Senior Business Systems Analyst

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Job description

Overview of Position

Business Systems Analyst will assist Operations, Product, and Data Quality teams with detailed analysis in both automated and manual solutions related to processing EDI 835 transactions. Involved in conducting detailed analytical exercises to define problems, identify deficiencies and improve solutions which impact the organization's effectiveness. This role will collaborate with internal and external stakeholders to define business requirements for issue resolution activities and process improvement.What will be my duties and responsibilities in this job?

+ Conducts detailed analysis on 835 transactions and remittance documents regarding quality issues for resolution through internal teams and external client interactions

+ Work with clients and internal business partners as a member of the ERA quality team to collect, analyze, construct, and support technical requirements for client implementations and technical issues

+ Produce gap analysis documentation to remedy quality concerns with transaction sets

+ Defines quality attributes and/or develops basic test scenarios to support unit and functional testing

+ Conducts requirements reviews; evaluating clarity, conciseness, comprehensiveness, and appropriateness of specifications

+ Within the scope of strategic/corporate initiatives; elicits requirements, creates documentation, participate in risk management, and works with project teams to determine prioritization

+ Provides expert knowledge and analysis of ANSI X12 Healthcare EDI standards with an emphasis on 835 (ERA) transactions and business to business payments.

+ Conducts X12 analysis on EDI dataset using EDI validation and apply business edits for resolution.

What are the requirements needed for this position?

+ Bachelor's degree in Computer Science or equivalent

+ 5+ years of professional experience in a technical and analytical role

+ 5+ years of experience working with 835 transactions

+ Ability to analyze and troubleshoot 835 (ERA) transactions including balancing claim/service line amounts

+ Strong understanding of healthcare revenue cycle concepts required

+ Understanding of X12 EDI processing methodologies and file structures

+ Ability to identify and understand the business problem and the impact of the proposed solution on the operations of the organization

+ Strong understanding and broad range of experience with technical systems

What other skills/experience would be helpful to have?

+ 5+ years of professional experience in a Healthcare technical and analytical role

+ Experience billing claims and/or posting remittance transactions is desirable

+ Strong organizational and project management skills

+ Ability to interact with internal staff at all levels

+ Excellent oral and written skills in order to effectively communicate with customers and internal staff

+ Ability to develop and deliver presentation materials

+ Demonstrates ability to use technology effectively and productively

What are the working conditions and physical requirements of this job?

General office demands

How much should I expect to travel?

Up to 5% travel may be required

Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement.

Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!

COVID Mandate

As a federal contractor, Change Healthcare is adhering to the Executive Order which mandates vaccination. As such, we are requiring all U.S. new hires and employees to show proof of being fully vaccinated for COVID-19 or receive an approved accommodation by their date of hire, as a condition of employment.

As we continue to navigate the ever-changing COVID-19 pandemic, we remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. Proof of vaccination or accommodations requests will be collected once an offer is accepted with Change Healthcare. All accommodation requests will be carefully considered but are not guaranteed to be approved.

Equal Opportunity/Affirmative Action Statement

Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at and the supplemental information at \_EEO\_Supplement\_Final\_JRF\_QA\_508c.pdf.

If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.

Click here \_%20English\_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.

California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare's Privacy Notice to California Job Applicants Regarding the Collection of Personal Information () .

Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.

Change Healthcare is an equal opportunity employer. All qualified applicant will reveive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.

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