Outbound File Technical Analyst - LHB

Welcome to a team of caring and passionate people who work each day to meet the needs of our members and clients. At Luminare Health (a subsidiary of Health Care Service Corporation), you will be part of an organization committed to offering custom services to self-funded health benefits plans that manage costs – without compromising benefits – by offering innovative solutions, flexibility, transparency and customer support. This is an exciting time to join our team and enhance our culture that emphasizes caring, diversity and inclusion, mutual respect, collaboration and service to our communities. 

Job SummaryThe Outbound File Technical Analyst is the SME (subject matter expert) for hundreds of outbound files in many different file layouts and formats for our client’s vendors and works directly with programmers for new file builds and changes to existing files. This position involves analyzing a vendor file layout(s) and the needs of the particular vendor, writing business requirements, meeting with vendors and programmers to ensure understanding, creating test plans and testing scenarios, documenting testing results and collaborating with programmers to achieve the end result and finally providing user sign off for deployment of files to production. This position requires analytical and critical thinking skills to ensure that programming is accurate based on the needs of a client’s vendor. In addition this position works with team members and other internal customers and external customers by analyzing a question or issue to either provide an explanation or determine if programming changes are needed and work with programmers to implement a change when needed. Problem solving and sound decision making skills are needed.

Required Job Qualifications:

• Bachelor’s degree in business or equivalent experience
• Minimum of 4 years prior experience working in the insurance or TPA industry in a technical role working with EDI files and/or analyzing and testing electronic data files
• Understanding of EDI terminology and file structures
• Ability to read, understand and interpret file specifications
• Experience with SQL and compare tools like UltraEdit
• Proven problem solving, troubleshooting and analytical skills are essential.  
• Ability to determine solutions and resolve issues with minimal supervision
• Ability to work collaboratively with team members and other Luminare Health areas as well as external vendors.
• Excellent organizational skills and the ability to prioritize workload in a frequently interrupted environment. 
• Proficient with Excel and Word
• Strong written, verbal, collaboration and interpersonal communication skills
• Sound decision making skills
• Customer service focused

      

The compensation range for …