Summary
Overview
Work History
Education
Skills
Websites
System Experience Skills
Work Availability
Software
Work Preference
Interests
Timeline
Manny Mendez

Manny Mendez

Trenton,GA
The best way out is always through.
Robert Frost

Summary

Experienced and knowledgeable Edifecs Support Engineer with a strong background in providing production support for Edifecs Healthcare suite products. Proficient in analyzing and resolving production support incidents, configuring Edifecs tools, and understanding healthcare domain and EDI transactions. Skilled in SQL querying and troubleshooting, with a focus on delivering high-quality support and customer satisfaction. Results-oriented Analyst skillful in managing and breaking down large volumes of information. Proactive at heading off issues in operations, workflow and production by uncovering trends affecting business success. Rational EHR Integration Analyst with 18+ years of experience enhancing operations for organizations through information systems solutions. Proven track record of transforming specific business goals related to growth and efficiency improvements into new system designs. Knowledgeable innovator known for recommending new technologies to enhance existing systems and introduce new systems.

Overview

23
23
years of professional experience
1
1
Language

Work History

EHR INTERGRATION ANALYST

OUTBOUND AI
10.2023 - 02.2024
  • Support existing and new EHR features on training, go-live, and enhancements as appropriate
  • Acted as the first point of contact for EHR software support questions
  • Provide production support for Edifecs Healthcare suite products, including Transaction Mgmt, EDIFECS Trading Platform, SpecBuilder, and xEngine
  • Analyze and troubleshoot production support incidents related to healthcare EDI transactions, ensuring timely resolution and minimal impact on business operations
  • Configure and customize Edifecs tools to meet client requirements and address specific business needs
  • Collaborate with cross-functional teams to understand system integration requirements and facilitate smooth deployment of Edifecs solutions
  • Assist in the planning and execution of EDI product upgrades, ensuring minimal disruption to existing systems and processes
  • Develop and maintain technical documentation, including troubleshooting guides, best practices, and knowledge base articles
  • Provide training and guidance to clients and internal teams on the use of Edifecs tools and technologies
  • Planned, documented and executed EHR features and functionality as per vendor requirements
  • Conducted problem analysis and issue resolution for issues related to the EHR software through the vendor support mechanisms
  • Worked with IT to coordinate troubleshooting and repair of hardware / software related issues as they arise
  • Supported testing of EHR functionality and participates in the analysis and potential implementation of new ancillary software related to the EHR
  • Provided training to office Super Users on EHR functionality
  • Coordinated priorities for projects and issue resolution for the EHR.
  • Collaborated with cross-functional teams to identify opportunities for process improvement and increased efficiency.

IMPLEMENTATION ANALYST III

Change Healthcare / OPTUM
05.2022 - 08.2023
  • Configure and implement clients and business partners for contracted services
  • Modify configurations as requested by clients and business partner's requests
  • Document all configuration and implementation processes used to support contracted services
  • Provide Tier 2 support for customer issues
  • Provided frontline technical support and assistance to clients using Edifecs Healthcare suite products
  • Responded to customer inquiries and reported issues via email, phone, and ticketing system, ensuring prompt resolution and customer satisfaction
  • Conducted root cause analysis of production incidents and implemented corrective actions to prevent recurrence
  • Worked closely with development teams to escalate and resolve complex technical issues and product defects
  • Assisted in the testing and validation of software updates and patches prior to release
  • Coordinate customer User Acceptance Testing (UAT) including associated documentation and sign offs / approvals from business partners
  • Support Account Management with feedback on Change customers and business partners
  • Assist in facilitating technical issues and provide follow through on resolution of issues with contracted services.
  • Utilized strong communication skills to present progress updates and recommendations to stakeholders throughout each project phase.
  • Managed multiple projects simultaneously, prioritizing tasks effectively to meet deadlines and exceed expectations.
  • Identified areas for improvement and implemented necessary changes, resulting in successful project completion.
  • Maintained open lines of communication with clients throughout the entire project lifecycle, fostering trust and positive working relationships.

