EDI Analyst/Developer in Santa Clarita, CA at Consultnet Careers

Date Posted: 6/13/2024

Job Snapshot

Job Description

EDI Analyst/Developer

Valencia, CA- 100% onsite

Direct Hire

$125k-135k year

Immediate hire on at growing company. EDI Analyst/Developer acts as primary systems architect and data administrator for EDI and other electronic workflow processes. Design and integration experience in FHIR, HL7, cXML, or other transmission data structures. Responsible for the design and implementation of new electronic transmissions. Will be responsible for order/eligibility/claims/invoice processing. Participates in the design and implementation of EDI processes and other electronic data transmissions and creates / maintains data mapping and documentation. Analyzes and defines EDI requirements for Business, especially for needs and circumstances that are slightly unusual. Provides advice and education to Business concerning EDI guidelines and capabilities. Creates, develops, and produces mapping documents. Collaborates with development team and internal staff to develop and test new or modified systems. Develops and maintains communication links with trading partners and oversees integration of information. Periodically reviews system to ensure client needs are met; identifies possible modifications as required. Updating & managing access to partner portals for billing & reimbursement, communicating updates to the business. Creates and maintains all EDI documentation (eligibility, reimbursement, purchase orders, other). Performs data audits weekly and implements quality control measures. Monitors system performance, performs research, and troubleshoots, responds to EDI process failures. Reviews existing business EDI processes, workflows and transmissions and make recommendations for improvements including, new systems and applications to support the business initiatives. Liaison between IT Operations and Development team for EDI, eligibility process workflows projects. Primary resource and on-call for company EDI and other translation processes. First tier support for all EDI and other translation processes.

Requirements:

  • Ability to decipher and recommend best methods to data transmissions
  • Has developed electronic data handling in environments that required high security standards
  • Has a preference to work in high security environments and follow stringent security practices
  • Strong hands-on experience with translation software
  • Experience at using 'Automate' or like tool for data automation
  • Able to create, modify and monitor transmission jobs including sFTP; reviews and adjusts alerting based on requirements
  • Minimum of 5 years of EDI experience
  • Understanding of file structures such as various EDI formats, flat files, CSV, XML, cXML, FHIR, or HL7
  • Strong understanding of sFTP and other transmission protocols
  • Strong knowledge of MS Office Applications
  • Excellent written and oral communication skills, as well as interpersonal skills
  • BS/BA degree
Bonus Skills:
  • Supply chain processes experience is preferred
  • EDI experience in a Healthcare environment preferred
  • Computer Science degree strongly preferred

Welcome to ConsultNet and the family of companies, Tekne, SaltClick, TechBridge, and OmniMedia. As a premier national provider of technology talent and solutions, our expertise spans across project services, contract-to-hire, direct placement, and managed services both onshore and nearshore.

Celebrating more than 25 years of partnership with a diverse client base, we've crafted rewarding opportunities for our consultants, fostering high-performing teams that deliver impactful results.

Over the last few years thousands of consultants have found their calling with us in roles that have made a meaningful impact on their lives, enhanced their career, challenged them, and propelled them towards achieving their personal and professional goals. At the ConsultNet family of companies, we believe effective communication is crucial in aligning the right job with your unique skills and professional aspirations. To us, it's all about the personal approach we take and the values we uphold.

Our comprehensive service offerings cover a wide range of technology positions across key markets nationwide. Client more at www.consultnet.com .

We champion equality and inclusivity, proudly supporting an Equal Opportunity Employer policy. We welcome applicants regardless of Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other status protected by law.