Direct message the job poster from Sumeru Inc Business Head @ Sumeru Inc | Building Client Relationships, Driving Growth Need an associate with over 10 years of experience in EDI, Eligibility, Encounter, and claims. Resource should have in-depth knowledge in US Healthcare. Seeking an experienced Business Analyst with expertise in Electronic Data Interchange (EDI) to drive key project deliverables. The role involves implementing inbound and outbound accumulator files related to claim cost shares across various health plans. Responsibilities include, but are not limited to: Be a self-starter with the ability to work independently and with minimal oversight. Quickly develop a comprehensive understanding of the business rules, core platforms, and applications for the data used in EDI exchanges. Lead the design and implementation of innovative end-to-end frameworks for processing accumulator exchanges, ensuring they meet both business needs and industry standards. Facilitate and lead discussions with plans and other stakeholders to identify and clarify requirements, review UAT test cases, and ensure alignment on project objectives and deliverables, communicating effectively throughout the process. Develop comprehensive documentation outlining business rules, process flows, and technical specifications. Conduct multiple rounds of end-to-end testing with strong prior experience in developing and performing test scenarios. Regards, Brajbhushan.tiwari@sumerusolutions.com (408) 520 0940 Seniority level Mid-Senior level Employment type Contract Job function Research, Analyst, and Information Technology Industries IT Services and IT Consulting #J-18808-Ljbffr Sumeru Inc
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