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

FairPoint Communications
Raleigh, NC Contractor
POSTED ON 1/12/2025
AVAILABLE BEFORE 2/7/2025
Job Overview

The North Carolina Department of Health and Human Services (DHHS) is looking for a highly skilled Lead EDI Specialist / Tester to join our team on a 9-month hybrid contract. This pivotal role supports the Managed Care Transition Project and is designed for individuals possessing extensive business and technical knowledge in HIPAA X12 EDI Transactions.

Key Responsibilities

  • Execute and develop test scripts related to X12 Transmission.
  • Conduct Quality Assurance (QA) and testing on EDI applications.
  • Provide technical assistance during and post-implementation of healthcare electronic data interchange applications.
  • Manage the catalog of varying EDI document types, including 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0.
  • Facilitate effective communication between Trading Partners and the department.
  • Maintain comprehensive documentation and process flows for all EDI operations.
  • Monitor inbound and outbound X12 transactions.
  • Assist the Customer Service team with EDI-related queries.
  • Troubleshoot EDI document processing errors and collaborate with trading partners for timely resolutions.
  • Analyze EDI transactions and produce necessary documentation and reports.
  • Collaborate with EDI partners to address transmission challenges.
  • Track daily EDI and batch processes, reporting activity levels using established metrics for senior management review.
  • Develop and uphold cross-walking and validation rules for file exchanges.
  • Support internal resources in resolving issues and answering questions.

Required Skills

  • In-depth expertise in EDI mapping for multiple document types, including 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0.
  • Strong knowledge of HIPAA X12 EDI Transactions.
  • Exceptional communication skills to liaise effectively with both technical and business personnel.
  • Familiarity with Agile Methodology.
  • Strong problem-solving aptitude and attention to detail.

Qualifications

  • Significant practical experience in EDI transactions, particularly with HIPAA X12.
  • Proven track record in EDI testing and management.
  • Minimum of 5 years’ experience in EDI transactions and testing in a healthcare context.
  • Relevant degree or certifications in Information Technology, Health Information Management, or a related field preferred.

Career Growth Opportunities

This position offers an exceptional opportunity for professional development, allowing candidates to enhance their expertise in EDI systems and processes while gaining valuable technical support skills in a healthcare setting.

Company Culture And Values

At DHHS, we prioritize collaboration, communication, and a commitment to continuous improvement. Join a diverse and inclusive environment that values your contributions and fosters teamwork to enhance community health.

Compensation And Benefits

  • Competitive hourly rate up to $45.
  • Access to significant healthcare projects impacting community health.
  • Opportunities for ongoing professional development and training.

Employment Type: Contractor

Salary : $45

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