Healthcare EDI Analyst jobs in Round Rock, TX

Healthcare EDI Analyst provides technical support during and after implementation for electronic data interchange applications used in healthcare settings. Responds to inquiries from vendors, payors, and providers regarding EDI issues with enrollment, claims, payments, and clearinghouse activities. Being a Healthcare EDI Analyst troubleshoots problems and deploys solutions to resolve issues. Conducts root cause analysis to prevent future problems and to suggest improvements. Additionally, Healthcare EDI Analyst may require a bachelor's degree. Typically reports to a manager. The Healthcare EDI Analyst work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Healthcare EDI Analyst typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)

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Healthcare Business Analyst, Austin, Tx
  • Pedigo Staffing Services
  • Austin, TX FULL_TIME
  • Working Title: Healthcare Business Analyst
    Agency: Texas Health and Human Services Commission 
    Location: 701 W 51st Street Austin, TX 78751
    Solicitation Reference Number: 529400712
    Telework Policy: Remote work Monday - Friday
    Title/Level: Business Analyst 3
    Telework Scope: Telework option, hours are flexible
    • Reviews, analyzes, and evaluates business systems and user needs. Formulates systems to parallel overall business strategies. Experienced with business process reengineering and identifying new applications of technology to business problems to make business more effective. Familiar with industry standard business process mapping, and reengineering. Prepares solution options, risk identification, and financial analyses such as cost/benefit, ROI, buy/build, etc. Writes detailed description of user needs, program functions, and steps required to develop or modify computer programs.

       

      The Worker will serve as a senior Business Analyst/Product Owner for the project of integrating the credentialing data used by Managed Care Organizations (MCOs) into the Provider Enrollment Management System (PEMS). PEMS is HHSC’s system for enrolling providers into the Medicaid program. Providers must be enrolled in order to deliver services to Medicaid clients and receive payment from HHSC or the Medicaid MCOs. The credentialing process ensures providers have appropriate credentials to provide the services for which they choose to enroll. For example, a physician’s license would be verified through the credentialing process. This project will ensure the credentialing process is fully integrated into the PEMS application to streamline provider enrollment and reduce the number steps providers must take to get enrolled and credentialed. 

      The Worker will be responsible for delivering quality products that meet the state's desired operational and technical requirements. The Worker will have considerable latitude to use their experience and judgement to ensure successful completion of their assigned tasks. The Worker will be required to multi-task, analyze priorities, communicate clearly, and set expectations for the phases of the project. The worker will be responsible for communicating with multiple internal and external stakeholders including program and technical staff, and other contracted and vendor resources. The Worker will participate in meetings, track deliverables and schedules, and alert management of any project issues . This position will work closely with the Director and the Deputy Associate Commissioner for Medicaid and CHIP Serivces, Operations Management.  

      Thes will be a key role in ensuring the success of the integration of credentialing data in the PEMS.

      The Business Analysts, PEMS Credentialing Integration (PEMSCI) will:

      • Analyze program policies, procedures, and processes to determine the impact on business systems and functional areas.

      • Analyze and review system, data, and project deliverables such as business user requirements, design documentation, test plans, and risk assessment plans to ensure business and technical requirements are met.

      • Work with program area staff to solicit, analyze and document business processes and requirements.

      • Act as a liaison between state staff and vendors to translate operational and business requirements to vendors.

      • Serve as the Product Owner for an agile team, including working with agile/scrum teams of contracted software vendors to implement system changes.

      • Analyze and write User Stories with Acceptance Criteria based on business needs and according to the Agile methodology.

      • Develop and maintain business user test scenarios and participates in systems and user acceptance testing.

      • Tracks document and report the status of testing.

      • Evaluate proposed test strategies to ensure appropriate test coverage.

      • Identify potential project risks and issues and develop mitigation strategies,

      • Report project status to management and the Project Manager on established timelines. 

      • Document action items and business decisions.

      • Conduct meetings and/or presentation tasks as needed.

      • Manage schedule for deliverables as established.



      II.  CANDIDATE SKILLS AND QUALIFICATIONS
      Minimum Requirements:
      Candidates that do not meet or exceed the minimum stated requirements (skills/experience) will be displayed to customers but may not be chosen for this opportunity.
      Years Required/Preferred Experience
      8 Required Experience in performing complex business analysis and writing technical documentation.
      8 Required Experience reporting project status to management including risks, issues, and key decisions.
      8 Required Experience identifying project risks and issues; and developing/implementing mitigation strategies.
      8 Required Experience utilizing business analysis skills and interacting with business end users to gather, validate and document business requirements and translate into technical solutions to satisfy the business needs.
      8 Required Experience performing review and approval processes of complex technical user and system requirements written by vendors.
      8 Required Experience with Microsoft Office products (Teams, Word, Excel, PowerPoint).
      8 Required Experience coordinating and developing test plans/strategies, exit criteria and test scenarios.
      8 Required Experience executing detailed test cases within a complex software environment.
      8 Required Experience using testing management software.
      8 Required Experience with Microsoft Project or similar project management software.
      8 Required Experience utilizing the Agile software development methodology.
      8 Required Experience as Senior Business Analyst or Agile Product Owner.
      4 Preferred Experience with Texas Medicaid.
      4 Preferred Familiarity with Federal funding requests (Advanced Planning Documents).

      III.  TERMS OF SERVICE


      Services are expected to start 11/15/2023 and are expected to complete by 08/31/2024. Total estimated hours per Candidate shall not exceed 1584 hours. This service may be amended, renewed, and/or extended providing both parties agree to do so in writing.
      IV. WORK HOURS AND LOCATION


      Services shall be provided during normal business hours unless otherwise coordinated through the Texas Health and Human Services Commission. Normal business hours are Monday through Friday from 8:00 AM to 5:00 PM, excluding State holidays when the agency is closed.

