Lead EDI Specialist / Tester Medicaid & HIPAA X12

• Develop and execute EDI/X12 test scripts and QA testing
• Perform EDI mapping for 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
• Monitor inbound/outbound X12 transactions and troubleshoot EDI issues
• Support trading partner setup, validation, and full-cycle testing
• Collaborate with internal teams, vendors, and healthcare providers
• Maintain EDI documentation, process flows, and reporting metrics

Client is seeking a Lead EDI Specialist / Tester to support Medicaid Reform and Managed Care Transition projects. The ideal candidate should have strong experience in HIPAA X12 EDI transactions, EDI mapping, testing, and healthcare claims processing., * 7+ years of X12 EDI testing experience

• Strong HIPAA X12 EDI transaction knowledge
• Experience with healthcare claims, provider, and eligibility processing
• Experience with Medicaid/MMIS environments preferred
• Knowledge of Agile methodology and EDI issue resolution
• Strong communication and stakeholder coordination skills.