About Moser

For more than 25 years we have formed partnerships and grown through open and honest collaboration with our clients, partners, and employees. We are best known for taking great care of our clients, our dedication to creating a work environment where employees do their best work, and our deep commitment to continuous improvement. Our consultants work in a collaborative and fast-paced environment, are self-motivated, and are passionate about evolving technology. It is no accident that we are recognized as one of the Best Places to Work in Indiana for 10 consecutive years.

Internally, we believe in building strong teams from the top down with a focus on values in our Model-Coach-Care philosophy. Our leadership are encouraged and trained to model good practices, mentor other employees and each other, and show empathy and caring in all interactions. This is the base of our core values: Accountability, Balance, Collaboration, Focus, Integrity, Social Responsibility, Support and Transparency.

Moser Consulting believes in equal opportunity for all people and is committed to enabling a diverse, equitable, and inclusive culture. We foster a spirit of unity that respects the remarkable individuality of everyone's culture, history, and service.

Description

As a Senior Systems Analyst you'll help implement and oversee complex computer systems with the goal of increasing efficiency. Are you a healthcare oriented professional with an EDI Specialist background? If so, this opportunity would allow you to impact your team, our clients, and end users.

• Provide data analysis, transactional support, error detection, resolution, and all related services for the successful Electronic Data Interchange (EDI) Operations of the Exchange.
• Perform 8001 Medicaid transaction file analysis and validations.
• Review and resolve all data issues, including but not limited to Master Data Management (MDM), Master Person Identifier (MPI), and other data issues.
• Perform HBX System Error analysis.
• Validate 1095-A and 1095-B files, and reconcile 8001 transactions.
• Analyze EDI files sent to and received from Carriers, Managed Care Organizations (MCO), and other entities, and identify errors and root causes for EDI file rejections.
• Coordinate with the development team, business team, and testing team to analyze, fix, test, and transmit EDI files daily and as required.
• Analyze the EDI 999 files from the Carriers and MCOs and perform root cause analysis for exceptions, and assist with resolving any data issues.
• Perform data changes to fix consumer or system-reported errors, coordinate with technical and business teams to analyze error reports, access the HBX databases and applications to perform root cause analysis for transaction rejections, and provide data fixes and technical solutions.
• Communicate with the IT team, business team, vendor teams, and other stakeholders to translate business needs into EDI data fixes and solutions.

Requirements

• A minimum of four (4) years of experience with the Health Exchange marketplace EDI solutions.
• A minimum of four (4) years of experience creating EDI X12 files for transaction sets such as 834, 999, and TA1.
• A minimum of four (4) years of experience in reviewing and understanding technical documents such as companion and implementation guides for Healthcare EDI formats 834 and 999.
• A minimum of four (4) years of experience in analyzing, testing, and providing data solutions for healthcare marketplaces.
• A minimum of two (2) years of experience working with SQL databases/queries.
• Strong analytical and problem-solving skills.
• Excellent communication skills, including the ability to understand and communicate technical information to business users and gather business requirements that can be translated into technical requirements.
• Ability to manage multiple critical priorities and tight deadlines.
• The candidate must have the flexibility to work overtime, as needed, including weekends, holidays, and off-hours.

Preferred

• A minimum of six (6) years of experience with EDI validation tools such as Edifecs, WTX, EDI X12 files, or equivalent.
• A minimum of six (6) years of experience with EDI transaction sets such as 834, 820, 999, and TA1, SOA, EDI, or EAI applications.
• A minimum of two (2) years of hands-on experience writing complex SQL scripts.
• Knowledge of the Affordable Care Act (ACA) eligibility rules for Medicaid and Qualified Health Plans.
• Experience with or knowledge of Medicaid 8001 file processing or any other inter-agency transactional file processing.
• In-depth understanding of EDI 834 enrollment transactions, including Adds, Changes, Terminations, Cancellations, and error processing.

Where You'll Work

The candidate must have the flexibility to work overtime, as needed, including weekends, holidays, and off-hours in Baltimore, MD.

Benefits

For more than 25 years, Moser Consulting has been the go-to source for exceptional IT talent with the ability to self-manage. At Moser Consulting, our people are our #1 asset. We hire the best people, welcome them like family, connect them with opportunities, and let them do what they do best: produce innovative solutions to technology problems.

Our culture gives us a competitive advantage by keeping our employees happy, healthy, and by lowering stress levels in a very demanding industry. It is no accident that we are recognized as one of the Best Places to Work in Indiana. We focus on giving employees: an incredible work space; a fun, collaborative, and creative atmosphere; an extremely generous compensation package; and dozens of outstanding and unique perks usually not found at one company.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.