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Signature Performance, Inc. Business Analyst -EDI/ Healthcare Specialist in Grove City, Ohio

This is a remote based position. Applicants can be located nationwide StatusFull-time Job DescriptionBusiness Analyst -EDI/ Healthcare SpecialistWho We Are:Signature Performance is working hard at lowering healthcare administrative costs for federal government agencies, payers, and providers. At Signature, our mission is to improve the health of our clients' business and making the lives of the people we work with better. We do that by leading with our values of Passion, Courage, Integrity and Respect in all interactions.What We Offer: Signature believes in fully developing each one of our Associates. We deliver a performance-driven atmosphere with competitive pay and bonus structure, world-class training and development classes, resources, and events, an award-winning culture to thrive in, and so much more. Tuition Assistance Program 401(k) program with employer contributions Comprehensive health insurance Competitive Paid Time Off for Sick and Vacation Time No-cost annual flu shots A hybrid work-from-home and/or on-campus work planJob Description:The Business Analyst EDI / Healthcare Specialist designs, implements, supports, and validates Provider Network (Physicians, Clinics, Pharmacies, etc.) and Client pricing constructs. This position includes monitoring of subscriber data feeds and related loads to assure systemic risks are identified and corrected, and audit and analysis of automated provider and client related pricing architecture and algorithms.Success in this position includes assisting in the growth and maintenance of our software solutions by researching industry changes and data sets, analyzing data trends, identifying areas of opportunity, and aiding in the implementation of these enhancements. Ideal candidates should have a naturally analytical way of thinking, be able to quantitatively and qualitatively analyze information, be process oriented, and enjoy research and team collaborations. The ideal candidate will demonstrate strong technical skills, will be familiar with the healthcare and health insurance industry, and will have experience interpreting volumes of technical information to define requirements for use during gap analysis and technical solution design.Basic Qualifications: Bachelor's degree or higher in business, healthcare administration, information systems, computer science, finance, accounting, mathematics, or a related field of study Minimum of two (2) years of experience in business analysis including requirements gathering and specification documentation Expertise in performing gap analysis, issue analysis, root cause assessment, and resolution planning Understanding of professional and institutional claims processing and adjudication 1+ years of experience with HIPAA standards and regulatory guidelines and Electronic Data Interchange (EDI) transactions Demonstrated knowledge of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDPD.0Preferred Qualifications:Strong planning, organizational, and time management skills Superior analytical and conceptual thinking skills Excellent verbal and written communication Excellent documentation skills Experience creating detailed reports and giving presentation Ability to influence stakeholders and work closely with them to determine acceptable solutions Competency in Microsoft applications including Word, Excel, and Outlook Familiarity with relational databases (SQL) Knowledge of Atlassian Jira and Confluence a plusExpectations: Work closely with Operations team members, inter-departmental teams, clients, and managerial staff to evaluate business processes

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