Lead EDI Specialist

Raleigh, WV - USA

Monthly Salary: Not Disclosed

Posted on: 30+ days ago

Vacancies: 1 Vacancy

Job Summary

For more details please connect with Soumya Nayak at soumya or call at .

Job Title:
DHHS IT Lead EDI Specialist (790773)

Duration:

12 months

Location:

Dix Campus Raleigh North Carolina (Hybrid)

Position Type:
Contract

Hours Per Week:
40

Interview Type:
Webcam Interview Only

Ceipal ID:
SNCEDI773SN

Job Code:
790773

End Client:
North Carolina Department of Health and Human Services (NCDHHS)

Scope of Project

NC Dept of Health and Human Services (DHHS) is seeking a Lead EDI Specialist / Tester to perform work related to support the Managed Care Transition Project and Medicaid Reform Project.
This position supports a critical system developed in-house at the State of North Carolina.

Responsibilities:

High degree of business and technical knowledge with significant practical experience in HIPAA X12 EDI Transactions
Expert in EDI mapping for 837 277CA 834 835 TANCPDP D.0
Develop and execute test scripts related to X12 Transmission
Conduct QA and testing on EDI applications
Experience setting up users/new Trading Partner relationship/Standards/Envelope and full cycle testing
Provide technical support during and after implementation for healthcare EDI applications
Respond to inquiries regarding EDI issues with encounter claims and trading partner activities
Management of catalog of EDI document types
Communication between Trading Partners and department
Maintain detailed documentation and process flows
Identify and facilitate partner data mapping issues
Process and monitor inbound and outbound X12 transactions
Support Customer Service group with EDI-related issues
Recommend and implement EDI process improvements
Troubleshoot EDI processing errors with trading partners
Conduct EDI analysis and reporting
Track daily EDI and batch processes using defined metrics
Develop cross-walking and validation rules
Support UAT and internal resources
Work independently with minimal supervision
Apply Agile methodology

Required / Preferred Skills:

Required:

Expert in developing and executing X12 EDI test scripts 7 Years
QA and testing on EDI applications 5 Years
EDI Mapping (837 277CA 834 835 TANCPDP D.0) 5 Years
HIPAA X12 EDI Transactions 5 Years
Trading Partner setup & full cycle testing 2 Years
Managing EDI document catalogs 3 Years
Processing inbound/outbound X12 transactions 3 Years
Agile Methodology 2 Years
Local candidates only

Highly Desired:

Healthcare claims processing knowledge
Medicaid and/or MMIS experience

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For more details please connect with Soumya Nayak at soumya or call at . Job Title: DHHS IT Lead EDI Specialist (790773) Duration: 12 months Location: Dix Campus Raleigh North Carolina (Hybrid) Position Type: Contract Hours Per Week: 40 Interview Type: Webcam Interview Only Ceipal ID: SNCE...