Systems Analyst – Cms Encounter Implementation

Veradigm

Base: $92,972-$129,231; bonus/equity: not specifie...
Cms encounter submission implementation
Ansi x12 837p and 837i transaction experience
Sql skills for data validation and analysis
This role leads the end-to-end implementation of CMS encounter submissions for new and expanding payer clients while ensuring regulatory compliance

Job Summary

  • This role leads the end-to-end implementation of CMS encounter submissions for new and expanding payer clients while ensuring regulatory compliance.
  • The Systems Analyst partners closely with engineering, data, and client teams to define specifications, perform gap analysis, and validate test files.
  • Veradigm offers a comprehensive compensation package including medical, dental, vision insurance, company-paid life insurance, and retirement savings.

Matching Summary

This role leads the end-to-end implementation of CMS encounter submissions for new and expanding payer clients while ensuring regulatory compliance.

Salary

Base: $92,972-$129,231; Bonus/Equity: Not specified; Benefits: Comprehensive package including medical, dental, vision, life insurance, and retirement savings

Skills & Requirements

Must-have

  • CMS encounter submission implementation
  • ANSI X12 837P and 837I transaction experience
  • SQL skills for data validation and analysis
  • Experience with Medicare Advantage programs
  • Gap analysis between source data and CMS requirements

Nice-to-have

  • Proactive self-starter in fast-paced environments
  • Experience with ETL processes and data integration
  • Strong written and verbal communication skills
  • Familiarity with CMS acknowledgment response files
  • Ability to work independently with minimal supervision

Key Requirements

  • Bachelor's degree in information systems or related field
  • 3+ years of healthcare data implementation experience
  • Strong knowledge of CMS regulations and Medicare Advantage
  • Hands-on experience with ANSI X12 transactions
  • Legal authorization to work in US or Canada

Work Rights

Must be legally authorized to work in the United States or Canada

Tailored Resume

Cover Letter