Systems Analyst Associate

Type of Requisition:
Regular
Clearance Level Must Currently Possess:
None
Clearance Level Must Be Able to Obtain:
None Public Trust/Other Required:
None
Job Family:
IT Infrastructure and Operations Job Qualifications:
Skills:
Analytical Research, Customer Service, Effective Written Communication, Verbal Communications Certifications:
None Experience:
5 + years of related experience US Citizenship Required:
No
Job Description:

General Dynamics Information Technology (GDIT) is seeking a Systems Analyst Associate to support our client. In this role, you will be administering all aspects of Electronic Data Interchange (EDI) activities including Coordination of Benefits Agreement (COBA) Crossover Process, Section 111, and Data Sharing Agreements with employers. You will also be responsible for troubleshooting and diagnosing issues with direct file transfer and issues experienced with the Coordination of Benefits Secure Website (COBSW). Additionally, you be responsible for the front-line customer service support and education with Stakeholders via the EDI Hotline, requiring strict adherence to call center metrics.
This is a remote opportunity!
Responsibilities

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Monitor the processing of files between mainframe and distributed system including compiling error reports and communicating with the Trading Partners, programmers, Insurers, Employers, Medicare contractors and CMS to resolve

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Interact directly with stakeholders to resolve issues within strict Service Level Agreements (SLAs), including returning all emails, voicemails, and work items within 2 business days.

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Provide front-line support on the EDI Hotline, maintaining strict Schedule Adherence, monitoring AUX code limits, and minimizing missed calls.

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Work independently on assigned business partners with a minimum of supervision

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Troubleshooting and facilitating the resolution of any identified data file transmission and transaction errors including verification that all communication links and interfaces are working correctly and communicating appropriately

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Manage daily workflow queues across multiple systems, including MIRA, BCRS, ECRS, and maintaining internal tracking spreadsheets.

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Working with management to establish, document and maintain EDI procedures by identifying errors and taking corrective action, reconciling EDI transaction through coordination of information with internal and external customers, Accounting Department, IT Department and external vendors to maintain EDI integrity

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Overseeing and maintain the EDI Inquiry Problem database including the evaluation of problems or issues through to resolution by maintaining highly detailed, standardized documentation (who, what, action performed, and outcome) on all interactions.

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Conducting regular audits of EDI transactions to determine accuracy and areas for improvement and maintaining EDI maps and business rules for HIPAA validation software

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Monitoring the daily receipts and processing of claim files from Medicare contractors along with troubleshooting and resolving data transmission or content problems

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Performing analysis based on claim crossover inquiries related to eligibility files and billing.

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Interfacing with and/or lead management and technical application teams and both internal and external business partners to define project specifications, time-lines and deliverables through primary account ownership, including proactively initiating, leading, and facilitating client meetings for ongoing and prospective projects

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Identifying, new business opportunities, new systems and processes and possible improvements that can be made to ongoing operations to present to management

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Identifying, establishing and maintaining business relationships with internal and external trading partners and business partners

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Training customers and internal employees on the data exchange processes available and the data exchange systems

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Performing other duties in supp