Outbound File Technical Analyst - LHB

At Luminare Health , our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

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.

Please note: While this role is based remotely, candidates must live in one of the following states to be considered: IL, IN, IA, KS, MO, MT, NM, NC, OK, PA, TX or WI.

Outbound File Intake and Analysis

• Understands the overall purpose of why a vendor needs a particular file(s)
• Analyzes a vendor file layout(s) field by field
• Meets with vendor and/or client to obtain additional information when needs are unclear
• Facilitates ongoing communication with vendor and/or client
• Writes detailed business requirements
• Meets with programmers to ensure understanding of needs for each field on a file layout.
• Ensures that outbound data files are accurate so a client’s employees have access to services purchased by a client, i.e., an outbound file to a PBM allows customers to obtain prescriptions; other files impact correct claim pricing by a network or allows access to vision or dental services
• If a data analytics vendor is involved, we need to ensure that we are sending the correct claim data so the vendor can provide accurate data to our client regarding how their plans perform …