MMIS - EDI System Analyst - LOCAL to Richmond, Virginia is required

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DMAS Programmer/Systems Analyst 3

ABOUT THE ROLE:

The Electronic Data Interchange (EDI) Interface Systems Analyst will play a key role in coordinating with multiple Medicaid Enterprise System (MES) vendors on managing exchange of all electronic data and interfaces to support that. Data exchanges will include file transfers and real time and near real time data exchanges. The position will analyze data structures, provide guidance on data mapping, review and develop configurations and coding developed for managing the exchanges between various MES Modules Trading Partners. The position will support Interface Testing and End-to-End Testing as well.

This position requires strong coordination skills, a solid understanding of SFTP/HTTPS protocols, batch file processing, DevOps practices, EDI standards, the SDLC process, and Agile methodology. The Analyst must beable to work independently while collaborating effectively with both technical and business teams.

Responsibilities:

• Work closely with Business and Technical teams to understand requirements, design elements, and changes impacting the MMIS and MES modules.
• The position will analyze data structures, provide guidance on data mapping.
• The position will review configurations and coding developed for managing the exchanges between various MES Modules Trading Partners.
• Understanding of interface workflows, file transfers (SFTP/HTTPS), and system integration points.
• The Analyst will develop test plans and test cases and work closely with DMAS external vendors to set up and execute interface testing, Trading Partner Testing and End to End Testing activities.
• Coordinate, direct, and execute Interface testing, Trading Partner Testing and End-to-End Testing across multiple systems and vendors.
• Develop comprehensive test plans, test cases, and test data to validate software changes.
• Monitor schedules, track execution progress, and communicate risks or issues promptly.
• Lead defect triage calls involving multiple vendors and ensure defects are tracked to closure efficiently.
• Serve as a liaison between DMAS Vendors, Business users and DMAS MES Module vendors to troubleshoot and resolve escalated issues.
• Perform Interface Testing and verify integration behaviors across file transfers
• Prepare and deliver test results, execution metrics, and summary reports to DMAS Leadership.
• Escalate issues appropriately and ensure proper documentation and tracking through resolution.
• Maintain high levels of professionalism, integrity, customer service, and accountability in all assigned tasks.
• Good understanding of EDI transactions
• Demonstrated ability to lead defect management and triage sessions across multiple teams and vendors.
• Strong communication skills, with the ability to report progress, summarize test outcomes, and interact effectively with diverse stakeholder groups.
• Ability to manage deadlines, maintain organization, and work independently with minimal supervisio
  
  

Required/Desired Skills Skill Required /Desired Amount of Experience Work closely with Business and Technical teams to understand requirements, design elements, and changes impacting the MMIS and MES modules. Required 8 Years Analyze data structures, provide guidance on data mapping. Required 5 Years Understanding of interface workflows, file transfers (SFTP/HTTPS), and system integration points. Required 5 Years Coordinate, direct, and execute Interface testing, Trading Partner Testing and End-to-End Testing across multiple systems and vendors. Required 8 Years Develop test plans and test cases and work closely with DMAS external vendors to set up and execute interface testing, Trading Partner Testing and End Required 8 Years Strong communication skills, with the ability to report progress, summarize test outcomes, and interact effectively with diverse stakeholder groups. Required 8 Years Ability to manage deadlines, maintain organization, and work independently with minimal supervision Required 8 Years Monitor schedules, track execution progress, and communicate risks or issues promptly. Required 8 Years Perform Interface Testing and verify integration behaviors across file transfers and system handoffs. Required 8 Years Lead defect triage calls involving multiple vendors and ensure defects are tracked to closure efficiently. Required 8 Years Perform Interface Testing and verify integration behaviors across file transfers Required 8 Years Prepare and deliver test results, execution metrics, and summary reports to DMAS Leadership. Required 8 Years Good understanding of EDI transactions Required 8 Years Questions No. Question Question1 Commonwealth of Virginia security policies prohibit the use of offshore IT contractors. Do you attest to the fact that your candidate will physically reside within the US for the duration of the assignment? Question2 Please list candidate's email address. Question3 In what city and state does your candidate permanently reside? Local RVA candidates preferred bc of the weekly on site requirements. If not local, must be willing to relocate bf the engagement begins. If your candidate is local to Richmond, have you (vendor) taken the necessary steps to verify this residency? No need to upload DL - just confirm you checked their current residence. Question4 Healthcare Claims Expertise/in-depth knowledge of MMIS or similar large-scale claims processing systems to be considered those who have worked for a company called Conduent in the past will be given preference. Please make sure If your candidate's experience with this is clearly reflected (highlighted) on their resume or they will not be considered. Question5 Initial Virtual (TEAMS) interviews will be conducted but mgr reserves the option to do a follow up IN PERSON IV is they deem necessary. If selected, does your candidate agree to to this arrangement.