Start searching
Back to Jobs
Recently postedOther

Functional Analyst 834 EDI / Facets

Lumen Solutions Group Inc.United States🇺🇸United States

Why this role stands out

In this hybrid role, you'll leverage your expertise in EDI 834 and Facets to drive critical data validation and process improvement, offering significant impact within a reputable technology consulting firm. This is an excellent opportunity for a detail-oriented professional seeking to grow their analytical skills and contribute to impactful projects. Apply today to explore this rewarding contract-to-hire position!

Quick overview

SeniorityMid Senior
Work modeHybrid
LocationUnited States
Microsoft ExcelAuditingProcess ImprovementReconciliationData Analysis

Job description

Company Description
Lumen SolutionsGroupInc. is a technology consulting Services company based inFlorida. Weprovidea wide array of experienced business and IT professionals supporting clients from solution design to implementation and support.We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, and EnterpriseTransformation.
Role: Functional Analyst 834 EDI / Facets
Location: Baltimore, MD (Remote Required Once in a Quarter)
Job Type: 6 Months Contract-To-Hire
Job Summary:
Seeking a Functional Analyst with strong EDI 834 Eligibility and Facets experience to analyze, validate, test, and audit eligibility files. The role will ensure vendor files meet required layouts, specifications, and business requirements before production, while supporting data analysis and process improvement initiatives.
Key Responsibilities
  • Review and validate EDI 834 eligibility file layouts, specifications, and data.
  • Perform data analysis, testing, reconciliation, and auditing of eligibility files.
  • Validate vendor files against business and system requirements before production.
  • Reconcile eligibility data with claims/member data to identify discrepancies.
  • Support QA/testing, enrollment processes, and production implementations.
  • Analyze operational processes, identify gaps, and recommend improvements.
  • Gather requirements, document processes/SOPs, and prepare reports and analysis.
  • Monitor KPIs and support business/operational improvement initiatives.

Required Skills & Qualifications
  • Mandatory: EDI 834 Eligibility experience with strong knowledge of the 834 file layout.
  • Mandatory: Facets experience preferably Facets G6; Facets Legacy is also acceptable.
  • Experience with eligibility file data analysis, testing, validation, and reconciliation.
  • Healthcare payer/claims/enrollment experience strongly preferred.
  • Strong analytical, problem-solving, documentation, and communication skills.
  • Advanced Excel and data analysis skills.
  • Bachelor''s degree or equivalent experience.
  • 4+ years Functional Analyst experience or 6+ years operational/analytical experience.
Lumen SolutionsGroup Inc is an equal opportunity employer. All qualified applicants will be considered for employment without regard to any legally protected status.

Similar jobs

Apply