| Location | Boston, MA (Remote) |
Seeking an experienced Business Analyst with expertise in Electronic Data Interchange (EDI) to drive key project deliverables. The role involves implementing 834 and proprietary eligibility, COB and group files for various health plans. Responsibilities include, but not limited to: 1. Be a self-starter with the ability to work independently and with minimal oversight. 2. Quickly develop a comprehensive understanding of the business rules, core platforms, and applications for the data used in EDI exchanges. 3. Lead the design and implementation of innovative end-to-end frameworks for processing eligibility exchanges, ensuring they meet both business needs and industry standards. 4. 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. 5. Develop comprehensive documentation outlining business rules, process flows, and technical specifications 6. Conduct multiple rounds of end-to-end testing with strong prior experience in developing and performing test scenarios. |
Role Overview: This role seeks an experienced Business Analyst specializing in Electronic Data Interchange (EDI) to drive key deliverables for Carelon. The primary focus is implementing 834 and proprietary eligibility, COB, and group files for various health plans. The analyst will independently lead the design and implementation of end-to-end frameworks for processing eligibility exchanges. Additionally, the role involves facilitating stakeholder discussions for requirements gathering, reviewing UAT, and creating comprehensive process documentation. The professional will also conduct multiple rounds of rigorous end-to-end testing to ensure alignment with both business needs and industry standards.
Qualifications & Competencies:
CRITICAL INTERNAL NOTE: THE POSITION IS OPEN FOR VENDOR TO W2 CONVERSION. PRE-IDENTIFIED
Logistics & Requirements:
Required Skills :
Basic Qualification :
Additional Skills :
Background Check : No
Drug Screen : No