• Job Description

  Req#: 5012740
  Salary: $23.98 - $41.27 Hourly
  Location : Salt Lake County, UT
  Job Type: Full Time
  Remote Employment: Flexible/Hybrid
  Job Number: 45455
  Agency: 250 Health & Human Services
  Unit: 3115 DHHS DIH Medicaid Operations
  Opening Date: 07/18/2025
  Closing Date: 8/3/2025 11:59 PM Mountain
  FLSA: Non-Exempt
  Recruiter: Angie Rhodes, arhodes@utah.gov
  # of Openings: 1
  Background Check: You must successfully pass a criminal history check.
  Location: Cannon Health Building288 North 1460 WestSalt Lake City UT 84116 The Utah Department of Health and Human Services, Cannon Health Building is proud to be a tobacco free campus.
  Schedule Code: B - Competitive Career Service - Employment in this position requires a probationary period.
  Schedule Code Description: There may be a 12-month probationary period with this position. DHRM rules regarding promotions and transfers apply to current State of Utah employees.
  Benefits: This position is eligible for a full benefits package. See benefits tab below for details.
  EEO Statement: The State of Utah is committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. For accommodations, dial 711 or TTY: 800-346-4128.
  
  Job Description
  The Business Analyst (BA) supports the EDI team in the Office of Medicaid Operations. The BA typically performs activities which may include: research for enrollment related issues for Trading Partner agreements, Remittance Advice assignment, or Billing agent association; research electronic claim submission issues based on phone or email inquiries from providers, billing agents, and clearinghouses; and perform testing of EDI data from various sources to insure HIPAA compliance; help providers identify claim rejections within the electronic data interchange (EDI) process; assure deadlines are met; and ensure federal and state regulation, policy, and procedure compliance through audits.
  
  The ideal candidate hired for this position will have experience:
  • Experience in customer service role via email and phone support
  • Effectively communicating and expressing complex issues in meetings where
    many different opinions exist.
  • Moderate to expert skills with Microsoft Office Suite (Word, Excel, PowerPoint,
    Access)
  Preference may be given to applicants having:
  • Familiarity with Medicaid or Medicaid programs
  • Previous experience analyzing HIPAA EDI data as related to medical claims.
  • Understanding complex joins in database querying/simple to intermediate SQL/VBS queries.
  
  Note: as of April 8, 2024, DHHS employees will be working a hybrid schedule, which includes 2 office days per week and 3 telework days.
  Why work for the Utah Department of Health and Human Services? In addition to the rich the State of Utah offers, the department offers:
  
  • On-site fitness center, for a minimal membership fee
  • UTA Eco Pass, at a discounted monthly rate
  • Teleworking opportunities with a minimum 2 office days per week beginning 04/2024.
  • On-site day care center at the Cannon Health Building with First Steps Day Care - contact for rates and availability, 385-382-4012 or
  
  For more information on the Utah Department of Health and Human Services, please click
  
  If offered this position, your employment will be contingent upon passing a background check and review. There will be no cost to you for this check. This check will include fingerprinting, which will be available at various DHHS locations for your convenience. Fingerprinting will be completed prior to your first day of employment. You may review the policy by clicking here.
  Responsibilities
  
  
  • Phone and email workloads to support Provider, Billing agents, and
    Clearinghouses proper enrollment as related to electronic billing and the ability to
    submit claims in correct x12 format per 5010 Transaction type.
  • Support the implementation of HIPAA EDI related projects.
  • Analyze EDI errors to determine correct solutions for various HIPAA rejections.
  • Monitors system performance to ensure proper operation and identify possible
    problem areas.
  • Analyzes, summaries and/or reviews data; reports findings, interprets results
    and/or makes recommendations.
  • Identifies problems or potential problem areas and recommends solutions.
  • Enters data into a computer system and retrieves, analyzes corrects, or deletes
    the previously entered data.
  
  Supplemental Information
  
  
  • Effective July 1, 2021, State of Utah Employees must either reside in Utah or be in the process of relocating to Utah within 30 days of their start date.
  • This position may currently be a hybrid of both in-office and remote work days. Please note, a position's eligibility for remote work is established by agency management and is subject to change at their discretion, at any time, and for any reason.
  • Risks found in the typical office setting, which is adequately lighted, heated and ventilated, e.g., safe use of office equipment, avoiding trips and falls, observing fire regulations, etc.
  • Typically, the employee may sit comfortably to perform the work; however, there may be some walking; standing; bending; carrying light items; driving an automobile, etc. Special physical demands are not required to perform the work.
  
  Benefits:
  The State of Utah offers eligible employees a variety of benefits including medical, dental, life and disability insurance, as well as a comprehensive leave program. Please click the following link for a detailed information page: To access a Total Compensation Calculator in Excel format click
  
  FMLA General Notice:
  (right click + open link in new tab)
  (clic derecho + abrir en una pestaña nueva?)
  01
  
  Your answers to the questions on this posting must be supported by the duties, experience, andinformation listed in your profile's work and education history, not your resume. Please select "YES" to indicate you understand the validity of your claims will be based upon information contained within your application, not your resume. Unsubstantiated claims, exclusion of information, or incomplete answers may result in the disqualification of your application or of the question. Entering "see resume" will be considered an incomplete answer.
  • Yes
  
  02
  
  Please indicate how you heard about this specific job posting.
  • State of Utah job site (www.governmentjobs.com/careers/utah)
  • Referred by a Friend or Family
  • Indeed
  • Other External Job Board or Site
  • LinkedIn
  • Social Media (Facebook, Twitter, etc.)
  • DWS job website (www.jobs.utah.gov)
  • Advertisement (Digital Ad, Billboard, Print, etc.)
  • Professional Network (Association, Membership, Work Colleague)
  • University Network (Handshake, School Job Board, Career Center, etc.)
  • Contacted by a Recruiter
  • Career or Job Fair
  • Internship
  • Interviewed for different position
  • Internal communications (Agency/Division, etc.)
  • Other (not listed above)
  
  03
  
  In applying for this position, I understand that any offer of employment would be contingent upon me successfully completing a background screening as per the Utah Department of Health and Human Services Background Screening Policy and that my start date might change if the background check is not back by the original start date. Link to the policy can be found in the job description.
  • Yes
  
  04
  
  Are you a current employee of the Utah Department of Health and Human Services (DHHS)?
  • Yes
  • No
  
  05
  
  Please indicate your years of experience with Medicaid and/or Medicare programs. Please note: being a recipient of either of these programs is not considered experience.
  • No experience
  • Less than 1 year
  • 1-2 years
  • 3-4 years
  • 5 or more years
  
  06
  
  Please rate your leve of experience with Microsoft Office Suite (Word, Excel, PowerPoint, Access)
  • No experience
  • Less than 1 year
  • 1-2 years
  • 3-4 years
  • 5 or more years
  
  07
  
  Please indicate your years of experience analyzing HIPAA EDI data as related to medical claims.
  • No experience
  • Less than 1 year
  • 1-2 years
  • 3-4 years
  • 5 or more years
  
  08
  
  Please indicate your years of experience understanding complex joins in database querying/simple to intermediate SQL/VBS queries.
  • No experience
  • Less than 1 year
  • 1-2 years
  • 3-4 years
  • 5 or more years
  
  Required Question

• About the company

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