We are seeking a Lead EDI Specialist / Tester to perform work related to support the Managed Care Transition Project.
Required Skills: Skill Required / Desired Amount 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