Note: The job is a remote job and is open to candidates in USA. HealthEdge is a company focused on transforming the healthcare payment integrity industry. The Associate BI Analyst will support reporting needs, ensure accurate data analysis, and assist in developing and maintaining reports while collaborating with various stakeholders.
Responsibilities
- Generating and maintaining regular and ad-hoc reports for various stakeholders
- Assisting in the development and documentation of new reporting processes
- Tracking and analyzing data to identify trends and provide actionable insights
- Collaborating with team members to ensure data accuracy and consistency
- Supporting the documentation of standard operating procedures and best practices
- Assisting in tracking project progress
- Striving to improve process; isolating areas for improvement and delivering change for effectiveness and efficiency
- Troubleshoot data input/output format as it relates to claim structure (JSON) as defined in the API data dictionary
- Test and troubleshoot claim results as it relates to backend processing (JSON) using third party automation tools such as Postman
- Support systems and partner integration testing, reports, and correspondence testing
- Support capturing defects, performing initial triage, tracking and re-testing remediation
- Follow all policies related to handling and access to client and PHI data
- Perform all job functions consistent with HealthEdge Source policies and procedures, including those which govern the handling of PHI and PII
Skills
- Technical experience with health insurance systems, especially with healthcare insurance payors, focusing on software integration
- Exposure to projects involving data analysis and migrations, including data mapping, transformation, and results reconciliation
- Basic understanding of Restful APIs, JSON, and tools like Postman
- Familiarity with gathering and analyzing requirements for enterprise applications
- Knowledge of CMS 1500 and UB04 claims forms
- Understanding of Medicare claim pricing and editing
- Basic knowledge of XML and JSON
- Familiarity with SQL databases and understanding of tables and relations
- A four-year degree in Computer Science, Computer Engineering, or related fields
- Experience with issue tracking systems like Jira, Azure DevOps, or ServiceNow
Company Overview
HealthEdge Software offers benefits administration and care management software solutions. It was founded in 2004, and is headquartered in Burlington, Massachusetts, USA, with a workforce of 1001-5000 employees. Its website is http://www.healthedge.com.Company H1B Sponsorship
HealthEdge has a track record of offering H1B sponsorships, with 45 in 2025, 37 in 2024, 35 in 2023, 56 in 2022, 35 in 2021, 34 in 2020. Please note that this does not guarantee sponsorship for this specific role.
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