V Group Inc. · 4 hours ago
Electronic Data Interchange Specialist
Raleigh, NC
Contract
Hybrid
Senior Level
7+ years expV Group Inc. is an IT Services and Products Company that provides professional services to various sectors. They are seeking a Lead EDI Specialist to support the Managed Care Transition Project and Medicaid Reform Project, requiring expertise in HIPAA X12 EDI Transactions and EDI mapping.
ConsultingE-CommerceInformation TechnologyMobileSoftware
No H1B
Hiring Manager
Soumya Priyadarshi Nayak
Responsibilities
High degree of business and technical knowledge with significant practical experience in HIPAA X12 EDI Transactions
Expert in EDI mapping for 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
Develop and execute test scripts related to X12 Transmission
Conduct QA and testing on EDI applications
Experience setting up users/new Trading Partner relationship/Standards/Envelope and full cycle testing
Provide technical support during and after implementation for healthcare EDI applications
Respond to inquiries regarding EDI issues with encounter claims and trading partner activities
Management of catalog of EDI document types
Communication between Trading Partners and department
Maintain detailed documentation and process flows
Identify and facilitate partner data mapping issues
Process and monitor inbound and outbound X12 transactions
Support Customer Service group with EDI-related issues
Recommend and implement EDI process improvements
Troubleshoot EDI processing errors with trading partners
Conduct EDI analysis and reporting
Track daily EDI and batch processes using defined metrics
Develop cross-walking and validation rules
Support UAT and internal resources
Work independently with minimal supervision
Apply Agile methodology
Qualification
Required
Expert in developing and executing X12 EDI test scripts – 7 Years
QA and testing on EDI applications – 5 Years
EDI Mapping (837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0) – 5 Years
HIPAA X12 EDI Transactions – 5 Years
Trading Partner setup & full cycle testing – 2 Years
Managing EDI document catalogs – 3 Years
Processing inbound/outbound X12 transactions – 3 Years
Agile Methodology – 2 Years
Local candidates only
Preferred
Healthcare claims processing knowledge
Medicaid and/or MMIS experience
Company
V Group Inc.
Since 1999, V Group Inc.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Vijay Kumar Palandurkar
CEO
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