Innova Solutions · 1 day ago
Project Specialist
Philadelphia, PA
Contract
Onsite
Entry, Mid Level
$30/hr - $34/hr
2+ years expInnova Solutions is a global technology and business transformation company, and they are seeking a Project Specialist to assist in various project-related tasks. The role involves managing team inventory activities, supporting enrollment issues, and ensuring successful EDI file activity and data integrity.
Artificial Intelligence (AI)Business Information SystemsCloud Data ServicesConsultingCyber SecurityInformation TechnologyInfrastructureIT ManagementMachine LearningSoftware
Responsibilities
Assist in the development of user system documentation and desk level procedures
Manage daily team inventory activity and provide support/training/direction to Eligibility Specialist team members
Support enrollment related issues resolution/Enrollment Resolver Group participant
Organize/disperse team project work for other team members
Assist with manual enrollment processing for all lines of business
Support Member Enrollment System platform (to include development work, inquiries and EDI file activity)
Meet departmental quality and production standards
Requires an extensive knowledge of EDI Portal and managing inbound EDI enrollment file activity
Responsible for ensuring successful transfer of inbound EDI enrollment data to include troubleshooting/reconciliation of data integrity issues
Responsible for managing EDI file activity for high-profile/complex EDI client business (BPO, Shared Services, non-standard, etc.)
Direct contact between EDI senders, clients, Account Management teams, Customer Experience teams, BizTalk/.Net teams, and project teams
Responsible for supporting project work within the business area (lead and/or participate in project meetings, sprint work, business requirement documentation, system upgrades, and business check-outs)
Responsible for managing all robotic process automation (RPA) work for the business area
Responsible for providing support to the Department’s Business Systems Analyst with client specific EDI enrollment testing
Qualification
Required
Bachelor's degree in business administration, Management Information Systems, Computer Science or equivalent work experience in the Healthcare/Technology space
Understanding XML/ANSI 834 / HIPAA X12 transactions would be beneficial
In lieu of degree, minimum 2- 3 years proven EDI/eligibility experience
Strong communication and analytical skills required
Ability to work with multiple business systems and have a general understanding of system design
Knowledge of Microsoft office products and project management tools
Ability to investigate, perform preliminary testing and present findings
Technical writing skills needed
Required enrollment experience in the Health Rules system platform, a full understanding of the Front Office System and how these platforms interact with EDI Portal for EDI enrollment validation
Benefits
Medical & pharmacy coverage
Dental/vision insurance
401(k)
Health saving account (HSA)
Flexible spending account (FSA)
Life Insurance
Pet Insurance
Short term and Long term Disability
Accident & Critical illness coverage
Pre-paid legal & ID theft protection
Sick time
Other types of paid leaves (as required by law)
Employee Assistance Program (EAP)
Company
Innova Solutions
Innova Solutions is an IT company that specializes in data analytics, cloud computing, cyber security, and machine learning.
10001+ employees
H1B Sponsorship
Innova Solutions has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (452)
2024 (399)
2023 (290)
2022 (78)
2021 (36)
2020 (98)
Funding
Current Stage
Late StageTotal Funding
unknown2012-01-01Private Equity
Leadership Team
R
Raj Sardana
Founder and CEO
A
Atul Gambhir
Chief Information & Product Officer
Recent News
2025-12-15
EIN Presswire
2025-08-01
Company data provided by crunchbase