Job Title: Lead EDI Specialist (Onsite)
Location: Raleigh, NC
Duration: 04 Months with possible extension
Job Description:
The Client is seeking a Lead EDI Specialist to perform work related 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:
Skills:
| Skill | Required/Desired | Amount | of 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 |
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