Job Description :
We are looking for EDI Analyst in Maryland Heights, MO: Long Term
Position: EDI Analyst
Location: Maryland Heights, MO
Duration: 12+ months
Interview Process: Phone and In person
Experience: Mid level
Number of openings: 1
Employment Type: Contract/1099/C2C/W2
Work authorization: Any US Work Authorization
Rate: Market
Skills:
Details:
The project is to work with providers of claim data to convert to a uniform format that will import automatically into our database through testing and into Production. Develop an ongoing relationship with the provider even after Production to improve the quality of that data in order to meet requirements for sound business decisions, analytics and regulatory reporting. Data is housed in SQL database, so the candidate must have knowledge of how to query using SQL.
Many data providers will require additional guidance in structuring their data file, so the candidate must be familiar with general SQL database table structure. Candidate must be able to handle a workload of up to 30 data providers at one time, all in varying stages of test and production.
ESSENTIAL FUNCTIONS:
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Protect the information assets of the company, including intellectual property, personally identifiable information, and protected health information, against unauthorized alteration and/or disclosure by appropriately handling and transmitting information in accordance with policies.
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Accountable for receiving and importing accurate data from external parties.
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Ensure integrity of data in database and warehouse for reporting and analytical purposes.
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Analyze and validate data completeness, consistency, accuracy, and compliance to data standards and principles.
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Investigate and identify EDI data quality issues.
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Addresses the root cause of data problems and develop a recommendation on how to resolve issues.
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Collaborate with data source stakeholders to implement resolution.
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Work collaboratively with TPAs, business users, and vendors to improve service levels on existing and new data feeds.
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Communicates directly with TPAs and other third parties for accurate and timely receipt of data.
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Perform analysis of data sources with an emphasis on identifying critical data elements and developing data metrics and quality checks.
ADDITIONAL RESPONSIBILITIES:
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Perform data quality audits around inconsistent, incorrect and incomplete data on a monthly basis.
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Communicate audit findings to data providers for resolution.
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Quickly and accurately troubleshoot data import issues and communicate or implement solutions.
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Investigate, evaluate, and analyze the effectiveness and efficiency of current data requirements and processes and develop strategies for improving these processes.
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Implement data quality monitoring reports, alerts, and processes.
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Benchmark and improve data quality from all data sources.
QUALIFICATIONS:
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Bachelor’s degree required.
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At least 2 years of experience working in either I.S. or Finance department.
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Ability to query relational databases using standard SQL.
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Capacity to extract, analyze, and reconcile large sums of data.
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Success in handling abundant, varied workload with ability to switch quickly between projects and tasks.
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Hands-on approach to data quality while supporting data quality initiatives.
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Strong analytical, technical, and problem-solving skills.
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Strong communication and interpersonal skills.
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Ability to exercise independent judgment.
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Self-starter who can work with minimal direct supervision, and take ownership of projects.
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Ability to work effectively with a diverse group of business and technical personnel.