*Dear All,If you have anyone with you for the following position, please send the suitable resume along with Contact Details, Current Location and Pay Rate as soon as possible.Kindly share suitable resumes ASAP to mayan...@idctechnologies.com <mayan...@idctechnologies.com> Your earlier reply would be highly appreciated*
*POSITION TITLE: EDI Analyst* *Location: San Francisco, CA* *6+ months* *Face To Face* *POSITION SUMMARY* The incumbent in this position is responsible for providing documentation support of various EDI files, performing quality assurance data analysis, and act as a liaison between SFHP and external data partners, including State and other contractual/regulatory agencies. *ESSENTIAL DUTIES & RESPONSIBILITIES* - Review and assess the quality and accuracy of SFHP’s current HIPAA Companion Guides for many transactions sets (to include 834, 837, 835 and 997/9) - Recommend and draft specific updates to Companion Guides and submit for review by EDI Manager. - Perform Daily inbound and outbound EDI process workflow and accuracy analyses; ensure processes are completed correctly on time; perform necessary quality assurance; assess and communicate any issues related to these processes with internal/external entities when necessary. - Assist with requirements gathering as needed. - Perform ad-hoc data analysis and QA; propose and execute solutions to data issues · Analyze various health care data from conceptualization through presentation of the data. - Build and maintain reliable customer service to internal and external entities. - Collaborate with internal business units to create and document analysis specifications. - Identify data anomalies and gaps; propose solutions. - Performs other related duties and special projects as assigned. *CORE COMPETENCIES / KNOWLEDGE & SKILL REQUIREMENTS* · Virtuoso knowledge of HIPAA/EDI X12 4010/5010 healthcare-related file formats including 834, 835, 837, 997/9, 277, 820, and NCPDP formats. · Ability to synthesize data from various sources and perform various types of data analysis. · Moderate skill level using SQL programming language, MS Access, and/or MS Excel. · Familiarity with standard regulatory reporting requirements such as HEDIS measures. · Familiarity with industry standard health data code sets such as ICD-9/ICD-10, CPT/HCPCS, revenue codes, and NDC (Pharmacy). · Strong organization, time management and multi-tasking abilities. · Solid analytical skills and problem solving skills with the ability to formulate and communicate recommendations for improvement. · Have the ability to work effectively with others and have good interpersonal skills. · Be highly organized and work well under pressure. · Must be willing to accept responsibility and to show good judgment, initiative, and resourcefulness. *EDUCATION, EXPERIENCE & TRAINING REQUIRED* - Bachelor’s degree or higher in relevant field (or 5 years of working in similar capacity). - Minimum 5-7 years of proven ability to interpret data in order to locate anomalies and recommending corrections plans. - Minimum 5-7 years of experience in analysis of healthcare data (pharmacy, encounter, and membership), including knowledge of relevant code sets (diagnosis, procedure, revenue codes). - Minimum 2-3 years of experience using Microsoft Excel to perform analysis and create reports - Minimum 2-3 years of data analysis. *Thanks & Regards* * Mayank Tripathi* *Technical Recruiter* *IDC Technologies* *1851 McCarthy Blvd. Suite 116, Milpitas, CA 95035 Phone: 408 457 9399 EXT-2083, Fax: 408-608-6088* *Email: mayan...@idctechnologies.com <mayan...@idctechnologies.com> Website: **www.idctechnologies.com* <http://www.idctechnologies.com/> *GTalk/YM: mtripathi.recruiter MP Please consider the environment before printing this email. * *"Under Bill s. 1618 Title III passed by the 105th U.S. Congress this mail cannot be considered spam as long as we include a way to be removed from our mailing list. Simply send us an e-mail with REMOVE in the subject and we will gladly REMOVE you from our mailing list."* -- You received this message because you are subscribed to the Google Groups "SAP-UK" group. To unsubscribe from this group and stop receiving emails from it, send an email to sap-uk+unsubscr...@googlegroups.com. To post to this group, send email to sap-uk@googlegroups.com. Visit this group at http://groups.google.com/group/sap-uk. For more options, visit https://groups.google.com/d/optout.
