Healthcare EDI Analyst jobs in Minneapolis, MN

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)

Recently Added Healthcare EDI Analyst jobs

IT Business Analyst - Healthcare

LifeScale Analytics
Minneapolis, MN PART_TIME

Who we are:
Lifescale Analytics, a woman-owned small business (WBENC and WOSB certifications) provides specialized expertise in data and analytics. Formed in 2012, the Lifescale Analytics team has years of experience providing a spectrum of customized data management services and solutions including Data Management/Analytics, Big Data Solutions, Cloud Services, Business Intelligence and Data Science that focuses on building strong portfolios and programs. Through experience and innovation, we allow businesses, pharmaceutical companies, financial institutions, and government agencies to manage and proactively make decisions based on their biggest asset, their data. Our specialists are skilled at managing, refining, analyzing, or visualizing information for the specific purpose of increasing the value of IT to benefit from the data science industry.

Employment Qualifications:
Applicants responding to this position must be a US Citizen and may be subjected to a government security investigation which requires possessing the ability to view classified government information, background checks and drug screening. All applicants applying must have lived in the US for the past 5 years and cannot have traveled out of the country more than 6 months (cumulatively) in the past five years. (Military Service excluded).

The Employer will not sponsor applicants for any employment visas, at hiring or in the future, including but not limited to H-1B visas. Corp-to-Corp or subcontract personnel will not be considered for this position.

Job Title

IT Business Analyst - Healthcare

Location

Minneapolis, MN US (Primary)

Job Type

Part-Time

Career Level

Education

Bachelor's Degree

Travel

None

Security Clearance Required

None

Job Description

At Lifescale Analytics, we help achieve data driven decisions by leveraging strategic technologies to create innovative solutions, that ultimately help our clients to navigate their ever-changing data landscape. We have an opportunity for an IT Business Analyst. Will be responsible for identifing and requesting appropriate operational resources to perform and/or facilitate User Acceptance Testing (UAT) in partnership with the GuidingCare product team, Health analytics team, and other Health teams requiring UAT support. This role will be a Hybrid role, need to be able to be onsite in Minneapolis, MN. Must have at least three years of operational and/or healthcare industry experience.

Responsibilities:

Drive the identification, documentation, and communication of activities to support Hennepin Health teams on this project.
Partner with Hennepin Health IT and Integrations teams to ensure alignment to processes and systems.
Collaborate with key partners to prioritize backlog of Hennepin Health cross departmental initiatives to design new workflows and analytic assets.
Ensure optimal subject matter expertise participation for cross functional projects, workgroups, and committees.
Other projects and duties as assigned.

See table below for detailed expected work to be performed and deliverables:

