Job Description

• Perform system monitoring as documented
• Resolve "stuck in process" files
• Notify trading partners when files are badly flawed and cannot be processed
• Resolve, when possible rejected EDI records, or contact the trading partners in instances where the reject cannot be fixed
• Notify trading partners of repeated errors in EDI files so they can be corrected on the customer's end instead of vendor manually fixing the issues when rejections occur
• Ensure Trak-IT and the underlying Data IO data is kept clean and accurately reflects file processing status
• Identify and resolve hung processes or escalate if the issue needs more expertise
• Resolve other process issues related to the processing, moving and loading of EDI files or escalate if the issue needs more expertise
• Perform special file related requests
• Complete and send monitoring notifications
• Ensure any email communication found in the IT Operations mailbox is appropriately acted upon or directed to the proper party for action
• Monitor the IT Data IO task queue and either act on tasks or assign to the appropriate party for action
• Perform claim implementation work; support business and clients from kick-off to live production claim cycle
• Monitor processing reports and contact trading partners or escalate internally as appropriate to ensure late files are acted upon in a timely manner
• Monitor assigned task queues and address or assign tasks as appropriate
• Perform enrollment implementations
• Perform network provider data implementations
• Resolve or report data loading errors
• Perform Sunday/weekend process checks
• Other duties as required

Required:

• Competent with Microsoft Office
• Competent with T-SQL - Write and safely execute SQL queries
• Competent with SQL Server Management Studio
• Must have experience with problem solving in a batch-oriented data exchange arena
• Experience with ANSI 837, 834, and 997 EDI formats required
• Analyze and troubleshoot ANSI X12 file structure
• Analyze and troubleshoot flat file and other proprietary file structure
• Understand file encryption concepts
• Post and retrieve files from FTP sites
• Healthcare experience

Desired

• Experience in a HIPPA compliance environment
• Experience with PGP
• Experience with FTP

GalaxE is a professional IT services firm that specializes in platform-driven solutions and the use of automation to achieve enterprise business transformation and mission-critical change for some of the largest companies in the world. Using our proprietary solution set, GxFource, we apply machine learning techniques and predictive analytics tools as part of a broad artificial intelligence strategy that provides effective impact and data-driven business transformation.

Since its founding, GalaxE has been dedicated to advancing the benefits of technology. As we continue that legacy and look to the future, a focus on business enablement through agile, cost-efficient, and effective integration of people, process, and technology anchors our success. We revolutionize change in the costs of doing business that transform companies and their ability to leap beyond the competition.

At GalaxE we value people and are committed to diversity and inclusion where our employees are made to feel comfortable and are encouraged to be authentic. We focus on cultivating both traditional IT and non-traditional, new collar, workers through our Outsource to America, program.

We are always looking for passionate, entrepreneurial-minded innovators and disrupters; game-changers that take ownership of the work they produce and bring it each and every day. Working with like-minded team members you will get a chance to discover, develop, and use cutting-edge technologies to transform the way we deliver creative business solutions.

Sound like you? Join us and find out for yourself what it means for you, and your career, to be part of the GalaxE team. Lets build something, together. #WeAreGalaxE

*Equal Opportunity Employer/Veterans/Disabled

** Pay is based on several factors including market location and may vary depending on actual job-related knowledge, skills, and experience.

Physical Requirements:

• Prolonged periods of remaining stationary at a desk and working on a computer
• Must be able to lift to 15 lbs., as needed
• Must be able to work on-site (corporate/client offices), as needed (not applicable for 100% remote roles)
• Occasionally required to bend, kneel, crouch, and reach overhead.
• Hand-eye coordination necessary to operate computers and various pieces of office equipment.
• Specific vision abilities required include close vision, the ability to tolerate fluorescent lighting, and the ability to adjust focus.

Employees must be able to perform the physical requirements of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees requiring accommodations to perform the essential functions of their jobs, absent undue hardship.

This position requires a 10-panel drug test, except when not permissible by law, ordinance, etc. (This includes testing for marijuana)

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