ansi x12n 834, 835, 837 Search Results Integration & Interoperability Manager CompuGroup Medical (formerly E-MDs) Lamar University Hutto, TXInsightful Professional with experience in healthcare project management and technical integration implementation directing, improving operations thro... View More
Top Skills Healthcare Project management, Technical integration implementation Team leadership, Cross-functional team management, Staff management, Employee development HL7 v2 & v3, FHIR, CCDA, 837 & 835, XML, eRX, EPCS, PDMP Software configuration, Technical analysis, Database administration Interface Engine, Cloverleaf Interface Engine Show More
Business Analyst Consultant Stealth Talent Solution (Contracted to KPMG) Monroe College Verona, WIExperienced Senior Business Analyst specializing in IT services, primarily within the healthcare sector. Serve as a communicator, facilitator, and med... View More
Top Skills Proficient in Agile, Waterfall and Hybrid methodologies Highly skilled in Microsoft Office (Word, Excel, Outlook, PowerPoint, Visio, SharePoint) Experience with various business tools and applications including MMIS ForwardHealth Interchange & Portal, EDI- 837, 835, 999s, Remittance Advice, Ultra Edit, Tableau, JIRA, Confluence, ALM, OnBase, FACETS, Enterprise Architecture (EA), Business Objects, SAS, SQL Proficient in Requirement Gathering, Analysis, Elicitation and Process Mapping, Wireframe, Mockup, UAT Capable of translating business requirements to Functional and Technical specifications. Certifications Certified Scrum Product Owner (CSPO) Scrum Alliance Issued Jul 2021 Certified Scrum Master (CSM) Scrum Alliance Issued Aug 2021 Show More
Business Analyst BNY Mellon K L University Atlanta, GAResults-driven Senior Business Analyst with over 10 years of experience in banking, healthcare, and telecommunications, specializing in requirement el... View More
Top Skills Stakeholder engagement and analysis Methodologies: Agile, Scrum, SAFe, Waterfall, Sprint Planning, Backlog Grooming, PI Planning Process Modeling Tools: UML, BPMN, Process Flow Diagrams, Use Case Diagrams, Microsoft Visio, Lucidchart Data & Reporting: SQL, Data Validation, Data Mapping, Reporting & Dashboarding Testing & Validation: UAT Coordination, Test Case Review, Defect Tracking, Production Support, Root Cause Analysis Show More
EDI Analyst GeoBlue Temple University King Of Prussia, PAExperienced EDI Coordinator skilled in troubleshooting and resolving errors, performing quality assurance audits and training support staff to enhance... View More
Top Skills Experience working with electronic eligibility formats, whether proprietary or standard 834-4010/5010 Strong familiarity with analyzing errors generated during 835 data transfer Excellent professional communication skills Skilled with correspondence with brokers, vendors and external clients to settle discrepancies Trouble shooting and report analysis Show More
Claims Business Process Analyst United Healthcare University of Arkansas At Pine Bluff Summerfield, NCDynamic healthcare operations professional with over 24 years of experience in provider data management, client relations, and claims processing. Expe... View More
Top Skills MS Office Suite, Effective communication Process change management Proficient in claims Platforms, Workflow Systems, EDI (834 & 837), PowerBI, Tableau, SharePoint, Google Suite, Facets System Procedure updating Certifications NPS Certification IBM Data Analytics Certification Show More
Sr. Consultant Opentext Inderprastha Engineering College BengaluruStrategic Senior Consultant with 7 years in IT industry and extensive knowledge of EDI. Strong client handling, multi-tasking, goal-oriented problem-s... View More
