An EDI Business Analyst facilitates the effective exchange of electronic data within the organization or in-between two companies by creating computer systems. working for many companies that depend on sharing of electronic data, these analysts undertake all the duties that are mentioned on the Edi Business Analyst Resume – understanding the business needs and creating programs to fulfill such requirements; using appropriate software and coding languages to build and test systems; getting feedback on functionality, testing the system for accuracy, training others in system use; suggesting an improvement to systems and providing technical solutions.
While the system requirements vary based on industry type, the required skills are universally common and include – a solid understanding of system architecture, coding, and IT networking; system design expertise; the ability to adapt to various programming languages and strong problem-solving skills. Possessing a bachelor’s degree in computer science will be preferable.
Objective : Over 7 years of Industry experience as a Business Analyst with a precise understanding of Business Requirements Gathering, Evaluating Data Sources, Translating Requirements into technical Specifications, and Application Design. Experience in working on Affordable Care Act project and expertise in implementation of EDI modules like 834 enrollment , reconciliation and 820 payment transactions.
Skills : Edi, Medicare, Retail, XML.
Description :
Worked on EDI 834 enrollment and reconciliation implementations based on Affordable care act compatible companion guide.
Worked on data mapping spreadsheet for APTC, CSR, Premium payments to incorporate these details as per 834 5010A1 standards.
Extensively worked on boarding trading partners and setting up of agreements and trade relationships on the Edifecs module called Trading partner manager.
Followed a systematic approach to eliciting, organizing, and documenting requirements of the system.
Reviewed the Joint Requirement Documents (JRD) with the cross functional team to analyze the High Level Requirements for transactions such as 834,270/271, 837 and 835.
Used Query Analyzer, Execution Plan to optimize SQL Queries and gathered the metrics generated by testers and QA's for review and approval process.
Implemented Edifecs analytical application for retrieval, grouping and display information from backend oracle data base.
Experience
2-5 Years
Level
Entry Level
Education
Masters In Computer Science
Sr. Edi Business Analyst Resume
Summary : Responsible for Developing an understanding of the end users’ current business processes (within area of support), and also Understanding how system(s) functionality complements business processes.
Analyzed Business Requirements and segregated them into high level and low level Use Cases, Activity Diagrams / State Chart Diagrams using Rational Rose according to UML methodology thus defining the Data Process Models.
Understood the As Is system and develop the To Be system concept and also prepare the System Process Maps.
Interacted with client and the Technical Team for requirement gathering and translation of Business Requirement to Technical specifications.
Defined and documented a clear set of policies and procedures for all back end adjudication operation for all personnel.
Analyzed Health plan Enrollment and Maintenance (ANSI X12 834) file specifications under HIPAA framework.
Reviewed errors and EDI transaction reports and analyzed information for trends.
Worked on implementation of Affordable care act enrollment and reconciliation modules on the EDI tool called Enrollment manager.
Experience
10+ Years
Level
Senior
Education
Business Administration
Jr. Edi Business Analyst Resume
Objective : A project manager with a successful track record in leading complex, multi-million dollar customer-facing interactive application projects to on time and under budget completion. A proactive, results-oriented project leader experienced in achieving measurable results utilizing program/project and systems life cycle management.
Skills : Waterfall and Agile environments, Visio, HP Quality.
Description :
Collaborated with training staff on training stakeholders on the transactions and the reconciliation process.
Provided training on the EDI 834 and 820 transactions and on the reconciliation processes.
Worked on ACA 820 payment processing system.
Documented the data translation for 820 and 834 from XML to X12 and vice versa.
Interfaced with technical staff, trading partners, Clearinghouses and internal staff including programmers on all HIPAA related information and changes.
Interfaced with technical staff, trading partners and internal staff including programmers on all Eligibility/enrollment related information and changes and performed root cause analysis on any issues related to transactions.
Developed and implemented testing scenarios in conjunction with Business Requirements.
Experience
2-5 Years
Level
Junior
Education
MS In Business And Technology
Asst. Edi Business Analyst Resume
Objective : Sr. Business Analyst with over 7 years of experience in various IT-related areas including, but not limited to application development, software testing, quality assurance, business/data analysis, and production support.
Skills : Microsoft Office, VPN/VDI, Active Directory, Service Now, HEAT, SCCM, Windows 7, Hardware, Customer Service, Designer, FTP/SFTP.
Description :
Involved in developing Business Functions/rules and regression test cases.
Performed EDI technical and operational customer support to trading partners and customers related to their operational and business needs, requirements and issues.
Monitored EDI systems to ensure smooth processing of inbound and outbound transactions and provided technical support when needed.
Consulted with users to identify current operating procedures and clarify program objectives.
Planed and direct activities of assigned projects to ensure the goals and objectives of the project are accomplished on time and within budget.
Identified/anticipated issues with HR-XML/ANSI File feed and business rules.
Documented the event, articulate and demonstrate the problems to facilitate resolution.
Experience
2-5 Years
Level
Junior
Education
Master Of Business Administration
Associate Edi Business Analyst Resume
Headline : 8+ years of experience in gathering, analyzing, and validating EDI Healthcare transactions. Good understanding of Software Development Life Cycle (SDLC) and Quality Assurance Life Cycle (QALC). Extensive experience in the Health domain. Demonstrated proficiency in EDI X12 standards and transaction sets. Highly Experienced in HIPAA (Health Insurance Portability and Accountability Act) Health Care industry providing Business Process Assessment, Requirements Gathering, Gap Analysis, Implementation, and Testing.
Skills : Microsoft Project.
