Healthcare EDI Analyst jobs in Tampa, FL

Here we grow again!

Wipro is seeking individuals who combine excellent customer service and problem-solving skills with the ability to function effectively both as part of a team or on an individual basis to bring their talent to our team.

Wipro is a leading global IT Solutions and Services company with over 200,000 dedicated employees serving clients across more than 66 countries.

We offer a strong compensation package that includes competitive pay and day one benefits. Wipro also offers many opportunities for career advancement within our engaging and exciting culture.

· Onsite Tampa, FL

· Work authorization - USC and Green Card only

· No relocation

Job Summary:

The Sr. Business Analyst role is one of both an individual contributor and a deputy manager responsible for assisting Business Analysts and coordinating their efforts in tandem with Sr. Leadership.

This role is vital to the organizational goal of ensuring a seamless Enrollment experience for clients and members.

Extensive knowledge of EDI / Enrollment File Processing, 834 File Reading & Formatting, FFM/SBM Enrollment File Processing Requirements, and the ability to perform data analysis in these fields is required.

This role includes several crucial responsibilities:

· Creating and maintaining documentation of business processes, relevant process control points, internal and external reporting, and gap/needs analysis from an end-to-end perspective.

· Additionally, this role functions as a liaison between Operations, IT, Regulatory/Government Affairs, Clients, and Regulatory Partners/Governing Agencies (Federal and State Based Exchanges, Centers for Medicare and Medicaid Services, etc./).

· The ultimate objective of this role is to ensure seamless and sound business processes along with any necessary control processes are in place, are documented, and adhere/comply with all exchange/regulatory requirements in the Enrollment File Processing space.

· The Analyst will participate in meetings with Operations, IT, Business Partners/Clients, and any applicable Regulatory body to facilitate the understanding, clarification, and implementation of business performance, processes, and controls.

Minimum Requirements:

· Understands business process management and business requirements of the customers and translating them to specific process, control, and reporting requirements

· Very strong technical skills, coupled with business intelligence and a deep understanding of the customer's needs so that they can be transformed into application and operational requirements

· Strong data analysis skills – the ability to create business intelligence

· Writing descriptions of business needs and business program functions, including creating process and data flow diagrams, workflow diagrams, test scripts, training curriculum, and quality assurance/audit procedures.

· Drafting raw curriculum to support development of training materials relevant to the approved client business processes.

· Establishing and maintaining positive client business relationships across the organization, including guiding others in understanding client businesses, processes, and priorities.

· Subject Matter Expertise with EDI, Enrollment File Processing, 834 Files

· Other tasks as outlined by management

· Minimum education of High School Diploma or equivalent

· Minimum of 2 years of work experience that reflects a proven track record of proficiency in the operational competencies noted.

· The ideal candidate is a self-motivated leader knowledgeable in all aspects of Enrollment (EDI / 834) File Processing as it relates to the Federal and State Based Exchanges

· Demonstrate strong organizational skills ensuring effective cross-team collaboration.

· Strong data analysis background is required

Job Type: Full-time

Pay: $70,000.00 per year

Benefits:

• 401(k) matching
• Dental insurance
• Disability insurance
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid holidays
• Paid time off
• Prescription drug insurance
• Vision insurance

Compensation package:

• Yearly pay

Experience level:

• 2 years

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday
• No nights
• Overnight shift

Application Question(s):

• Do you require future sponsorship to continue working in the USA?

Education:

• High school or equivalent (Required)

Experience:

• Healthcare: 1 year (Required)
• EDI 834: 1 year (Required)
• Business process analysis: 1 year (Required)
• Business analysis: 1 year (Required)

Ability to Commute:

• Tampa, FL (Required)

Work Location: In person