Top Skills EDI Tools: GXS AI (Application Integrator), BizManager, BizTrans, Managed Services Cloud Enterprise, TGO (Trading Grid Online), EAI (Enterprise Application Integration), TGA (Trading Grid Administration), TGMS (Trading Grid Messaging Services), WUT (Web Utility Tool), AIC (Active Invoice Compliance), AO (Active Orders), e-Invoicing portal, BPM (Business Process Manager), XIB (aXway Integration Broker), XFB (aXway File Broker), TSIM (Trade Sync Integration Manager), BOM (Business Object Modeller), GI (Gateway Interchange), WEBEDI, B2Bi, Orchestration, Asset Repository, Lens EDI Standards: ANSI X12, EDIFACT, TRADACOMS, VDA, ZUGFeRD, XRechnung, HIPAA, SAP IDOC, XML, CSV, Flat-File EDI Formats: 850, 855, 860, 856, 810, 270, 271, 276, 277, 834, 835, 837, 997, ORDERS, DELFOR, ORDRSP, DESADV, INVOIC, INVRPT, CONTRL, ORDHDR, INVFIL, VDA4905, VDA4913 EDI Protocols: AS2, SFTP, FTPS, HTTPS, OFTP2, VAN, SMTP, X400, SAP ALE EDI Business Domains: Retail, Automobile, Supply Chain, Healthcare Show More
Implementation Project Manager UnitedHealth Group, Optum Financial Regis University Denver, COA successful, experienced, motivated IT Healthcare Professional, with over 15 years of IT Solutions Healthcare Project Analyst Experience. Enjoy the c... View More
Top Skills Microsoft Office: Word, Excel, Outlook and PowerPoint EDI 837, 835 Writing queries in SQL Meticulous attention to detail Facets, QNXT, NetworX and Workflow. Show More
Senior Process Improvement Analyst Premier Inc. Madison Area Technical College Waunakee, WIHealthcare operations and compliance leader with 15+ years of experience driving claims adjudication, provider enrollment, benefit configuration, and ... View More
Top Skills Streamlined provider enrollment and configuration across all lines of business—including TPA, Medicaid, Medicare, and commercial—by partnering with claims, benefits, and IT teams to enhance data accuracy and support compliant claims adjudication. EDI Transactions: 270/271, 276/277, 278, 834, 835, 837, 977/999, Strong communicator and collaborator with a track record of building cross-functional relationships and leading high-performing teams. Highly organized, adaptable, and self-motivated professional with strong problem-solving, time management, and decision-making skills. Experienced in employee training, quality control, and fostering a culture of continuous improvement. Certifications ITIL Foundations SAFe 4.0 Certified EDI Professional Show More
Product Owner | Sr. Business Analyst Premera Blue Cross California State University Los Angeles, CAProduct Owner with 10+ years of progressive experience bridging business and technology across healthcare, insurance, and entertainment. Proven track ... View More
Top Skills Product Ownership & Agile Leadership Product Vision & Roadmap Development Backlog Prioritization & User Story Mapping Agile/SAFe, Scrum, Waterfall PI Planning, Sprint Planning, Reviews & Retrospectives Certifications SAFe 6.0 Product Owner / Product Manager (POPM) – Scaled Agile Agile Scrum Methodologies (practical expertise applied in SAFe and Scrum environments) Regulatory & Interoperability Expertise: HIPAA 5010, FHIR, EDI, HL7 (applied in healthcare product delivery) Show More
Lead IT Analyst Sentara Healthcare Sullivan University Concord, NCExperienced Data Analyst with 19+ years in healthcare systems, data analytics, and performance improvement. Skilled in leading cross-functional teams,... View More
Top Skills Data Analytics & Visualization Languages & Libraries: Python (Pandas, NumPy, Matplotlib, Seaborn, Scikit-learn, TensorFlow) Visualization Tools: Tableau, Power BI IDEs & Platforms: Jupyter , Spyder, Google Colab, VS Code, PyCharm, Python IDLE Version Control & Collaboration Tools: Git, GitHub Database & ETL Languages: SQL Certifications SAFe Scrum Master CertificationSalesforce Administrator Salesforce Platform Developer Data Science with Python ( In progress) Show More