Description :
Worked on design and analysis of Medicare implementation with the stakeholder FL State on the Eligibility request and response generations based on the extracted details from the back end adjudication systems.
Responisble for Document Trading Partner Migration Process Flow from HIPAA 4010A to 5010; create process flow diagrams and presentation materials; and monitor production and release events.
Interpreted Systems Architect and Logical Diagrams to business users and other stakeholders, and assist with change requirements elicitation.
Assisted in writing business requirements and system specification documents.
Extensively worked on EDI transactions 834, 835, 837I, 837P, 820, 270/271, 276/277, and 999.
Responsible for interpreting ASC X12 Original and Errata version documents such as X12 220, 221A1, 222A2, 222, & 224A2 to business and technical users including the developers.
Researched, tracked, parsed and interpreted EDI files 999, Transaction Acknowledgement records, and enrollment and claims files in EDIFECS data repository and UNIX server and analyze them according to the request.
Experience
5-7 Years
Level
Executive
Education
Diploma
Edi Business Analyst III Resume
Headline : Highly qualified Edi Business Analyst with experience in the industry. Enjoy creative problem solving and getting exposure on multiple projects, and would excel in the collaborative environment on which your company prides itself.
Skills : Analyst, Leadership.
Description :
Implemented HIPAA for the State of Arkansas Medicaid Program.
Operated as lead BA on the development, testing, and implementation of the Web based Provider.
Created test plans, test scripts, and use cases for Universal Acceptance Testing of Provider.
Executed system test to ensure accuracy of business specifications.
Ensured delivered system satisfies customer requirements.
Assisted Information Analyst with Unit Testing and support Provider Training.
Resolved vendor and store issues as they arise - identified thru walgreens reporting matrix.
Experience
5-7 Years
Level
Executive
Education
Diploma
Edi Business Analyst II Resume
Summary : Industry experience as a Sr. Business Analyst with a solid understanding of Business Requirements Gathering, Business Process Mapping, Evaluating Data Sources, Translating Requirements into Specifications, Application Design. Extensive understanding of Software Development Life Cycle (SDLC) including Waterfall, Agile Scrum and Rational Unified Process (RUP) and Business / System Analysis: experienced in gathering user requirements, documenting requirements, technical writing, business analysis, system analysis, testing, and implementation of projects.
Tested and verified functionality of EDI data maps using WebMethods.
Cleaned up the billing system.
Created Access database to run reports for month end billing.
Participated in Disaster Recover Operations Quarterly.
Worked with customers to correct EDI and flat file data to be compliant with current standards.
Utilized jcl/eztrieve to extract of data files with conditions. Criteria also gathered using sql navigator.
Analyzed Health plan Enrollment and Maintenance (ANSI X12 834) file specifications under HIPAA framework.
Experience
10+ Years
Level
Senior
Education
Business Administration
Edi Business Analyst I Resume
Objective : Highly experienced Information Technology professional looking for a position where can use technical skills and customer service focus.
Skills : Leadership, Analyst.
Description :
Collaborated with training staff on training stakeholders on the transactions and the reconciliation process.
Provided training on the EDI 834 and 820 transactions and on the reconciliation processes.
Reviewed errors and EDI transaction reports and analyzed information for trends.
Worked on implementation of Affordable care act enrollment and reconciliation modules on the EDI tool called Enrollment manager.
Worked on ACA 820 payment processing system.
Documented the data translation for 820 and 834 from XML to X12 and vice versa.
Interfaced with technical staff, trading partners, Clearinghouses and internal staff including programmers on all HIPAA related information.
Experience
0-2 Years
Level
Entry Level
Education
B.S In Computer Science
Lead Edi Business Analyst Resume
Headline : Business Analyst with 15 years of professional experience in supporting various complex development Projects, to develop Technical Solutions which meet the Organization's Business needs. Performance-driven professional seeking opportunity to apply specialized skills, Strong organizational analytical and problem-solving skills, and the ability to work with sensitive information and understands the need for confidentiality.
Skills : Management, Excellent communication.
Description :
Assisted in analyzing testing results in all phases.
Participated in technical reviews and inspections to verify 'intent of change' is carried out through the entire project.
Developed and implemented testing scenarios in conjunction with Business Requirements.
Involved in developing Business Functions/rules and regression test cases.
Performed EDI technical and operational customer support to trading partners and customers related to their operational and business needs, requirements and issues.
Monitored EDI systems to ensure smooth processing of inbound and outbound transactions and provided technical support when needed.
Consulted with users to identify current operating procedures and clarify program objectives.
Experience
5-7 Years
Level
Executive
Education
Diploma
Edi Business Analyst Resume
Summary : Management professional with a dual background in business and childcare. Proven history of exceeding goals, improving operations, and driving success. Excel at developing long-term relationships with customers, partners, and students. Excellent project management, training, data management, and administrative skills. Award-winning background in customer service and sales support.
Skills : Excellent project management, training, data management, and administrative skills.
Description :
Planed and direct activities of assigned projects to ensure the goals and objectives of the project are accomplished on time and within budget Identified/anticipated issues with HR-XML/ANSI File feed and business rules.
Documented the event, articulate and demonstrate the problems to facilitate resolution.
Worked with State to develop Business Design Documents, Technical Design Documents, Mapping Spreadsheets, Test Plans for HIPAA 5010 transactions.
Assisted with updating XML Layout's for 837I, 837P & 837D to provide development team.
Worked on BDD's and Test Plan's for Web Portal project to maintain and create new interface screens to log into the Pennsylvania system Promise Internet.
Worked on Regression Claims Testing using Test Cases between Portal and Internet Promise applications.
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