What are the responsibilities and job description for the EDI Data Analyst - Lead (Medicaid EDI Manager) - Hybrid (Mason, Ohio) position at OMG Technologies?
Job Details
EDI Data Analyst - Lead (Medicaid EDI Manager) - Hybrid (Mason, Ohio)
We are looking to hire a candidate with the skills sets mentioned and experience for one of our clients within the retail luxury goods and jewelry industry. This is a Hybrid role in Mason, Ohio, 3X a week onsite. Work Hours - 8:00am to 5:00pm.
*Candidates who are s, s,holders, or TN visa holders eligible to work on W2 highly preferred.
Position Summary:
The Medicaid EDI Manager will play a critical role within the Business Data Solutions team to maintain and implement Medicaid encounter feeds. The Medicaid Manager will be the primary resource implementing new client and/or state outbound transactions.
Key Responsibilities:
- The Manager will develop requirements based on stakeholder meetings and interpretation of Companion Guides.
- The Manager will identify, recommend and implement process improvements in support of the EDI system based on observation, monitoring and external inquiries regarding EDI issues.
- Secondary responsibilities include researching and analyzing encounter edits or rejections for Medicaid clients and work with internal/external teams to resolve.
- The Manager will work to improve overall encounter, member and provider data quality.
- As well they will track encounter submission quality and timeliness.
Required Experience/Skills/Education:
- Maintain detailed documentation and process flow of all EDI processes.
- HIPAA X12 EDI Transactions experience.
- Experience with EDI mapping for 837, 999, 277CA, 835.
- Experience with Medicaid Claims processing.
- Ability to analyze claims data.
- Develop standard and custom testing plans to ensure compliance with requirements.
Other Job Specifications:
- Employment Type: W2 only. NO C2C, NO 1099.
- Contracting Period: 12 months contract, with potential extensions.
- Job Location: Hybrid Mason, Ohio (3 days onsite in office).
- Work Hours:8:00am to 5:00pm.
- Contract Rate: $58/hr. on W2.
- Interview Process: Phone/Video/In-person Interviews.
Salary : $58