      The primary work location(s) will be at 701 W 51st St Austin, TX 78751. Any and all travel, per diem, parking, and/or living expenses shall be at the Candidate's and/or Vendor's expense. Texas Health and Human Services Commission will provide pre-approved, written authorization for travel for any services to be performed away from the primary work location(s). Pre-approved travel expenses are limited to the rates and comply with the rules prescribed by the State of Texas for travel by its classified employees, including any requirement for original receipts.

      The Candidate(s) may be required to work outside the normal business hours on weekends, evenings and holidays, as requested. Payment for work over 40 hours will be at the hourly rate quoted and must be coordinated and pre-approved through Texas Health and Human Services Commission.
  • 17 Days Ago

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Senior Analyst, Strategic Finance
  • SUVIDA HEALTHCARE MASTER
  • Austin, TX OTHER
  • Job Details Level: Experienced Job Location: Austin (Headquarters) - Austin, TX Salary Range: Undisclosed DescriptionWho We Are At Suvida Healthcare, we realize it takes a community of shared values a...
  • 11 Days Ago

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Board Certified Behavior Analyst (BCBA)
  • Maxim Healthcare Services
  • Austin, TX OTHER,FULL_TIME
  • The Board Certified Behavior Analyst (BCBA) provides supervisory oversight to Behavior Technicians. They consult, provides trainings, conduct behavioral evaluations of children with ASD, and direct be...
  • Just Posted

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Healthcare Recruiter
  • Maxim Healthcare Services
  • Austin, TX FULL_TIME
  • Why Maxim Healthcare?When you work at Maxim, you’re part of a network of more than 175 local offices that have deep roots in each of the communities we serve, while still leveraging the resources and ...
  • Just Posted

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Registered Nurse / Home Healthcare
  • Cross Country Healthcare
  • Fredericksburg, TX FULL_TIME
  • Job DescriptionAs a home health nurse (RN HH), you will deliver healthcare in patients' residences, helping them maintain their independence. You will provide one-on-one care for patients in their hom...
  • 9 Days Ago

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Architect (Healthcare)
  • O'Connell Robertson
  • Austin, TX FULL_TIME
  • ARCHITECT (Healthcare) LOCATION | Austin, TX REPORTS TO | Director of Architecture JOIN OUR TEAM! We’re looking for more than an ‘employee’. We’re looking for high impact individuals; someone as passi...
  • 6 Days Ago

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0 Healthcare EDI Analyst jobs found in Round Rock, TX area

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Sales/Account Manager III: 24-00558
  • Akraya, Inc.
  • Austin, TX
  • Primary Skills: Sales Account Management, E-commerce, Category Management, Seller Optimization Contract Type: W2 Duratio...
  • 3/28/2024 12:00:00 AM

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Travel Nurse RN - Med Surg - $1,567 per week
  • PRN Healthcare
  • Cedar Park, TX
  • Ardor Health Solutions is seeking a travel nurse RN Med Surg for a travel nursing job in Cedar Park, Texas. Job Descript...
  • 3/28/2024 12:00:00 AM

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Travel Nurse RN - Med Surg - $1,546 per week
  • Adventist Health
  • Cedar Park, TX
  • Supplemental Health Care is seeking a travel nurse RN Med Surg for a travel nursing job in Cedar Park, Texas. Job Descri...
  • 3/28/2024 12:00:00 AM

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AI System Failure Analyst Engineer
  • ZT Systems
  • Georgetown, TX
  • ** Initial work location to be Austin, TX but will move to Georgetown, TX in Q1 2024. December 2023 graduates are welcom...
  • 3/26/2024 12:00:00 AM

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AI System Sr. Failure Analyst Engineer (Georgetown, TX)
  • ZT Systems
  • Georgetown, TX
  • ** Initial work location to be Austin, TX but will move to Georgetown, TX in Q1 2024. MS Electrical Engineering or Compu...
  • 3/26/2024 12:00:00 AM

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Lead Cogito Business Intelligence Developer (EPIC Developer) (REMOTE)
  • CommUnityCare Health Centers
  • Austin, TX
  • Overview: Residing on the Reporting, Analytics, and Business Intelligence Team, the Lead Cogito BI Developer leads and p...
  • 3/26/2024 12:00:00 AM

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Board Certified Behavior Analyst (Bcba) - IN Home Services Round Rock
  • Centria Autism
  • Round Rock, TX
  • Centria Autism is the largest provider of Applied Behavior Analysis (ABA) for children with Autism Spectrum Disorder (AS...
  • 3/25/2024 12:00:00 AM

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Systems Analyst
  • Northland Controls
  • Austin, TX
  • Job Details Job Location Austin, Texas - Austin, TX Description Northland Controls is seeking an embedded System Analyst...
  • 3/25/2024 12:00:00 AM

Round Rock is a city in the U.S. state of Texas, in Williamson County (with a small part in Travis), which is a part of the Greater Austin, Texas metropolitan area. The population was 99,887 at the 2010 census. The city straddles both sides of the Balcones Escarpment, a fault line in which the areas roughly east of Interstate 35 are flat and characterized by having black, fertile soils of the Blackland Prairie, and the west side of the Escarpment which consists mostly of hilly, karst-like terrain with little topsoil and higher elevations and which is part of the Texas Hill Country. Located abo...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Healthcare EDI Analyst jobs
$51,883 to $69,964
Round Rock, Texas area prices
were up 1.2% from a year ago