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Edifecs/EDI Systems Analyst II
full-timeDayton$72k - $115k

Summary

Location

Dayton

Salary

$72k - $115k

Type

full-time

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About this role

Job Summary:

The Edifecs/EDI Systems Analyst II or III, depending on experience, is responsible for collaborating with internal and external customers to elicit their business requirements and develop workable solutions.

Essential Functions:

  • Leverage appropriate modeling techniques to elicit requirements for software development

  • Recognize inconsistencies and gaps in a complex business process for electronic Claims; Enrollment; Remittance Advice; Eligibility and etc.

  • Assist in planning activities and development of business case documents and User Stories

  • Through research and analysis, identify systems impacted by requirements, possible interfaces, cross team dependencies and affected lines of business

  • Translate business needs and technical requirements by authoring clear agile User Stories and Features

  • Serve as a liaison between technical teams and users, stakeholders.

  • Experience collaborating with business stakeholders, architects, developers, analysts, and testers to drive end-to-end solutions.

  • Perform root cause analysis

  • Build, sustain, and leverage relationships with persons within his/her area of immediate responsibility

  • Assist QA in preparation of test scenarios, test data, research errors and troubleshot stuck files.

  • Sets day-to-day objectives and delivers job responsibilities that may vary outside typical norms or practices.  Work consists of tasks that are occasionally not routine and often works independently and is required to apply discretion within established operational boundaries and procedures.

  • Problems and issues faced are occasionally vague and may need some analysis to understand.  Makes adjustments to work methods to solve problems that may not be immediately evident in existing work processes and systems. However, may have references or help from norms and/or standard procedures to solve these problems.

  • Participate in feature refinement meetings.

  • Create and write user stories from features. Refine the written user stories with the team members.

  • Take a proactive role in promoting and enforcing effective requirements gathering and documentation practices.

  • Perform any other job duties as requested.

Education and Experience:

  • Bachelor’s degree in Computer Science, Information Systems, Business Administration or related field or equivalent years of relevant work experience is required

  • Two (2) years of experience in requirements management is required

  • Two (2) years of experience working in EDI, Facets, CCA, SAP, CRMs or other similar enterprise systems is required

  • Familiarity with the healthcare environment (Medicaid/Medicare) is required

  • EDIFEC’s Platform Experience is preferred

  • Experience designing interfaces and/or mocking up user interfaces to support and display the information in multiple UI disciplines (Web, Mobile, Client Server, etc.) is preferred

  • Familiar with Agile process and ceremonies

Competencies, Knowledge, and Skills:

  • Ability to establish effective working relationships with stakeholders at all different levels

  • Proficient in all areas of requirements elicitation (facilitation, process modeling, requirements documentation)

  • Experience in creating and writing technical specifications within an agile framework: Epic, Feature, Story, and Task; understands key components of good story writing to enable adaptation of standard industry formats and approaches for effective use

  • Understanding of project lifecycles coupled with the software development lifecycle, including processes, techniques, continuous delivery, tools agile, test-driven development, and waterfall

  • Thorough understanding of business analysis principles

  • Flexibility during organizational and/or business changes

  • Effective problem-solving skills with attention to detail

  • Ability to develop, prioritize and accomplish goals

  • Strong interpersonal skills including excellent written and verbal communication skills; listening and critical thinking

  • Ability to effectively prioritize and execute tasks while working both independently and in a team-oriented, collaborative environment

  • Ability to handle multiple tasks and projects in parallel.

Licensure and Certification:

  • Certifications around our core technical systems is preferred; Facets, CCA, SAP,CRMs or other similar Enterprise systems that mimic those CareSource invests in

  • Certifications around Agile, SAFE, or the Business or System Analyst role is preferred

Working Conditions:

  • General office environment; may be required to sit or stand for extended periods of time

Compensation Range:

$72,200.00 - $115,500.00

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Salary

Organization Level Competencies

  • Fostering a Collaborative Workplace Culture

  • Cultivate Partnerships

  • Develop Self and Others

  • Drive Execution

  • Influence Others

  • Pursue Personal Excellence

  • Understand the Business


 

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

#LI-GM1

Other facts

Tech stack
Requirements Management,EDI,Facets,CCA,SAP,CRMs,Agile,Business Analysis,Problem Solving,Interpersonal Skills,Communication Skills,Technical Specifications,User Stories,Process Modeling,Software Development Lifecycle,Healthcare Environment

About CareSource

Health Care with Heart. It is more than a tagline; it’s how we do business. CareSource has been providing life-changing health care to people and communities for 30+ years and we continue to be a transformative force in the industry by placing people over profits.

CareSource is and will always be member-first. Even as we grow, we remember the reason we are here – to make a difference in our members’ lives by improving their health and well-being. Today, CareSource offers a lifetime of health coverage to more than 2 million members through plan offerings including Marketplace, Medicare products and Medicaid. With our team of 4,500+ employees located across the country, we continue to clear a path to better life for our members. Visit the "Life"​ section to see how we are living our mission in the states we serve.

CareSource is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, age, national origin, disability, sexual orientation, gender identity, genetic information, protected veteran status or any other characteristic protected by applicable federal, state or local law. If you’d like more information about your EEO rights as an applicant under the law, please click here: https://www.eeoc.gov/employers/upload/posterscreenreaderoptimized.pdf and here: https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCPEEOSupplementFinalJRFQA_508c.pdf

Team size: 1,001-5,000 employees
LinkedIn: Visit
Industry: Insurance

What you'll do

  • The Edifecs/EDI Systems Analyst II is responsible for collaborating with customers to elicit business requirements and develop solutions. This includes translating business needs into clear agile User Stories and serving as a liaison between technical teams and users.

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Frequently Asked Questions

What does CareSource pay for a Edifecs/EDI Systems Analyst II?

CareSource offers a competitive compensation package for the Edifecs/EDI Systems Analyst II role. The salary range is USD 72k - 116k per year. Apply through Clera to learn more about the full compensation details.

What does a Edifecs/EDI Systems Analyst II do at CareSource?

As a Edifecs/EDI Systems Analyst II at CareSource, you will: the Edifecs/EDI Systems Analyst II is responsible for collaborating with customers to elicit business requirements and develop solutions. This includes translating business needs into clear agile User Stories and serving as a liaison between technical teams and users..

Why join CareSource as a Edifecs/EDI Systems Analyst II?

CareSource is a leading Insurance company. The Edifecs/EDI Systems Analyst II role offers competitive compensation.

Is the Edifecs/EDI Systems Analyst II position at CareSource remote?

The Edifecs/EDI Systems Analyst II position at CareSource is based in Dayton, Ohio, United States. Contact the company through Clera for specific work arrangement details.

How do I apply for the Edifecs/EDI Systems Analyst II position at CareSource?

You can apply for the Edifecs/EDI Systems Analyst II position at CareSource directly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process. You can also learn more about CareSource on their website.