Job Details

ID #12198575
State North Carolina
City Raleigh / durham / CH
Job type Contract
Salary USD TBD TBD
Source Chandra Technologies, Inc.
Showed 2021-04-13
Date 2021-04-12
Deadline 2021-06-11
Category Et cetera
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IT Lead EDI Specialist

North Carolina, Raleigh / durham / CH, 27607 Raleigh / durham / CH USA

Vacancy expired!

Please apply for this position by sending your resume to: Email: apply AT chandratech DOT com SUBJECT: Applying for IT Lead EDI Specialist Raleigh, NC Hourly Rate: $43 W2; $50 CTC/1099 Job Description: NC Dept of Health and Human Services (DHHS) is seeking a Lead EDI Specialist / Tester to perform work related to S12 EDI Transmission (Test Scripts) to support the Managed Care Transition Project. NC Dept of Health and Human Services (DHHS) is seeking a Lead EDI Specialist to test various transitions related to support of the Medicaid Reform Project. Responsible for the following activities to a critical system being developed in-house at the State:

  • High degree of business/technical knowledge (HIPAA X12 EDI Transactions).
  • Expert in EDI mapping for 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
  • Conducts QA and Testing on EDI applications
  • Develop and execute Test scripts related to X12 Transmission & Resolve Transmission Issues
  • Experience setting up users/new Trading Partner relationship/Standards/Envelope and full cycle testing
  • Provides technical support during implementation for healthcare electronic data interchange applications
  • Responds to inquiries regarding EDI issues with encounter claims and trading partner activities
  • Management of catalog of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
  • Communication between Trading Partners and department
  • Maintain detailed documentation and process flow of all EDI processes
  • Identify and facilitate issues with partner data mapping from onset through completion
  • Process and monitor all inbound and outbound X12 transactions
  • Support Customer Service group with EDI related issues & Triages incoming EDI issues thru monitoring
  • Identifies, recommends and implements process improvements in support of the EDI system
  • Troubleshoot EDI document processing errors and work with trading partners directly to resolve in a timely matter
  • Conducts analysis of EDI transactions and is responsible for documentation and reports
  • Track day-to-day EDI & batch processes to identify & address problems as they arise
  • Reporting levels of activity using key established metrics for senior management
  • Effectively communicate issues & needs w/ internal business partners, external vendors, and healthcare providers
  • Develops and maintains cross walking and validation rules for file exchanges
  • Ability to communicate effectively with technical and business staff
  • Support internal resources to resolve issues, answer questions, and retransmit EDI documents when necessary
  • Work with end users to ensure user acceptance testing is thorough and complete
  • Employees should be able to work independently with minimal supervision.
  • Knowledge of Agile Methodology
Required Skills:
  • Expert in developing / executing test scripts related to X12 EDI Transmission (7 years)
  • Proficiency in conducting QA and testing on EDI applications (5 years)
  • Expert in EDI mapping for 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0 (5 years)
  • Strong Business/Technical knowledge (Practical) HIPAA X12 EDI Transactions. (5 years)
  • Setting up users/new Trading Partner relationship/Standards/Envelope (full cycle testing) (2 years)
  • Creating-Managing catalog of EDI docs: (837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0) (7 years)
  • Processing & Monitoring inbound/outbound X12 transactions (5 years)
  • Knowledge of Agile Methodology (2 years)
  • Experience in collaborating with EDI partners to resolve transmission problems. (2 years)
Preferred Skills:
  • Strong understanding of healthcare claims processing - Claims, Provider, Eligibility (5 Years)
  • Working knowledge of Medicaid and/or MMIS (5 years)
  • Excellent verbal/written communication skills (For both technical and business audience) (5 years)
IT Lead EDI Specialist X12 EDI Transmission, QA Testing, HIPPA, NCPDP D.0, Agile Methodology Higher Competitive Rates will be considered for consultants with advanced skill set Corp to Corp Resumes are welcome Consultants may need a criminal background check

Vacancy expired!

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