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Need Lead EDI Specialist at Raleigh, North Carolina, USA
Email: [email protected]
Hi,

This is Lucy from American
 Unit. I hope you are doing great,

please see the job description below and if you are really interested and comfortable with this position . Please forward your updated resume to 
[email protected]

Job Description:-

ROLE:- IT Lead EDI Specialist

Location:  Dix Campus Raleigh, NC

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

Thanks & Regards
..

Lucy (Priyanka Moyila)

American Unit Inc.

2901 N Dallas Pkwy, Suite 333

Plano, TX  75093

Email:

[email protected]

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Keywords: quality analyst information technology North Carolina Texas
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Tue Aug 15 20:11:00 UTC 2023

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Location: Raleigh, North Carolina