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Type of Requisition: RegularClearance Level Must Be Able to Obtain: NonePublic Trust/Other Required: NoneJob Family: Systems AnalysisGeneral 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.This is a remote opportunity!ResponsibilitiesMonitor 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
Interact directly with stakeholders to resolve issues
Work independently on assigned business partners with a minimum of supervision
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
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
Overseeing and maintain the EDI Inquiry Problem database including the evaluation of problems or issues through to resolution
Conducting regular audits of EDI transactions to determine accuracy and areas for improvement and maintaining EDI maps and business rules for HIPAA validation software
Monitoring the daily receipts and processing of claim files from Medicare contractors along with troubleshooting and resolving data transmission or content problems
Performing analysis based on claim crossover inquiries related to eligibility files and billing.
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 attendance at client meetings for ongoing and prospective projects
Identifying, new business opportunities, new systems and processes and possible improvements that can be made to ongoing operations to present to management
Identifying, establishing and maintaining business relationships with internal and external trading partners and business partners
Training customers and internal employees on the data exchange processes available and the data exchange systems
Performing other duties in support of the organization/EDI mission as directed by management
Coordinate tasks with our BCRC partners to ensure that all EDI information is correctly formatted to enable us to provide an accurate Response File back to complete the transaction
Assist in User Acceptance Testing of system enhancements prior to being moved into production
Assist in the development and updating of educational material for the COBSW Site for all EDI Activities
Closely work with our external customers to ensure they have a smooth transition from testing to production
Respond to inquiries from CMS Central Office and CMS Regional Office staff
EducationBachelor’s Degree in Computer Science or related fieldQualificationsRequiredMinimum of 3+ years experience in EDI Activities or related Health Insurance Coordination of Benefits activities
Knowledge of Amazon Web Services, Linux, IBM mainframe, utilities and JCL, TSO, and CICS
Knowledge of health insurance concepts such as Medicare Part A, B, C and D
Proven understanding of health insurance concepts and/or experience in HIPAA EDI 837 Professional and Institutional files structures and guidelines
Designated office space in order to work from home
DesiredKnowledge of data processing systems and hardware particularly personal computers
Working knowledge of object oriented programming
Excellent verbal and written communication skills
Knowledge of telecommunication data delivery methods and telecommunication software and concepts such as NDM (Connect Direct) and), FTP and dedicated connections
Experience in the implementation of maintenance of trading partner accounts in a high-volume, high-paced operation using flexibility in terms of managing many account with unique requirements
Working knowledge of EDI data translation/validator support, i.e. Sterling Gentran/Ingenix Faciledi a plus
Ability to communicate effectively with all levels of management and communities
Effective verbal and written communication skills
Excellent interpersonal and customer relationship skills with the ability to work in a very fast paced environment
Ability to learn new concepts quickly and independently while maintaining effective communications with other team members
Strong PC skills including working knowledge and proficiency with Microsoft Office products
Past experience working remotely in an at-home office
COVID-19 Vaccination: GDIT does not have a vaccination mandate applicable to all employees. To protect the health and safety of its employees and to comply with customer requirements, however, GDIT may require employees in certain positions to be fully vaccinated against COVID-19. Vaccination requirements will depend on the status of the federal contractor mandate and customer site requirements.We are GDIT. The people supporting some of the most complex government, defense, and intelligence projects across the country. We deliver. Bringing the expertise needed to understand and advance critical missions. We transform. Shifting the ways clients invest in, integrate, and innovate technology solutions. We ensure today is safe and tomorrow is smarter. We are there. On the ground, beside our clients, in the lab, and everywhere in between. Offering the technology transformations, strategy, and mission services needed to get the job done.GDIT is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, or any other protected class.