EDI Specialist Lead - 9 Month Contract - HYBRID - Raleigh NC Area Required

Job Overview

The North Carolina Department of Health and Human Services (DHHS) is actively searching for a Lead EDI Specialist / Tester to enhance the Managed Care Transition Project. This pivotal role requires a robust combination of both business acumen and technical expertise, particularly in HIPAA X12 EDI Transactions.

Key Responsibilities

• Develop and implement test scripts for X12 transmissions.
• Conduct quality assurance and testing for EDI applications.
• Provide ongoing technical support during and post-implementation of healthcare electronic data interchange applications.
• Manage a catalog of various EDI document types, including 837, 277CA, 834, 835, TA1, 999, 820, and NCPDP D.0.
• Facilitate efficient communication between trading partners and the department.
• Maintain comprehensive documentation and process flows for all EDI operations.
• Oversee and monitor inbound and outbound X12 transactions.
• Assist the Customer Service team with EDI-related challenges.
• Identify, propose, and implement enhancements to the EDI system processes.
• Analyze EDI transactions while ensuring meticulous documentation and reporting.
• Collaborate closely with EDI partners to resolve any transmission issues.
• Monitor daily EDI and batch processes to swiftly address emerging problems while reporting key metrics to senior management.
• Communicate effectively with both internal business units and external vendors, ensuring clarity in addressing EDI needs.
• Develop and maintain cross-walking and validation guidelines for file exchanges.
• Monitor incoming EDI issues for timely triaging.
  
  

Required Skills

• Extensive knowledge of HIPAA X12 EDI Transactions.
• Proficiency in EDI mapping for various transaction sets.
• Strong capability to develop and execute test scripts for X12 transmissions.
• Excellent communication skills, bridging technical and business perspectives.
• Experience in troubleshooting processing errors related to EDI transactions.
• Familiarity with Agile Methodology.
• Self-motivated with the ability to operate independently and with minimal supervision.
  
  

Qualifications

• Significant practical experience in EDI transactions and testing.
• Proven experience in establishing user and trading partner relationships.
• Strong analytical skills to navigate and resolve complexities.
• A bachelor's degree in a relevant field is preferred.
  
  

Career Growth Opportunities

Joining the NC DHHS offers a unique opportunity to grow professionally in the healthcare technology sector. You will engage with leading experts and gain invaluable experience that can propel your career forward.

Company Culture And Values

At NC DHHS, we are committed to fostering a diverse and inclusive workplace that prioritizes collaboration and innovation. We believe in empowering our employees and creating a supportive environment that encourages professional development.

Networking And Professional Opportunities

As part of our team, you will have access to a wide network of professionals and the chance to collaborate on impactful projects within the healthcare community.

Compensation And Benefits

• W-2 Rate: up to $45 per hour.
  
  

Employment Type: Contractor