EDI Systems Analyst

NexSolv is seeking Systems Analyst for our direct client, State of Maryland.

Will consider profiles only LOCAL TO MARYLAND.

·        Design, develop, build, and manage complex, operational, and federally mandated reports.

·        Identify from design, implementation, and post-implementation evaluation a variety of possible approaches for generating reports, dashboards, and data extraction requirements.

·        Write a variety of complex queries in SQL for data extractions and develop reports in Tableau, and other tools using PostgreSQL and other databases as data sources.

·        Identify opportunities for securely sharing commonly used data internally and externally.

·        Interpret data, and perform data analysis for management decision-making, policy formulations, and review.

·        Utilize database applications and analytical tools to evaluate data quality, and functions and maintain operations.

·        Analyze the business processes to develop data solutions, reports, and dashboards to meet reporting requirements.

·        Work with multi-disciplinary teams in a fast-paced, technically challenging environment delivering data to various internal and external stakeholders.

·        Perform Medicaid 8001 Flat File validation and analysis, review multiple Member Person Index(MPI) for SSN matching and Master Data Management (MDM) matching.

·        Perform HBX System Error analysis, validate 1095-A/1095-B files, and reconcile Medicaid 8001 transactions.

·        Assist the development team, EDI operations team, and testing team in analyzing, fixing, testing, and transmitting EDI files on a daily basis.

·        Create data change requests to fix consumer or system-reported errors, coordinate with technical and business teams to analyze error reports, and access the HBX database and application to perform root cause analysis for transaction rejections.

Minimum Qualifications

·        A minimum of five (5) years of experience performing complex data extractions, analysis, report generation, and dashboard creation.

·        A minimum of five (5) years of experience working in a complex IT organization developing a variety of queries and custom reports utilizing SQL, stored procedures, and complex queries.

·        A minimum of five (5) years of experience developing various reports and dashboards utilizing reporting tools such as Tableau, or PowerBI.

·        A minimum of two (2) years of experience translating business requirements into effective data visualizations and dashboards.

·        Experience in establishing and maintaining reporting databases and data warehouses.

·        Knowledge of data modeling, data warehousing, and ETL processes.

·        Effective communication and collaboration skills to work with stakeholders and technical teams.

·        Demonstrated ability to manage multiple critical priorities and tight deadlines.

·       Demonstrated analytical and problem-solving skills.

Preferred Qualifications

·        A minimum of eight (8) years of hands-on experience designing complex queries and reports using SQL and Stored Procedures.

·        A minimum of four (4) years of experience developing queries and reports in the PostgreSQL database environment.

·        A minimum of four (4) years of experience developing complex reports and dashboards utilizing Tableau, or equivalent.

·        Extensive knowledge of data sources, data flow, data/system interactions, and advanced reports design techniques to develop complex analytical reporting solutions.

·        Experience with developing reports and dashboards for the health insurance marketplaces, healthcare, or Health and Human Services domains.

·        Hands-on experience with data visualization, data analysis, and report automation.

·        Experience with web technologies, such as HTML, CSS, and JavaScript.

·        Familiarity with programming languages such as Python, Java, or equivalent.

·        Knowledge of EDI transaction sets such as 834, 820, and 999.

·        Knowledge of Medicaid and Qualified Health Plan (QHP) eligibility rules.

·       Knowledge of EDI 834 enrollment transactions, including Adds, Terminations, Cancellations, and life events.