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Functional Analyst – 834 EDI Facets
Job Location:
Job Location:
Baltimore, MD - USA
Monthly Salary:
Not provided by the employer
Monthly Salary:
Posted:
8 September 2026 (5 hours ago)
Posted:
Application Deadline:
6 December 2026
Application Deadline:
Vacancies:
1 Vacancy
Vacancies:
Job Summary
Company Description
Lumen SolutionsGroupInc. is a technology consulting Services company based inFlorida. Weprovidea wide array of experienced business and IT professionals supporting clients from solution design to implementation and specialize in professional IT consulting services IT Staffing Business/IT Strategy Business Process Blueprints Enterprise Architecture and EnterpriseTransformation.
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
Required Skills & Qualifications
Lumen SolutionsGroupInc. is a technology consulting Services company based inFlorida. Weprovidea wide array of experienced business and IT professionals supporting clients from solution design to implementation and specialize in professional IT consulting services IT Staffing Business/IT Strategy Business Process Blueprints Enterprise Architecture and EnterpriseTransformation.
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.
- Healthcare payer/claims/enrollment experience strongly preferred.
- Strong analytical problem-solving documentation and communication skills.
- Advanced Excel and data analysis skills.
- Bachelors degree or equivalent experience.
- 4 years Functional Analyst experience or 6 years operational/analytical experience.
Required Experience:
IC
