Electronic Data Interchange Specialist jobs in United States
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CCI- Computer Consultants International, Inc. ยท 1 day ago

Electronic Data Interchange Specialist

positionRaleigh, NC
timeContract
remoteHybrid
seniorityMid, Senior Level
date3+ years exp

CCI- Computer Consultants International, Inc. is urgently seeking an experienced IT Lead EDI Specialist to support the North Carolina DHHS Medicaid Reform Project. This role requires deep expertise in HIPAA X12 EDI transactions and healthcare claims processing to support a mission-critical system being developed in-house by the State.

ComputerManagement ConsultingSoftware
Hiring Manager
ELLEN MAE DIAZ
linkedin

Responsibilities

3+ years of experience as an EDI Specialist supporting DHHS / Medicaid systems
Expert in developing and executing X12 EDI test scripts
Strong QA and testing experience for EDI applications
Expert-level EDI mapping experience with: 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
Extensive hands-on experience with HIPAA X12 EDI transactions
Strong understanding of healthcare claims processing (Claims, Provider, Eligibility)
Experience setting up new trading partner relationships, envelopes, standards, and full-cycle testing
Proven experience processing and monitoring inbound and outbound X12 transactions
Working knowledge of Medicaid and/or MMIS systems

Qualification

HIPAA X12 EDI transactionsEDI mappingHealthcare claims processingX12 EDI test scriptsQATestingTrading partner relationshipsMedicaid systemsMMIS systems

Required

3+ years of experience as an EDI Specialist supporting DHHS / Medicaid systems
Expert in developing and executing X12 EDI test scripts
Strong QA and testing experience for EDI applications
Expert-level EDI mapping experience with: 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
Extensive hands-on experience with HIPAA X12 EDI transactions
Strong understanding of healthcare claims processing (Claims, Provider, Eligibility)
Experience setting up new trading partner relationships, envelopes, standards, and full-cycle testing
Proven experience processing and monitoring inbound and outbound X12 transactions
Working knowledge of Medicaid and/or MMIS systems

Company

CCI- Computer Consultants International, Inc.

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Computer Consultants International, Inc.
dateFounded in 1994
location
Mukilteo, Washington, USA
people-size51-200 employees
web-link
http://www.cci-worldwide.com

Funding

Current Stage
Growth Stage
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