Operational/ Functional Area	Scope	Activities	SME Resourcing Considerations	Expected Deliverables
Phase 2 Planning	Evaluation of opportunities Capture business requirements specifications to use for SOW	Perform SME interviews. Gap analysis (Enhancements coming out of testing) Perform impact analysis. Prioritization of proposed scope Governance development	Coordination with all teams during Phase 1. Capitalize on coordination of testing and improvement recommendations from team. Primary engagement with: Test Lead and Change Manager	Business case document Workflows & SOPs of Day 1 functionality Strategic Playbook Financial planning HR impacts (resulting from new tools and processes)
Faxing Integration	API Integration for Inbound & Outbound Payer Authorization Portal Integrations Prior Auth & Decisioning Impact Evaluation	Document new API fax process E2E Work with Central IT Fax Services to capture Requirements. Draft funding request if required. Work with HC Enterprise Architect for County approval	Coordination with HCIT Fax, HHIT, Rx, UM and Compliance	Workflow for API Implementation Support Documentation Test Cases
Operational/ Functional Area	Scope	Activities	SME Resourcing Considerations	Expected Deliverables
Case Management	Assessments Care plan development Care Giver Management Integration with Support Services	Work with Define requirements for Surveys & Assessments (~ 30) Advocacy Integration & Access to 3^rd party tools to support services.	Primary engagement with: CCM	Business Requirements for in-house development SOPs Workflows
Finance (Risk Management)	CDPS to Support Finance Activities Evaluation of data driven care management activities in new system	Capture requirements for a Risk Management solution Document As Is workflow and integration with other processes. Evaluation of OOB reporting to determine improvement opportunities	Primary engagement with: Finance	Business Requirements
Restricted Recipients	Improved DHS data integrations	Evaluation of process improvement activities to reduce manual touch-points. Review & refinement of processes with UM & Pop Health	Primary Engagement: UM, Quality and Compliance	Updated process workflows BRD for Guidingcare changes & integration file requirements
Transportation	Customer Care Transportation providers After Hours Authorization FACETS Reconciliation Compliance/Audit	Capture Improvement & Feature enhancements during testing Document reconciliation process for support, process improvement/automation Document Defect Management process (loss process) Develop SOPs for Customer Support Update Transportation provider communications	Primary Engagement: Customer Care, Claims, Integrations	Updated workflows SOP for reconciliation process(es) Recommendations on automation processes to reduce losses
FACETS/Authorization Optimization	Claims (Cognizant Collaboration) Customer Care Reconciliation Compliance/Audit	Collaboration with Cognizant on new Claims process project Document new workflow Capture requirements for changes to feeds, integration and cross-walks	Primary Engagement: Integrations, Claims, IT	Requirements Test cases Workflows
New Data Ingestion	Lab Data Risk Score		Primary Engagement: Quality, Pop Health, IT, Integrations	Requirements
Operational/ Functional Area	Scope	Activities	SME Resourcing Considerations	Expected Deliverables
Quality Measures	HEDIS New Enrollee Programs Expanding SNP activities and KPIs	Workflow optimization of Campaign Management activities Program Development documentation & Workflow	Primary engagement with: Quality Following critical compliance Black dates	SOPs Business Requirements for in-house development Identification of data needs & feeds
Population Health	Gap in Care Analytics	Work with data scientist to determine critical system data requirements. Capture Stakeholder impacts (support outreach/Quality and patient engagement activities)	Engagement with the new Pop Health team (Director and data scientist)	Data source mapping documentation System requirements Business requirements
Authorization Portal (Provider Access)	Interoperability Provider Engagement	Journey Mapping Interview HH leadership for goals & Objectives for solution Develop Business Requirements Survey Providers Identify integration touch-points	Primary engagement: TBD, unclear who will own this new process	Advancing Interoperability Assessment (HL7 preparedness)
Member Engagement Portal	Outreach management Content management Setup & Oversight Member enrollment integration Provider Visit tracking Field office visit tracking Material distribution	Define requirements & KPIs Administrative cost saving analysis Touch-point analysis (what operational areas will be impacted by the change, and have new processes)	Primary Resource: Change Manager, Medical Administration, Campaign Management	Impact Analysis Business Objective Summary HR Hiring/restructuring considerations Performance KPIs

Job Requirements

At least three years of operational and/or healthcare industry experience.
Experience defining user and functional requirements, BSA certification or similar credentialling.
Proficient with Microsoft Office Suite of products.
Familiar with healthcare plan management and case management software
Ability to present a variety of data elements in graphical and presentation form including experience with pivot tables.
Oversee the analysis and representation of Hennepin Health clinical and business processes, key metrics, and systems.
Ability to develop flowcharts, workflow processes using Visio, Smartsheet, Microsoft PowerPoint and Lucid charts.
Proficient in downloading and manipulating files in Excel.
Attention to detail and a high level of accuracy.
Strong mathematical and analytical skills essential.
Organizational skills and ability to handle multiple priorities and ability to set priorities and complete assignments with minimal supervision.
Demonstrated ability to handle and maintain confidential and sensitive information.
Ability to work in a fast-paced continuously changing environment.
Ability to work with minimal supervision; must demonstrate initiative and critical thinking in following through with tasks.

Education:

Bachelor’s degree in a related field.

We are equal opportunity/affirmative action employers, committed to diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability, or protected veteran status, or any other protected characteristic under state or local law.

