Edi business analyst job description

The Business Analyst is responsible for enabling high quality business analytics solutions in an Agile context that deliver valued business outcomes and informed decisions for Zelis' key stakeholders. The Business Analyst works as part of the Scrum team to facilitate clear and open communication between Business Owners, Development, Quality Assurance, and the Product Owner. This role provides a major contribution to enhancing Zelis' overall capacity to meet the information technology needs of an ever-changing healthcare market.
Key Responsibilities:

* As an EDI and Partner Adjudication Partner Business analyst you will interact with Product Management, Development, Account Management, sales and operations as a subject matter expert
* You will gather requirements for EDI initiatives centered around EDI formats, the data elements that are received and the process to accept the claim in the door; this will require coordination between teams
* Provide documentation for software updates and existing system functionality for reference by operations
* Work closely with Product Management, Development, QA and UAT to ensure requirements are realized properly upon release to production
* Assist in providing training to operations on newly released items
* Recommend process and efficiency improvements and keep the team informed on upcoming sales & product development improvements
* Assist in managing and prioritizing a backlog of delivery items

Skills, Knowledge and Abilities:

* 3+ years experience in the healthcare field is required
* 5+ years of EDI and related experience, including a thorough understanding of EDI documents and specifications, standards and practices
* Understanding of the Agile methodology
* Highly organized and results driven
* Excellent problem solving and analytical skills
* Basic database skills using MS SQL
* Ability to see the big picture and learn new processes, technologies and envision how they could benefit Zelis

Communication/Project Skills:

* Project Management skills and software proficiency
* Strong group facilitation and presentation skills
* Ability to work through others without direct supervisory responsibility within departments and across the organization and with outside vendors
* Must have excellent communication and presentation skills to effectively interfaces with both internal and external customers

#LI-RZ1

As a leading payments company in healthcare, we guide, price, explain, and pay for care on behalf of insurers and their members. We're Zelis in our pursuit to align the interests of payers, providers, and consumers to deliver a better financial experience and more affordable, transparent care for all. We partner with more than 700 payers, including the top-5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, over 4 million providers, and 100 million members, enabling the healthcare industry to pay for care, with care. Zelis brings adaptive technology, a deeply ingrained service culture, and a comprehensive navigation through adjudication and payment platform to manage the complete payment process.

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