Lead EDI Specialist X12 EDI Transmission EDI mapping for 837 277CA 834 835 HIPAA X12 EDI

Profile

NCDHHS-681042

NC Dept of Health and Human Services (DHHS) is seeking a Lead EDI Specialist / Tester to perform work related to support the Managed Care Transition Project.

REQUIRED/DESIRED SKILLS

Skills

Required/

Desired

Experience

Expert in developing and executing test scripts related to X12 EDI Transmission

Required

7 Years

Demonstrated proficiency in conducting QA and testing on EDI applications

Required

5 Years

Expert in EDI mapping for 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0

Required

5 Years

High degree of business and technical knowledge with significant practical experience in HIPAA X12 EDI Transactions.

Required

5 Years

Strong understanding of healthcare claims processing - Claims, Provider, Eligibility

Highly desired

Experience setting up users/new Trading Partner relationship/Standards/Envelope and full cycle testing

Required

2 Years

Experience in creating and managing catalog of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0

Required

3 Years

Working knowledge of Medicaid and/or MMIS

Highly desired

Excellent verbal and written communication skills with the ability present to both technical and business audiences.

Desired

Proven experience in processing and monitoring all inbound and outbound X12 transactions

Required

3 Years

Knowledge of Agile Methodology

Required

2 Years

Experience in collaborating with EDI partners to resolve transmission problems.

Required

2 Years

LOCAL candidates only

Required

Toll Free:

855-818-5109

Local:

518-218-1700

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