Company Description Lumen Solutions Group Inc. is a technology consulting Services company based in Florida. We provide a wide array of experienced business and IT professionals supporting clients from solution design to implementation and support. We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, and Enterprise Transformation.
Role: Functional Analyst – 834 EDI / Facets
Location: Baltimore, MD (Remote – Required Once in a Quarter)
Job Type: 6 Months Contract-To-Hire
Job Summary:
Seeking a Functional Analyst with strong EDI 834 Eligibility and Facets experience to analyze, validate, test, and audit eligibility files. The role will ensure vendor files meet required layouts, specifications, and business requirements before production, while supporting data analysis and process improvement initiatives.
Key Responsibilities
Review and validate EDI 834 eligibility file layouts, specifications, and data.
Perform data analysis, testing, reconciliation, and auditing of eligibility files.
Validate vendor files against business and system requirements before production.
Reconcile eligibility data with claims/member data to identify discrepancies.
Support QA/testing, enrollment processes, and production implementations.
Analyze operational processes, identify gaps, and recommend improvements.
Gather requirements, document processes/SOPs, and prepare reports and analysis.
Monitor KPIs and support business/operational improvement initiatives.
Required Skills & Qualifications
Mandatory: EDI 834 Eligibility experience with strong knowledge of the 834 file layout.
Mandatory: Facets experience preferably Facets G6; Facets Legacy is also acceptable.
Experience with eligibility file data analysis, testing, validation, and reconciliation.
Strong analytical, problem-solving, documentation, and communication skills.
Advanced Excel and data analysis skills.
Bachelor's degree or equivalent experience.
4+ years Functional Analyst experience or 6+ years operational/analytical experience.
Lumen Solutions Group Inc is an equal opportunity employer. All qualified applicants will be considered for employment without regard to any legally protected status.
Numbers & Facts
Location
Baltimore, MD (Remote)
Skills
Analysis Skillsunmatched
Blueprintsunmatched
Business Operationsunmatched
Business Processesunmatched
Business Solutionsunmatched
Business Strategyunmatched
Business Supportunmatched
Communication Skillsunmatched
Consultingunmatched
Data Analysisunmatched
Documentationunmatched
Electronic Data Interchange (EDI)unmatched
Enterprise Architectureunmatched
File Auditsunmatched
Functional Analysisunmatched
Healthcareunmatched
Information Technology Consultingunmatched
Operational Auditunmatched
Operational Improvementunmatched
Operations Processesunmatched
Performance Metricsunmatched
Problem Solving Skillsunmatched
Process Analysisunmatched
Process Improvementunmatched
Production Supportunmatched
Professional Servicesunmatched
Quality Assuranceunmatched
Quality Assurance Methodologyunmatched
Reconciliationunmatched
Reporting Skillsunmatched
Requirements Managementunmatched
Standard Operating Procedures (SOP)unmatched
Technical Recruitingunmatched
Technical Supportunmatched
Validation Testingunmatched
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