Job ID: 740848
Title: EDI Specialist
Client: State of North Carolina DHHS
Location: Raleigh NC (ONLY LOCAL)
Job Description:
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.
Skill
Required / Desired
Amount
Years of Experience
Last Used
Expert in developing and executing test scripts related to X12 EDI Transmission
Required
7
Demonstrated proficiency in conducting QA and testing on EDI applications
Required
5
Expert in EDI mapping for 837 277CA 834 835 TANCPDP D.0
Required
5
High degree of business and technical knowledge with significant practical experience in HIPAA X12 EDI Transactions.
Required
5
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
Experience in creating and managing catalog of EDI document types such as 837 277CA 834 835 TANCPDP D.0
Required
3
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
Knowledge of Agile Methodology
Required
2
Experience in collaborating with EDI partners to resolve transmission problems.
Required
2
LOCAL candidates only
Required
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