*Please send resume to ning**@westcoastllc.com* <n...@westcoastllc.com>*
only with contact information and location of candidate**.*



*Edifecs EDI Systems Analyst (Developer)*

*Location:* Cerritos, CA

*Interview:* Phone or Skype

*Status:* If they are GC or able to convert down the road then that may
work better.



*Top Skills*

Ø  Experience in Edifecs 8.3 X Engine and Spec Builder and Mapper

Ø  Knowledge of HIPAA X.12 Standards

Ø  Excellent Communication Skills



*Edifecs EDI System Analyst*
Strong experience with Edifecs XEngine, Edifecs EAM, Edifecs SpecBuilder
and Edifecs MapBuilder version 8.X or later
Ability to manage multiple data feeds and trading partners simultaneously
with ease
Experience with multiple client data schemas and design patterns and
requirements
Consult with management and staff to identify and document business needs
and objectives, current operational procedures, problems, input and output
requirements, data scope, usage, formatting, and security requirements
Ability to write SQL queries to check the data dictionary tables in the
Facets 5 0.1 database, proprietary databases and other data objects
Through understanding of HIPAA X12 and ANSI transactions such as (837, 834,
835, 270, 271, 276 and 277CA)
Through understanding of Medicare and Medicaid (Long Term Care Plan, PACE
Plan, PCCM) and Medicare (part A, B and C) plans
Ability to define and communicate business requirements and technical
specifications to the technical/programming department and business
Develops test cases, coordinate and implement testing plans to test
business and functional processes
Write and maintain functional specifications for new or modified business
systems. Create or assist others in the writing of user documentation,
instructions, and procedures
Monitor and document post-implementation problems and revision requests
Coordinate the implementation of technological functions to customer's
specifications
Analyze existing systems to determine more efficient processing methods
Develop and analyze business performance reports (e.g. for claims data,
provider data, utilization data) and provide notations of performance
deviations and anomalies
Provide analytic consultation to other business areas, leadership and
external customers
Gather requirements from the user and prepared functional specifications
along with data flow and UML diagrams
Develop variation matrices based on the template provided by the Subject
Matter Experts
Quality Analysis of the Trizetto Facets application for Claims processing
and billing modules.
Gather and document requirements related to a system enhancement for COB
claims
Minimum two years analytical and data processing experience, IT experience
preferred. Health Care or other applicable industry experience is also
preferred
Strong knowledge of SQL and MDM and SOA solutions
Ability to develop data process modeling and mapping
Ability to develop functional requirements and documentation for technical
staff
Requires excellent communication, analytical, facilitation and
interpersonal skills
Ability to work in a team environment
Ability to utilize data mapping or extraction tools



*Regards,*


* Ning*



*West Coast Consulting, LLC*
*Work – 949 743 0065 x 202 • Direct -949 800 5351*

*Fax – 714 844 9091  *

*ning**@westcoastllc.com* <r...@westcoastllc.com>

*www.westcoastllc.com* <http://www.westcoastllc.com/>

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