TISTA

Senior Healthcare HIPAA EDI Data Analyst

New

PayCompetitive
LocationRemote
Employment typeOther

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  • Job Description

      Req#: 5534
      Employer Industry: Healthcare Technology

      Why consider this job opportunity:
      - Salary up to $92,500
      - Opportunity for career advancement and growth within the organization
      - Flexible remote work options available
      - Comprehensive benefits package, including healthcare savings accounts, paid time off, and tuition reimbursement
      - Supportive and collaborative work environment with mentorship opportunities
      - Chance to work on impactful projects within the healthcare sector

      What to Expect (Job Responsibilities):
      - Provide subject-matter expertise on EDI data and quantitative solutions
      - Manage and ensure the execution of HIPAA-compliant EDI transactions
      - Lead initiatives to resolve claim rejections and eligibility errors
      - Analyze EDI transaction lifecycles to identify and implement process improvements
      - Collaborate with cross-functional teams to design and refine EDI solutions

      What is Required (Qualifications):
      - Minimum of 5 years of relevant experience in data mining, modeling, and EDI transactions
      - Proficient in EDI standards and practices, including ASC X12
      - Experience with EDI onboarding, mapping, testing, and troubleshooting
      - Strong knowledge of healthcare coding standards, including ICD-10 and CPT
      - Ability to work independently and demonstrate decision-making capability

      How to Stand Out (Preferred Qualifications):
      - Experience in a customer-facing role, capturing business requirements
      - Familiarity with SQL Server databases and ETL/Data Warehousing skills
      - Experience working in a SAFe Agile team environment
      - Knowledge of translator tools and EDI layouts
      - Background in Federal programs with high visibility

      #HealthcareTechnology #EDI #RemoteWork #CareerOpportunity #DataAnalysis

      "We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."
  • About the company

      TISTA is a SDVOSB & 8(a) company based in Rockville MD that provides IT and professional services to Federal, State & Local, and Commercial Clients nationwide.