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Sr. IT - Business Analyst
Minneapolis, Minnesota
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Applied on September 28, 2020
Job Id #43151 Posted September 2, 2020


*Must pass a drug test and background check once offered position*

Description:

  • Positions in this function have primary responsibility for EDI documentation and mappings from internal and external data sources into BHEMIS (Behavioral Health Encounter Management System) of provider and claims data and for creating documentation and mappings from BHEMIS into proprietary and HIPAA compliant formats that are customer/client specific.

Projects the candidate will be working on:

  • Various .documentation of processes, analysis, etc

Day to Day:

  • .Serves as BHEMIS Data Mapping Subject Matter Expert (SME).

Top Requirements:

  • Positions in this function conduct analyses, assist in the solutioning, and development of data maps both to load BHEMIS SQL database objects and for mapping processes from BHEMIS to HIPAA Compliant Implementation Guide (IG) and Customer Companion Guide (CG) Transaction documentation and/or other proprietary formats to meet Customer/client requirements as well as all associated documentation. General Job Profile
  • .Comfortable working in a dynamic, rapidly changing work environment

Top Responsibilities:

  • .Generally work is self-directed for both prescribed and non-prescribed processes.

    Works with less structured, new, highly complex issues.
     

Primary Responsibilities:

  • Demonstrate and apply knowledge of medical and/or behavioral health claims and general encounter processing and management best practices.
  • Demonstrate and apply intimate knowledge of HIPAA transaction guides, data elements and use requirements.
  • Demonstrate and apply knowledge of federally mandated Companion Guide guidelines and their use.
  • Demonstrate and apply basic relational database concepts and familiarity.
  • Conducts/updates/manages analyses and document transaction requirements based on IG/CG and proprietary format instructions.
  • Identifies data gaps and manages remediation of same.
  • Assists in the development/creation/documentation of data maps from SQL to HIPAA/proprietary transactions using ETL software.
  • Conduct mapping/code audits of all maps prior to release.
  • Creating, managing and running scheduled mapping/transaction generation jobs.
  • Conducts research as needed using a variety of tools (SQL Management Studio, XMLSpy, UltraEdit, etc.).
  • Assists data and report analysts in developing data validation routines.
  • Acts as primary liaison between BHEMIS and Customer/client production personnel.
  • Demonstrate and apply a strong attention to detail.
  • Creates various work products using standard software packages (Word, Excel, Visio).

Required Qualifications:

  • Bachelors degree.
  • 4+ years experience with medical or behavioral health claims processing.
  • 2+ years experience of MS Excel, Word, Visio.
  • 1+ years experience with T-SQL.

Preferred Qualifications:

  • Experience working with EDI mapping software.
  • Experience working as a Business Analyst.

Horizontal is proud to be an Equal Opportunity and Affirmative Action Employer. We seek to provide employment opportunities to talented, qualified candidates regardless of race, color, sex/gender including gender identity and/or expression, national origin, religion, sexual orientation, disability, marital status, citizen status, veteran status, or any other protected classification under federal, state or local law.

In addition, Horizontal will provide reasonable accommodations for qualified individuals with disabilities. If you need to request a reasonable accommodation in order to complete the application or interview process, please contact hr@horizontal.com.

All applicants applying must be legally authorized to work in the country of employment.

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We do not accept scanned documents, images, or resumes containing images and/or icons.

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EQUAL OPPORTUNITY EMPLOYMENT SURVEY

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You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such am impairment or medical condition.

Horizontal is proud to be an Equal Employment Opportunity/Affirmative Action Employer providing a drug-free workplace.

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