BUSINESS SYSTEMS ANALYST

Change Healthcare
11.2021 - 05.2022
  • Provided frontline technical support and assistance to clients using Edifecs Healthcare suite products
  • Responded to customer inquiries and reported issues via email, phone, and ticketing system, ensuring prompt resolution and customer satisfaction
  • Conducted root cause analysis of production incidents and implemented corrective actions to prevent recurrence
  • Worked closely with development teams to escalate and resolve complex technical issues and product defects
  • Assisted in the testing and validation of software updates and patches prior to release
  • Analyzes complex business problems to be solved within legacy and developing systems
  • Identifies gaps and provides technical expertise in determining business needs and translating those needs into requirements for IT personnel to build future tools and works to develop processes and procedures in a cost-effective manner
  • Work with external clients, internal support analysts, engineering, and development to troubleshoot, research and solve complex problems
  • Audit incoming 270, 271,275, 276, 277, 278, 837 and 835 EDI transactions using SAP, OnBase, Excel and Splunk.

EDI Implementation Specialist

Availity
06.2020 - 11.2021
  • Perform client facing activities to support successful integration with the Availity EDI product offerings
  • Serving as the main point of contact and subject matter expert for the clients, assisting with questions, providing submitter support through the EDI testing processes, and project management of the submitter implementation
  • Provide production support for Edifecs Healthcare suite products, including Transaction Mgmt, EDIFECS Trading Platform, SpecBuilder, and xEngine
  • Analyze and troubleshoot production support incidents related to EDI transactions, ensuring timely resolution and minimal impact on business operations
  • Configure and customize Edifecs tools to meet client requirements and address specific business needs
  • Collaborate with cross-functional teams to understand system integration requirements and facilitate smooth deployment of Edifecs solutions
  • Assist in the planning and execution of EDI product upgrades, ensuring minimal disruption to existing systems and processes
  • Develop and maintain technical documentation, including troubleshooting guides, best practices, and knowledge base articles
  • Provide training and guidance to clients and internal teams on the use of Edifecs tools and technologies
  • Focus on submitters' interaction with Availity systems in correlation to product functionality and transaction processing.
  • Implemented new training programs for staff, leading to higher employee retention rates and better overall performance.
  • Educated staff on organizational mission and goals to help employees achieve success.

Production Support Analyst

PaySpan
03.2020 - 06.2020
  • Provide two tier support for all Payspan applications and aid all end users and identify any issues in production
  • Maintain schedule jobs and perform troubleshoot on processes and resolve all issues
  • Provide production support for Edifecs Healthcare suite products, including Transaction Mgmt, EDIFECS Trading Platform, SpecBuilder, and xEngine
  • Analyze and troubleshoot production support incidents related to healthcare EDI transactions, ensuring timely resolution and minimal impact on business operations
  • Configure and customize Edifecs tools to meet client requirements and address specific business needs, utilizing strong SQL knowledge for data manipulation and analysis
  • Collaborate with cross-functional teams to understand system integration requirements and facilitate smooth deployment of Edifecs solutions
  • Assist in the planning and execution of EDI product upgrades, ensuring minimal disruption to existing systems and processes while maintaining an excellent understanding of technical and business challenges
  • Develop and maintain technical documentation, including troubleshooting guides, best practices, and knowledge base articles, to support internal teams and enhance organizational knowledge
  • Provide training and guidance to clients and internal teams on the use of Edifecs tools and technologies, demonstrating effective communication and presentation skills
  • Identify the cause of problems reported by Tier 1
  • Administer and implement all new systems and ensure transition of plans to production
  • Data mine all performance metrics for various production systems/ identify root cause for all technical issues/recommend solutions
  • Maintain knowledge on all hardware and operating system and update security associate technology.
  • Assisted in the evaluation of new tools or applications that could enhance the production environment''s effectiveness.

Connectivity Support Representative

McKesson
02.2018 - 03.2020
  • Responsible for first level support for EDI and B2B connectivity issues and concerns
  • Data Mine B2B trends with connectivity issues emphasizing on duplication of production files, search through large batches of the raw EDI data for possible file submittal errors
  • Run SQL to search other files for these error trends
  • Document findings and promote solutions to clients and stakeholders
  • Responding to technical support cases from customers, suppliers, 3rd-party vendors as well as internal McKesson departments
  • Creating and executing Oracle and DB2 SQL queries
  • I have in-depth understanding of EDI X12 transaction sets used in a distribution business, their function, structure, and application (i.e
  • 850, 855, 832, 810 and 856)
  • Knowledge of X12 transaction enveloping.
  • Reduced overall average handle time by identifying underlying root causes behind common user inquiries.
  • Conducted regular reviews of support tickets to identify patterns and opportunities for optimization.

