, and forge strong interpersonal relationships with both internal and external stakeholders

Ability to solve problems by utilizing training, knowledge, tools, and analytical skills

Ability to assimilate new and existing technologies

Exemplary communication skills.

Must be able to address all levels of employees and customers

Ability to be effective in a fast paced, dynamic environment with minimal supervision

Excellent planning, documentation, organizational, analytical, and problem-solving abilities with a strong attention to detail

What’s in it for you :

Health and Life Insurance Plans

Dental and Vision Plans

401(k) with a company match

Paid Time Off and Holiday Pay

Maternity / Paternity Leave

Casual Dress Environment

Tuition Reimbursement

MTM Perks Discount Program

Leadership Mentoring Opportunities

Salary Min : $80,000

Salary Max : $108,000

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