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# Lead EDI Specialist / Tester Medicaid & HIPAA X12

- **Company:** JOB DIVA INC
- **Location:** Raleigh, NC, United States
- **Experience:** Expert
- **Contract:** Temporary contract
- **Skills:** Agile Methodology, ASC X12 Standards, Medicaid Management Information Systems (MMIS), Test Scripts
- **Published:** August 6, 2026
- **Apply:** https://www2.jobdiva.com/portal/?a=wkjdnw09prvv1eg1pbdvc2i59i8c2x01161ji2zesa7n9avk5oeonhko8x19lmnq&compid=0/jobs/32337425#/jobs/32337425

## About the Role

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.

## Description

* 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


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