Network Representative

Aetna
06.2012 - 08.2017
  • Perform intake triage and respond to network inquiries including, provider requests (e.g., policy and procedures, credentialing status, claims status), provide ongoing support to department members in completing research and analysis to resolve concerns/issues raised by providers and other internal/external customers.
  • Maintained an up-to-date inventory of networking equipment and documentation, facilitating efficient management of resources.
  • Conducted thorough audits of existing network configurations, identifying areas for improvement and recommending appropriate actions.
  • Enhanced security, implementing advanced protocols and firewalls to protect sensitive data.
  • Collaborated with cross-functional teams to ensure seamless integration of new systems and applications.
  • Troubleshot connectivity problems swiftly, preventing prolonged disruptions to business operations.

Assistant IV, Org Mgmt.

Convergys / Northgate Arinso
10.2000 - 08.2011
  • Responsible for directing business processes across all functional areas within State of Florida operations (e.g., HR; Payroll; or Benefits).
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • Managed time efficiently in order to complete all tasks within deadlines.
  • Organized and detail-oriented with a strong work ethic.
  • Developed and maintained courteous and effective working relationships.
  • Demonstrated strong organizational and time management skills while managing multiple projects.

Education

Master of Science - Engineering Management

University of Phoenix, Jacksonville FL
12.2012
  • Honors: Summa Cum Laude
  • GPA: 4.0

Bachelor of Science - Computer Science

Hunter College University, New York, NY
06.2003
  • Honors: Cum Laude
  • GPA: 3.52

Skills

  • Analytical Thinking
  • MS Excel
  • Team Collaboration and Leadership
  • Documentation And Reporting
  • Excel proficiency
  • Data Research and Validation
  • SQL and Databases
  • Business Operations Analysis
  • SQL Programming
  • Data Processing
  • Risk Analysis
  • Information Gathering

System Experience Skills

  • Access Hyper - V
  • DST Pricer
  • JMS
  • RSA
  • Couch base
  • Active Directory
  • EDI X12
  • Kafka
  • Rumba
  • CXML data migration
  • Amisys Advance
  • EDIFECS
  • Kronos
  • Salesforce
  • Cyber-security
  • API Scala
  • EMR
  • Micro services
  • SAP
  • Java
  • AS2 Connections
  • Excel
  • Microsoft D365
  • Sentinel One
  • Java 8/11
  • AS400
  • Exchange
  • Microsoft Word
  • Smart Sheets
  • JIRA
  • AWS Failover Clustering
  • Mongo
  • Splunk
  • Python
  • Bitdefender
  • GitHub
  • Oracle
  • Spring boot
  • RCM
  • Bridge Pro
  • Gitlab
  • PDI
  • SQL
  • REST API
  • Cassandra
  • HIT
  • PeopleSoft
  • Story Boards
  • Unix
  • ChatGPT 35
  • Information Security
  • PowerPoint
  • Taleo
  • Visio
  • Citrix server knowledge
  • Internet Information Services
  • Project Management
  • Trend Micro
  • VMWare Carbon Black

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Software

EDIFECS

Microsoft D365

Python

SQL

Unix

Excel

JIRA

EPIC

EHR

Work Preference

Work Type

Full TimeContract Work

Location Preference

Remote

Important To Me

Work from home option

Interests

Healthcare EDI

Healthcare AI

Data Migration

Healthcare EDI Implementation

Timeline

EHR INTERGRATION ANALYST - OUTBOUND AI
10.2023 - 02.2024
IMPLEMENTATION ANALYST III - Change Healthcare / OPTUM
05.2022 - 08.2023
BUSINESS SYSTEMS ANALYST - Change Healthcare
11.2021 - 05.2022
EDI Implementation Specialist - Availity
06.2020 - 11.2021
Production Support Analyst - PaySpan
03.2020 - 06.2020
Connectivity Support Representative - McKesson
02.2018 - 03.2020
Network Representative - Aetna
06.2012 - 08.2017
Assistant IV, Org Mgmt. - Convergys / Northgate Arinso
10.2000 - 08.2011
University of Phoenix - Master of Science, Engineering Management
Hunter College University - Bachelor of Science, Computer Science
Manny Mendez