| IT Lead EDI Specialist at Raleigh, North Carolina, USA |
| Email: [email protected] |
| From: Dheeraj, webgeosolutions [email protected] Reply to: [email protected] Greetings from Web Geo Solutions, LLC. We have an exciting new job opportunity with our direct client, matching your skills. Please review the job description and respond with all the requested details if you are interested. Job Details JOB ID: DHHS- IT Lead EDI Specialist (727665) Client: NC - Last day to apply: 1/19 Initial Term: 12 Months+ Tentative start date: ASAP Interview mode : Webcam/In-Person Work location: Raleigh, NC Job Description: NC Dept of Health and Human Services (DHHS) is seeking a Lead EDI Specialist to perform work related to to support the Medicaid Reform Project. This position is responsible for the following activities related to a critical system being developed in-house at the State: 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, TA1, 999, 820, NCPDP D.0 Develop and execute test scripts related to X12 Transmission Conducts QA and Testing on EDI applications Develop and execute Test scripts related to X12 Transmission Experience setting up users/new Trading Partner relationship/Standards/Envelope and full cycle testing Provides technical support during and after 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 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 Collaborate with EDI partners to resolve transmission problems. Track day-to-day EDI & batch processes to identify and address problems as they arise reporting levels of activity using key established metrics for senior management Effectively communicate issues and needs with internal business partners, external vendors, and healthcare providers Develops and maintains cross walking and validation rules for file exchanges Triages incoming EDI issues thru monitoring 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 If you are interested, please reply with below details for further evaluation Please send all the requested below information for consideration Contact details (and employer details if C2C) Your full legal name (Must match with state issued ID or passport) Phone number Personal email id (this same id should be used to send E-RTR after submission) Desired hourly rate (above max advertised rate is not considered): W2: $ C2C: $ Work Status (H1B, EAD, GC, US Citizen), please attach a copy of work authorization: If H1B, who holds the visa (contact details, please include name, phone number and email) If selected, how soon would you be available to start Have you ever worked for this client If so, please provide team name, project name, reason for leaving and when the engagement ended. Upon selected, employment is subjected to 7-year national criminal background check. Will you be able to attend In-Person interview (Yes or No) Your current address Are you available to be on-site at clients location for the duration of the project Note: Payment for all approved hours will be paid at the straight hourly rate regardless of the total hours worked (regular and overtime hours) by the engaged resource. Do you accept this requirement Upon selection, candidate must be able to provide three (3) references from prior engagements before a final decision is made. Do you accept this requirement LinkedIn profile URL Skill Matrix DHHS- IT Lead EDI Specialist (727665) Skill Required / Desired Amount in years Your actual Experience in years (Please fill all of them) Expert in developing and executing test scripts related to X12 EDI Transmission Required 7 Demonstrated proficiency in conducting QA and testing on EDI applications Required 5 Expert in EDI mapping for 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0 Required 5 High degree of business and technical knowledge with significant practical experience in HIPAA X12 EDI Transactions. Required 5 Strong understanding of healthcare claims processing - Claims, Provider, Eligibility Highly desired Experience setting up users/new Trading Partner relationship/Standards/Envelope and full cycle testing Required 2 Experience in creating and managing catalog of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0 Required 3 Working knowledge of Medicaid and/or MMIS Highly desired Excellent verbal and written communication skills with the ability present to both technical and business audiences. Desired Proven experience in processing and monitoring all inbound and outbound X12 transactions Required 3 Knowledge of Agile Methodology Required 2 Experience in collaborating with EDI partners to resolve transmission problems. Required 2 LOCAL candidates only Required Your resume in MS Word format, copy of any relevant certifications & copy of work authorization (H1B/GC/EAD). Please check the other positions that are currently open with several NC State agencies http://www.indeed.com/cmp/Web-Geo-Solutions,-LLC/jobs Keywords: quality analyst information technology green card wtwo microsoft Idaho North Carolina |
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| Tue Jan 16 22:14:00 UTC 2024 |