Tista Science and Technology Corporation

  • EDI Analyst

    Job ID 2018-1504
    Job Locations US-TX-Austin
  • Overview

    TISTA Science and Technology Corporation, a CMMI Maturity Level 3 company, focuses on delivering information technology and professional services to Federal and State agencies. TISTA is an Inc. 500 company, a recipient of the 2010 Top 100 Service-Disabled Veteran-Owned Businesses from Diversity Business, recognized in Washington Technology's FAST 50 list of the fastest growing small businesses in government contracting in 2012 & 2013, recognized as the Top 25 Fastest Growing Small Technology companies by the Washington Business Journal in 2014 & 2015, and selected as the Veteran Owned Company of the Year in 2014 by the Montgomery County MD Dept. of Economic Development.

     

    TISTA Science and Technology Corporation is seeking an EDI Subject Matter Expert (SME) to join our growing team in Austin, TX!

    Responsibilities

    • Establish and support EDI Center of Excellence (CoE) at customer site by establishing EDI Standard Operating procedures, best practices and conducting hands-on workshop to project team.
    • Analysis of upcoming Federal Mandates, EDI Compliance proactively and their impact to existing and planned EDI projects, and educate the EDI product owner.
    • Collaborate with PMO and Development teams to institutionalize EDI best practices, assist the team in any future migration efforts such as EDI translator migration.
    • Implement and monitor real time and batch electronic transactions processing systems
    • Proper implementation and configuration of EDI systems to receive and/or send electronic transactions such as medical claims, remittance advice, insurance verifications, outpatient pharmacy claims, invoices, purchase orders, and payments
    • Use of electronic acknowledgements to handle and process transactions.
    • Implement capabilities to accurately validate, reject and track electronic transactions,
    • Implement capabilities to accurately track and reconcile electronic transactions as they are flow through the necessary workflows, systems, and applications
    • Implement capability to accurately provide reports on the status of electronic transactions within current systems, transaction volume reports including dollar value associated with each transaction.

    Qualifications

    • Minimum 5 to 8 years’ experience using ANSI ASC X12 standards, Gentran Integration Suite (GIS) (Sterling Integrator (SI) software and/or Mulesoft EDI)
    • Knowledge of migrating existing EDI translator to MuleSoft is beneficial.
    • Must have knowledge, expertise and experience of EDI systems, laws and regulations, data standards, and best practices within the Healthcare and Financial industry.
    • Health care claim processing; Supply chain management; Invoice processing
    • Experience with HIPPA, CACQH CORE regulations, CHIP Reauthorization Act (MACRA), ACA, IPERA Data standards
    • Understand proper structure of electronic transactions, required vs. mandatory fields, and situations fields
    • Use of HIPAA validation rules and tools to ensure electronic Healthcare transactions meet required data standards

    Education:

    • Bachelor’s Degree in IT or Computer Science
    • 10+ years related work experience or equivalent combination of education and experience preferred

    Location: Austin, TX

     

    Here at TISTA Science and Technology we value our Veterans and encourage all to apply!

     


    TISTA is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.

     

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