9 Days Ago

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Healthcare Business Analyst

NorthShore Resources, Inc.
Minneapolis, MN FULL_TIME
NorthShore Resources direct client is seeking a local Healthcare Business Analyst for a 6 month on-site contract opportunity. Candidates need to be local to the twin cities and have the following skil...
9 Days Ago

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Senior Insurance Analyst - Healthcare

Merchants Capital Corporation
Bloomington, MN FULL_TIME
DescriptionAs the Senior Insurance Analyst – Healthcare, you will collaborate with the healthcare asset management team, private label clients, and third-party vendors to ensure insurance coverage is ...
1 Month Ago

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Investment Banking Summer Analyst-Healthcare

B C Ziegler & Co
Minneapolis, MN INTERN
2025 SUMMER INTERNSHIP (Please only apply if you are looking for an internship in 2025) CORPORATE PROFILEZiegler is a privately held, national boutique investment bank, capital markets and proprietary...
27 Days Ago

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IT - EDI Integration Developer

Arrowhead Engineered Products
Blaine, MN FULL_TIME
Summary: The EDI Integration Developer will support Arrowhead by building and testing Electronic Data Interchange (EDI) processes. This individual will leverage excellent written and verbal communicat...
1 Month Ago

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Laboratory Systems Analyst

Hennepin Healthcare
Minneapolis, MN FULL_TIME
SUMMARY: We are currently seeking a Laboratory System Analyst to join our Lab Administration team. This part time role will work 40 hours within a two week pay period, on days. Also includes on-call c...
16 Days Ago

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0 Healthcare EDI Analyst jobs found in Minneapolis, MN area

HR Management Analyst (UFT)

Minneapolis Community and Technical College
Minneapolis, MN
Position Details Position Information Classification Title Management Analyst 2 Working Title HR Management Analyst (UFT...
4/24/2024 12:00:00 AM

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Cloud System Administrator

Genesis Corp./New Journey AI LLC
Minneapolis, MN
Genesis10 is seeking a Cloud System Administrator for a contract with our client in Minneapolis, MN. 100% Remote. Job De...
4/22/2024 12:00:00 AM

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Senior Statistician (Full-time, Remote)

Integrity Management Services Inc.
Minneapolis, MN
Full-Time Employee Remote http://www.integritym.comAbout Us Integrity Management Services, Inc. (IntegrityM) is an award...
4/22/2024 12:00:00 AM

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Senior Product Manager - Fraud and Identity (Remote US)

Experian
Minneapolis, MN
Experian is the worlds leading global information services company. During lifes big moments from buying a home or a car...
4/22/2024 12:00:00 AM

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Databricks Platform Engineer

The Ash Group
Minneapolis, MN
Databricks Platform Engineer No C2C or 3rd party candidates Must be able to work W2 without sponsorship Pay Rate: 81/Hr ...
4/22/2024 12:00:00 AM

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Cyber Vulnerability Analyst - Mostly Remote

Global Engineering & Technology Inc.
Minneapolis, MN
THIS IS A HYBRID-REMOTE POSITION. In its majority, work will be performed remotely, from the employee's place of residen...
4/22/2024 12:00:00 AM

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Hospital Billing Application Analyst ** Largely Remote **

Amerit Consulting
Minneapolis, MN
Overview: Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest...
4/22/2024 12:00:00 AM

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Hospital Billing Application Analyst (MOSTLY REMOTE)

Amerit Consulting
Minneapolis, MN
Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health de...
4/22/2024 12:00:00 AM

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About Minneapolis, Minnesota

Minneapolis (/ˌmɪniˈæpəlɪs/ (listen)) is the county seat of Hennepin County and the larger of the Twin Cities, the 16th-largest metropolitan area in the United States. As of 2017, Minneapolis is the largest city in the state of Minnesota and 45th-largest in the United States, with an estimated population of 422,331. The Twin Cities metropolitan area consists of Minneapolis, its neighbor Saint Paul, and suburbs which altogether contain about 3.6 million people, and is the third-largest economic center in the Midwest. Minneapolis lies on both banks of the Mississippi River, just north of the riv...

Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia

Income Estimation for Healthcare EDI Analyst jobs

$56,321 to $75,946

Minneapolis, Minnesota area prices
were up 1.4% from a year ago

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