Lead EDI Specialist/Tester :: Raleigh, NC (Hybrid)

Seeking for a skilled Lead EDI Specialist / Tester to support the Managed Care Transition Project. This role involves working on a critical system developed in-house. The ideal candidate will have a strong blend of business and technical expertise, particularly in HIPAA X12 EDI Transactions.

• 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.
• Conduct QA and Testing on EDI applications.
• Experience setting up users/new Trading Partner relationship/Standards/Envelope and full cycle testing.
• Provide technical support during and after implementation for healthcare electronic data interchange applications.
• Manage catalog of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0.
• Maintain detailed documentation and process flow of all EDI processes.
• Identify, recommend, and implement process improvements in support of the EDI system.
• Troubleshoot EDI document processing errors and work with trading partners directly to resolve in a timely manner.
• Conduct 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.
• Effectively communicate issues and needs with internal business partners, external vendors, and healthcare providers.
• 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.
• Ability to communicate effectively with technical and business staff.
• Knowledge of Agile Methodology., Title: IT Lead EDI Specialist Location: Raleigh, NC (Hybrid) Duration: 4 Months Interview Type: Webcam Interview Only NC Dept of Health and Human Services (DHHS) is seeking…
• 16 hours ago
• Apply easily

Must Have Experience:

• 7+ years in developing and executing test scripts related to X12 EDI Transmission.
• 5+ years in conducting QA and testing on EDI applications.
• 5+ years in EDI mapping for 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0.
• 5+ years of business and technical knowledge in HIPAA X12 EDI Transactions.
• 2+ years in setting up users/new Trading Partner relationship/Standards/Envelope and full cycle testing.
• 3+ years in creating and managing catalog of EDI document types.
• 3+ years in processing and monitoring all inbound and outbound X12 transactions.
• 2+ years of knowledge in Agile Methodology.
• 2+ years in collaborating with EDI partners to resolve transmission problems.

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