Systems Analyst (EDI) Job at GlobalPoint, Baltimore, MD

Ty9JVExLVW95clBJSmZBY1R3VGtoVmFIWFE9PQ==
  • GlobalPoint
  • Baltimore, MD

Job Description

Systems Analyst (EDI)


Location: Baltimore


Duration: 2 years


Resume should have all the minimum qualifications listed in the requirements document, otherwise rejected.

  • Educational and Technical certifications
  • Proof of work authorization.
  • ID proof with picture - DL or state ID
Systems Analyst (EDI)


Overview
The Senior Systems Analyst supports Electronic Data Interchange (EDI) operations for a Health Exchange, providing advanced data analysis, error resolution, and transactional support. This role works closely with technical and business teams to ensure accurate and timely processing of healthcare enrollment and Medicaid transactions.


Responsibilities
  • Analyze and validate Medicaid 8001 transaction files.
  • Review and resolve data issues related to MDM, MPI, and HBX systems.
  • Validate and reconcile 1095-A and 1095-B files.
  • Analyze inbound and outbound EDI X12 files (834, 999, TA1) from Carriers and MCOs to identify errors and root causes.
  • Review EDI 999 responses and coordinate issue resolution.
  • Perform data corrections and support transaction reprocessing.
  • Collaborate with development, testing, business, vendor, and IT teams to analyze, test, and deploy EDI fixes.
  • Translate business requirements into technical EDI solutions.
Minimum Requirements
  • 8 plus year of general experience
  • 4+ years of experience with Health Exchange EDI solutions.
  • 4+ years of experience working with EDI X12 (834, 999, TA1).
  • 4+ years reviewing EDI implementation and companion guides.
  • 2+ years of SQL experience.
  • Strong analytical, troubleshooting, and communication skills.
  • Ability to manage multiple priorities in a deadline-driven environment.
Preferred
  • 6+ years using EDI tools (Edifecs, WTX, or equivalent).
  • Experience with Medicaid 8001 processing.
  • Knowledge of ACA eligibility rules and healthcare enrollment workflows.
  • Advanced understanding of 834 enrollment transactions and error handling.

Overtime, including weekends and holidays, may be required.

Job Tags

Similar Jobs

DataAnnotation

AI UI/UX Design Critique Designer - Remote Job at DataAnnotation

 ...A progressive AI training company is seeking a Front-End Web Designer to evaluate and enhance AI understanding of design principles. This...  ...aesthetics and usability. Ideal candidates have a background in UI/UX or web design, along with fluency in English.#J-18808-Ljbffr... 

FACE FOUNDRIÉ

Spa Manager Job at FACE FOUNDRIÉ

 ...exceeding FACE FOUNDRI sales through staff recruiting, productivity development, service promotions; and demonstrations. A Salon Manager is responsible for creating an environment that maintains and exceeds standards of excellence in guest services, client retention skills... 

Little Wheel

Gambling Platform Usability Tester (Hiring Immediately) Job at Little Wheel

 ...helping us test online casinos. No prior experience is required, and all training is provided. This is a short-term...  ...As a Website Tester, you will: Participate in user experience testing...  ...Minimum of $25/hour , with higher pay for faster testers. ~$100 bonus upon... 

TCC Wireless

TCC Wireless - MO Warrensburg - RSR - FT - T-Mobile Job at TCC Wireless

 ...Full-Time Retail Sales Representative T-Mobile Premium Retailer - TCC Wireless Base pay and commission! The Retail Sales Representative (RSLSREP) enjoys a fast-paced and high energy environment. As an RSLSREP you are the connection between the customer and the... 

Project Resource Collective

Senior Estimator (Underground Utilities) Job at Project Resource Collective

 ...Senior Estimator (Underground Utilities) Company Overview Our client is a well-established contractor with decades of experience delivering critical infrastructure projects across the Western U.S. The organization specializes in utility-focused construction, including...