System Analyst Sr. - Encounters EDI

7 days left

Minneapolis, Minnesota
Apr 03, 2021
Apr 19, 2021
Employment Status
Full Time
Health Care that Starts with You!

Join a truly mission-driven organization! Independent, nonprofit UCare is recognized as one of the Minnesota's leading health plans. We provide more than 225,000 members across Minnesota and western Wisconsin with the health coverage plans and services they need to maintain and improve their health. The innovative coverage we create makes a difference for Medicare-eligible individuals, individuals and families enrolled in Minnesota Health Care Programs, such as MinnesotaCare and Medical Assistance, and disabled adults with special health care needs.

UCare is growing in size, membership, products, geographic coverage, and employees. We're an organization that's going places. Be part of a team that cares about you, be part of UCare.


Enter a highly collaborative environment where people are truly engaged, and feedback is valued. You'll enjoy a competitive salary and benefits, as well as a host of other perks, including a nationally recognized wellness program, and a bright, open, award-winning office space in Northeast Minneapolis just minutes from major freeways and retail centers.

At UCare, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.



ABOUT UCARE UCare offers Medicare, Medicaid, Individual and Family health plans - powered by the hardest working people in the industry. Our people powered teams de-complicate, advocate and always go the extra mile to help our members. We serve with integrity, compassion and commitment to do right by members, providers and government partners. Above all, we come to work excited to provide members a path for the best health of their lives.

WORKING AT UCARE Working at UCare is more than a career; it's a mission. A mission that defines us as professionals, unites us as an organization and shapes how we interact with our members and each other. Employees join UCare and stay because of the opportunity to have a purpose-driven job.

Our strong culture has established UCare as a Star Tribune Top 150 Workplace for 11 consecutive years since the awards program began. It's a culture that embraces innovative ideas, strategic partnerships, and exemplary customer and provider experiences. Working at UCare is being a part of a people powered team dedicated to making a real difference in the lives of our members and communities.


Position Description
This position is responsible for day-to-day operations of Encounters; including researching EDI transactions for rejects and errors to identify and fix problems at the source. Ensure UCare meets the accuracy and timeliness requirements with Encounters for our regulatory agencies; this also includes researching, analyzing, and correcting previously submitted and rejected encounters.

• Responsible for all Encounters submissions to meet compliance deadlines. Ensure accurate and timely Encounter file processing and submission to State and Federal agencies.

• Analyze and interprets Encounter EDI data to identify potential issues and trends; Review, research, investigate and correct encounter issues through data and process analysis.

• Document and report system and/or application issues to business, scrum team, and internal IT members in a timely manner, including all relevant information and assessment of the priority level of an issue. Ensure issues are appropriately closed.

• Propose short-term and long-term solutions for fixing Encounters data validation errors and rejects to improve submission and acceptance rates and to meet Service Level Agreements (SLAs).

• Act as an internal consultant, advocate, mentor, and change agent providing expertise and technical guidance on complex Encounters projects across several lines of business.

• Create and maintain system monitoring, automation, scheduling, and alert processes.

• Collaborate and align cross-functionally with the business to understand/influence business requirements while considering IT goals and objectives and new and emerging technologies.

• Participate as a member of a Scrum team in Sprint Planning, Sprint Review, Sprint Retrospective and Daily Scrum stand-ups. Assist Product Owner with Product Backlog Management, user story development, and prioritization in regard to meeting Application Support needs

• Perform weekend and evening support as needed or scheduled.

• In conjunction with the Application Support, business, and Scrum teams, ensure that any data collected is being properly managed in accordance with policies regarding privacy, archival and retention.

• Assist as needed with applications supported by the Application Support Team within IT.

• Other projects and duties as assigned.

Bachelor's degree in Computer Science preferred; demonstrated experience may be considered in lieu of degree.

Required Experience
Eight years technical experience with systems analysis, design. Four years' experience with business and technology leadership, leading or mentoring teams and working with cross functional teams. Analytical and product management skills required, including how to interpret business needs and translate them into application and operational requirements. Experience in the implementation, support and troubleshooting of production environments. Experience with system and application linkages to enterprise monitoring, automation, and dashboards. BizTalk exposure including 837, 835 and other EDI transaction experience.

Preferred Experience
Knowledge and/or experience with Encounters. Knowledge of Windows operating systems. Knowledge of scheduling tools, preferably UC4/Automation Engine/One Automation. Exposure to Biztalk/Biztalk360 for monitoring and troubleshooting. Experience working in Agile teams with experience in developing/updating User Stories, Acceptance Criteria and project and support documentation.

The UCare difference is our people power - employees actively working on the behalf of our members to get them access to the health care they need. We value and respect each individual's ideas and contributions, and provide the freedom to grow both personally and professionally. We are centrally located, and offer onsite education, equipment and wellness resources, and a myriad of volunteer activities. If you're looking for an inclusive environment that celebrates your people power, helps you build on your strengths and gives you the opportunity to truly make a difference, we invite you to apply.

As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.

JOB POST DATE: 04/02/2021

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