10 hours

Analytic EDI Engineer, Sr. (Remote)

Performant Financial
Sunrise, FL
  • Job Code
  • Jobs Rated
Performant Financial Corporation
Performant Corporation is an Equal Opportunity Employer (Minorities/Females/Disabled/Veterans).

Analytic EDI Engineer, Sr. (Remote)
Job Code:2019-10-6-001
Location:Sunrise, FL
Status:Regular Full Time
The Senior Analytic EDI Engineer combines the roles of architect, developer and analyst to design and build big data solutions, including EDI files and exchanges.  This position plays a key role in building and maintaining the company’s cutting edge analytic capabilities for healthcare. File types include Healthcare claims for medical, pharmacy, dental and other claim types and for all EDI file structures, including 837, 277, 835, 270 and 271. The skillset for this role spans software development, business analysis, and complex system design.  Additionally, this position will interface with other sites to coordinate analytical work packages when the analytical workload demands increases, along with interfacing with other personnel to verify and validate analytical results through comparison to empirical data.

•Performs analysis as required to support EDI exchange setup, file development and troubleshooting for clean file transactions. Resolves complex EDI issues.
•Maintains high quality in the management of data, ensuring data is cleansed and normalized for optimal results and that full traceability is maintained in the data lifecycle, including through all transformations and EDI transaction processes.
•Ensures claims and eligibility data is mapped into the proper format for successful submission of EDI files, claim forms and other modes of data exchange.
•Responsible for the development of EDI tools, standardization, and other engineering tool initiatives as defined by management.
•May make technical recommendations on engineering approach for new or modified products to optimize system and component designs. 
•May prepare and present technical presentations for internal or external audiences
•Communicates analytical results with engineering staff, management and customers through preparation of reports and presentations as necessary.
•Responsible for data engineering tool development and standardization and other engineering tool initiatives as defined by engineering management.
•Supports Chief Engineering Office with expertise input and subject knowledge.
•May represent the Design Assurance group in component design reviews.
•Supports business units with expertise input and subject knowledge.
•Works independently on significant project components with minimal supervision and direction.
•Perform duties as required and assigned.
Required Skills and Knowledge:

•Strong knowledge of EDI standards to develop and support complex integration projects
•Possesses a strong analytical aptitude with ability to data trends and patterns
•Excellent attention to detail
•Excellent communication skills can translate complex technical lingo into plain English and also communicate verbally with clients and other engineers well.
•Takes part in continuing education to keep abreast of new research and ideas, technology & market trends.
•Is creative can think of new and innovative ways to develop new products and make existing products work more efficiently.
•Think logically with ability to make sense of complex systems and leverage strong problem solving skills to discover root causes.
•Able to develop mathematically complex calculations of varying difficulty and work with mathematical concepts such as probability and statistical reference.
•Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems and develop solutions
•Team player – collaborates effectively within the department and cross functionally.
•Excellent technical knowledge understands a variety of computer programs and other systems that are commonly used during an engineering project.
•Knowledgeable with statistics and other mathematical techniques.

Physical Requirements:

•Sit/stand/walk 8-10 hour/day
•Lift/carry/push/pull under and over 10lbs occasionally
•Keying frequency, handling, reaching, fine manipulation
Education and Experience:

•Bachelor’s degree required (Master’s preferred) in Mathematics, Computer Engineering, IT or related fields.
•Experience working with inbound and outbound interfaces for various transaction sets
•10+ years’ relevant progressive technical and systems experience for file integration and data conversion, including EDI
•5+ years’ experience with Data Mining and Data Analytics experience for the conversion, integration, manipulation and analysis of very large data sets
•3+ years’ experience with Data Mining and Data Analyst techniques
•Experience in transforming, cleaning, and manipulating raw data.
•Experience with healthcare data types strongly preferred, including claims for medical, pharmacy, dental and other claim types.
•Experience with X12 HIPPA, and healthcare data transactions preferred (i.e.837, 277, 835, 270 and 271)
•Familiarity with statistics and other mathematical techniques
•UNIX/Linux experience
•Competence with scripting languages (JavaScript, Python, Perl)
•Advanced Excel experience

Performant Financial Corporation is an Equal Opportunity Employer.
Performant Financial Corporation is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration protected by law. Performant will consider qualified applicants, including those with criminal histories, in a manner consistent with state and local "Fair Chance" laws.

Employment Visa Sponsorship is not available for this position and authorization to work in the United States is required prior to employment.

Remote work/relocation assistance is not available for this position.

Drug/Alcohol Free Workplace:
Performant Financial Corporate is committed to maintaining a Drug and Alcohol Free Workplace. Candidates that have been offered employment will be required to submit and successfully pass a drug and alcohol screening. Drug and alcohol screening for current employees may be performed in certain circumstances in accordance with company policy and applicable laws.

Background and Credit Checks:
Performant Financial Corporation will procure a background criminal and credit history report on you in connection with your application for employment as allowed under the Fair Credit Reporting Act. These reports may be obtained at any time after receipt of your authorization and, if you are hired or engaged by Performant Financial Corporation, throughout your employment or contract period.

Agency Submissions:
Performant Financial Corporation does not accept unsolicited agency resumes. Please do not forward resumes to Performant employees. Performant Financial Corporation is not responsible for any fees related to unsolicited resumes.



Jobs Rated Reports for Software Engineer

Posted: 2019-10-14 Expires: 2019-11-13

Before you go...

Our free job seeker tools include alerts for new jobs, saving your favorites, optimized job matching, and more! Just enter your email below.

Share this job:

Analytic EDI Engineer, Sr. (Remote)

Performant Financial
Sunrise, FL

Join us to start saving your Favorite Jobs!

Sign In Create Account
Software Engineer
8th2017 - Software Engineer
Overall Rating: 8/199
Median Salary: $100,690

Work Environment
Very Low
Very Good
Powered ByCareerCast