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EDI Analyst

Company: CIGNA
Location: Franklin
Posted on: November 15, 2021

Job Description:

Remote, Work from home, Tennessee
eviCore is hiring an EDI developer/QA to provide expert content/professional leadership on complex engineering assignments/projects.
Responsibilities
Designs and develops a consolidated, conformed enterprise data warehouse and data lake which store all critical data across Customer, Provider, Claims, Client and Benefits data.
Designs, develops and implements methods, processes, tools and analyses to sift through large amounts of data stored in a data warehouse or data mart to find relationships and patterns.
Participates in the delivery of the definitive enterprise information environment that enables strategic decision-making capabilities across enterprise via an analytics and reporting.
Exercises considerable creativity, foresight, and judgment in conceiving, planning, and delivering initiatives.
Uses deep professional knowledge and acumen to advise functional leaders.
Focuses on providing thought leadership within Information Management but works on broader projects, which require understanding of wider business.
Recognized internally as a subject matter expert.
Requirements
ITXA, Sterling File Gateway, EDIFECS, EDI Map Development, Sterling Connect: Direct, Symphonia, BPML, GPM& BPEL, XML,XSLT,XSD,WSDL, Sterling Secure Proxy, FTP, HTTP, HTTPS, SFTP, Sterling Control Center, MFT, Troubleshooting, GIS Map Editor, Visual Mapper, Performance Tuning, Production Support
Extensive Knowledge on ITXA Application & ITX Mapping & Sterling Integrator Mapping
Extensive Knowledge on EDIFECS, Onboarding a New Partner and setting up all required processes and perform end to end validations for all the HIPPA transactions and Proprietary File Formats.
Extensive experience in - trading partner setup / on-boarding, mapping specifications and documentation, troubleshooting, problem resolution, customer / vendor / internal customer data issue resolution, interface development for import / export of EDI data.
Highly Experienced on RealTime processes setup and setting up required configuration end to end.
Highly Experienced in handling the windows servers Admin work.
Highly Experienced in doing the ITXA Installations on windows servers and Patching efforts.
Highly Experienced in HIPAA (Health Insurance Portability and Accountability Act), Health Care industry providing Business Process Assessment, Requirements Gathering, Gap Analysis, Implementation and Testing.
Develop Business and Technical Requirements for all 5010 EDI transactions: 270, 271, 276, 277, 278, 820, 834, 835, 837i, 837p, and 837d and unsolicited transactions (271U, 277U).
Ability to create Business Processes (BP's) from scratch and understand existing ones.
Provided analysis from a WTX perspective on map functionality and design for new maps and updated maps.
Design, Develop and Test all the WTX Maps and moved to the Production Environment along with documentations.
Should be able to Understand and Create Shell scripts, Perl scripts and Batch scripts to automate the FTP process, handling of data discards, data errors, compliance errors etc.
Manage to receive large volume of files to trading partners using Sterling File Gateway(SFG)
Sterling Control Center (SCC) Integration, monitoring, SI/Sterling File Gateway (SFG) instance sending notification via SMTP email server.
Set up various communications using Protocols FTP, HTTP and SMTP with trading partners.
Should be capable of handling Production failures and identify the root cause immediately and be able to provide appropriate solutions.
Strong Relational DB understanding
Expert in SQL design, development, and automation
Conceptual, Logical and Physical data modeling
Experience handling large data files and datasets
Able to communicate with application developers and UX designers
ANSI X12 HIPAA: 837 Claims (Institutional, Dental, Professional), 835 (Claim Payment/Remittance), 834 (Benefit Enrolment), 276 & 277 (Claim Status), 270 & 271 (Patient Eligibility), 278, 999, TA, a plus.
This role is WAH/Flex which allows most work to be performed at home. Employees must be fully vaccinated if they choose to come onsite.
This position is not eligible to be performed in Colorado.
About Cigna
Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, youll enjoy meaningful career experiences that enrich peoples lives. What difference will you make?
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: ...@cigna.com for support. Do not email ...@cigna.com for an update on your application or to provide your resume as you will not receive a response.

Keywords: CIGNA, Franklin , EDI Analyst, Professions , Franklin, Tennessee

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