Hotline: 678-408-1354

Job Description Post Date 04/20/2018 Close Date Category INFORMATION TECHNOLOGY Grade 24 Location PHOENIX Salary 55,000.00-65,000.00

Arizona Health Care Cost Containment System

Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Teamwork

Business Analyst

This position will remain open until filled.

Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid Agency, is driven by the passion to deliver comprehensive and cost effective health care to Arizonans in need. AHCCCS is nationally acclaimed as a model for other Medicaid programs and recipient of multiple awards for excellence in workplace effectiveness and flexibility.

All Arizona state employees operate within the Arizona Management System (AMS), an intentional, results-driven approach for doing the work of state government whereby every employee reflects on performance, reduces waste, and commits to continuous improvement with sustainable progress. Through AMS, every state employee seeks to understand customer needs, identify problems, improve processes, and measure results. State employees are highly engaged, collaborative and embrace a culture of public service. Visit our careers page to learn more about AHCCCS. Use your skills to benefit others; join the AHCCCS Team!

JOB SUMMARY:
The Information Services Division (ISD) is looking for a highly motivated individual to join our team as a Business Analyst . The ISD EDI Team Business Analyst is responsible for the analysis, review and interpretation of any HIPAA requirements/ANSI ASC X12 transactions and its impacts to AHCCCS business processes and external trading partners. Major duties and responsibilities include but are not limited to:

  • Works directly with EDI developers, other team staff and users to ensure functional and technical requirements are met and design document written to accurate specifications for any System Service Request (SSR) tasks associated to any EDI transactions.
  • Performs complex research and analysis of customer support issues/inquiries and EDI system alerts. Maintain TIBCO partner, sender, receiver, and user accounts.
  • Participates in industry standards committees and meetings. Reviews documentation of national health care recommendations/standards in adherence with new and ongoing federal and state laws, codes, policies, and guidelines. Interprets and analyzes these in order to provide a thorough analysis of its impact to AHCCCS and its trading partners.
  • Perform analysis and updates to EDI transactions notes/specs as it relates to any mapping changes, SSR tasks or HIPAA/business users requests/changes.
  • Participates in special projects and performs additional duties as required.

KNOWLEDGE, SKILLS AND ABILITIES (KSAs):

  • ANSI ASC X12 transactions of 270/271, 275, 276/277, 278, 820, 834, 835 and 837
  • Healthcare such as, claims and/or encounter processing and data analysis experience
  • Software Development Lifecycle methodologies
  • Ability to multi-task by handling a variety of duties in a timely and efficient manner; interpersonal communication skills, telephone etiquette, and customer relations skills
  • Proficient in Microsoft Office (Excel, Access, Word, and Outlook) and SQL queries
  • Knowledge of HIPAA rules pertaining to claims, encounters, enrollment and eligibility rules and procedures

SELECTIVE PREFERENCE(S):

  • Formal training and courses including SDLC and principles of communication and problem solving
  • Two years’ minimum experience in EDI healthcare transactions
  • Healthcare background a plus
  • Bachelor’s degree and five plus years’ experience in EDI healthcare transactions
  • Lean or Six-sigma certification a plus

BENEFITS

At AHCCCS, we promote the importance of work/life balance by offering workplace flexibility and a variety of learning and career development opportunities. Among the many benefits of a career with the State of Arizona, there are 10 paid holidays per year, accrual of sick and annual leave, affordable medical benefits and participation in the Arizona State Retirement Plan. Click here to learn more about benefits.

Arizona State Government is an EOE/ADA Reasonable Accommodation Employer. Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by calling (602) 417-4497. Requests should be made as early as possible to allow sufficient time to arrange the accommodation. AHCCCS is an Equal Employment Opportunity Employer. All newly hired employees will be subject to E-Verify Employment Eligibility Verification.

Click the APPLY NOW button to submit your application.

For technical assistance, email [email protected] or call 602-542-4700.

Contact Us

Eltas EnterPrises Inc.
3978 Windgrove Crossing
Suite 200A
Suwanee, Georgia
30024, USA
contact@eltasjobs.com

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