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EDI Data Analyst- Lead Hybrid in Mason, Ohio at Mason, Ohio, USA
Email: [email protected]
http://bit.ly/4ey8w48
https://jobs.nvoids.com/job_details.jsp?id=2332129&uid=

From:

Riyaz Mohd,

RAPS Consulting, Inc

[email protected]

Reply to:   [email protected]

Hi ,
This is Riyaz from RAPS Consulting Inc. I have a very urgent requirement with one of our esteemed clients. Please let me know if you are looking for new opportunities or if you have someone suitable for this role. Any references would be greatly appreciated!

Job Title: Medicaid EDI Manager

Contract: Long Term Contract

Location: Mason, Ohio

Hybrid or Remote:  Hybrid in office 2-3 days a week

Work hours:   8-5 PM

Job Description:

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.  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.

Top 3-5 mandatory and/or minimum requirements

Ability to analyze claims data

Develop standard and custom testing plans to ensure compliance with requirements

Maintain detailed documentation and process flow of all EDI processes

Top 3-5 desirable attributes/qualifications

HIPAA X12 EDI Transactions experience

Experience with EDI mapping for 837, 999, 277CA, 835

Experience with Medicaid Claims processing

Regards,

Riyaz Mohd

US IT Recruiter

Work:

(609)

357-9452

Ext

-

132

Email :

[email protected]

Website:

www.rapscorp.com

Address:

505 Thornall Street, Suite# 205, Edison, NJ - 08837

LinkdeIn:

Riyaz Mohd |

LinkedIn

Offices: US | Canada | India

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Keywords: information technology New Jersey
EDI Data Analyst- Lead Hybrid in Mason, Ohio
[email protected]
http://bit.ly/4ey8w48
https://jobs.nvoids.com/job_details.jsp?id=2332129&uid=
[email protected]
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07:31 PM 10-Apr-25


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