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X12 QA Testing Hipaa Agile Methodologies EDI Local Candidates Preferred Specialist
 
Requirement id 148092
Job title Specialist
Job location in Raleigh, NC
Skills required X12, QA Testing, Hipaa, Agile Methodologies EDI Local Candidates
Open Date 24-Jun-2024
Close Date
Job type Contract
Duration 9 Months
Compensation DOE
Status requirement ---
Job interview type ---
   Email Recruiter: coolsoft
Job Description Specialist: X12, QA Testing, Hipaa, Agile Methodologies EDI Local Candidates

* Hybrid

No of Submissions : 1

Start date :06/28/2024

End Date :03/16/2025

Submission deadline :06/28/2024

Client Info : NCDHHS-AM

Note:

* Webcam Interview Only

Description :

NC Dept of Health and Human Services (DHHS) is seeking a Lead EDI Specialist to perform work related to 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:

• 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
Conducts QA and Testing on EDI applications
Develop and execute Test scripts related to X12 Transmission
Experience setting up users/new Trading Partner relationship/Standards/Envelope and full cycle testing
• Provides technical support during and after implementation for healthcare electronic data interchange applications
• Responds to inquiries regarding EDI issues with encounter claims and trading partner activities
• Management of catalog of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
• Communication between Trading Partners and department
• Maintain detailed documentation and process flow of all EDI processes
• Identify and facilitate issues with partner data mapping from onset through completion
• Process and monitor all inbound and outbound X12 transactions
• Support Customer Service group with EDI related issues
• Identifies, recommends and implements process improvements in support of the EDI system
• Troubleshoot EDI document processing errors and work with trading partners directly to resolve in a timely matter
• Conducts 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 reporting levels of activity using key established metrics for senior management
• Effectively communicate issues and needs with internal business partners, external vendors, and healthcare providers
• Develops and maintains cross walking and validation rules for file exchanges
• Triages incoming EDI issues thru monitoring

• Ability to communicate effectively with technical and business staff
• 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
• • Employees should be able to work independently with minimal supervision.
• Knowledge of Agile Methodology
 
Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 148092 while calling.
 
Other jobs in NC: Chapel Hill (2), Charlotte (58), Dix Campus (1), Greensboro (3), Morrisville (2), North Charlotte (2), Raleigh (96), St Raleigh (2), Winston Salem (3),
X12 job openings in Raleigh, NC
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Hybrid

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Client Info : NCDHHS-AM

Description :
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Note :

* Agency Interview Type: Webcam Interview Only

Description :

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(Specialist: X12, QA Testing, Hipaa, Agile Methodologies EDI Local Candidates in Raleigh, NC)
     
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