The EDI Analyst will support inbound and outbound EDI submissions of HIPAA compliant transactions, including 270/271, 276/277, 837I, 837P, 835 and 999/TA1.
-Provide ongoing support to EDI testing/research and for new initiatives.
-Report to the Manager of EDI Trading Partner Testing (this role is integral to EDI functions that MAXIMUS performs for MassHealth).
-Apply systems analysis techniques to identify and determine root cause of electronic file submission failures for the following transaction sets utilizing industry standards (Washington Publications Implementation Guides, MassHealth Companion Guides, American National Standards Institute X12).
-Outreach to MassHealth Trading Partners with results of analysis and resolutions of the EDI transaction sets.
-Provide direction to the provider on how to resolve or make computer systems changes to correct the file.
-Handle communications with Trading Partners for EDI transaction set-up and ongoing maintenance and support.
-Thoroughly document EDI transaction issues and communicate critical issues to the Provider Services leadership team.
-Utilize a support console to track testing status and results; make notes of errors and resolutions; and log the type of, reason for, and results of communications with the Trading Partners.
-During testing implementations, assist in the technical design and workflow of the Trading Partner testing process.
-Work with MMIS Information Technology development staff to resolve Trading Partner testing errors as swiftly as possible and make recommendations on system modifications.
-Maintain compliance with contract requirements related to EDI Trading Partner Testing.
-Participate in ongoing communication between the EDI team, the Contact Center, and Provider Relations staff to optimize customer service to the provider community.

• Bachelor's degree with 3+ years of experience.
• May have additional training or education in area of specialization.
• Develops solutions to a variety of problems of moderate scope & complexity.
• General application of concepts & principles.
• Contributes to the completion of organizational projects & goals.
• Frequent use and general knowledge of industry practices, techniques, and standards.
• Applies knowledge and skills to complete a wide range of tasks.
• Communicates on complex or sensitive issues or drafts such responses for supervisor or manager.

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Since 1975, Maximus has operated under its founding mission of Helping Government Serve the People, enabling citizens around the globe to successfully engage with their governments at all levels and across a variety of health and human services programs. Maximus delivers innovative business process management and technology solutions that contribute to improved outcomes for citizens and higher levels of productivity, accuracy, accountability and efficiency of government-sponsored programs. With more than 30,000 employees worldwide, Maximus is a proud partner to government agencies in the United States, Australia, Canada, Saudi Arabia, Singapore and the United Kingdom. For more information, visit https://www.maximus.com.

EEO Statement: Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We’re proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. Maximus is an Affirmative Action/Equal Opportunity Employer. Maximus provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.

Maximus compensation is based on various factors including but not limited to a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation shall be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation.