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urgent and Direct client DHHS- IT Lead EDI Specialist at Remote, Remote, USA
Email: [email protected]
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Below is the JD 
for the DHHS- IT Lead EDI Specialist

 The urgent and Direct client DHHS- IT Lead EDI Specialist

DHHS- IT Lead EDI Specialist (740848)

Raliegh, NC

9 months

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

Thanks & Regards 

Akhil Reddy

Administrative Assistant

Keshav Consulting Solutions, LLC

Phone:  9
1
9-439-7374

Email: [email protected]

Address: 5470 McGinnis Village Place, Suite102, Alpharetta, GA, 30005,

Website: 
www.keshavconsulting.com

Keywords: quality analyst information technology Georgia North Carolina
urgent and Direct client DHHS- IT Lead EDI Specialist
[email protected]
[email protected]
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Tue Jun 25 00:20:00 UTC 2024

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