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Direct Client Requirements - IT Lead EDI Specialist, Project Manager at Raleigh, North Carolina, USA
Email: [email protected]
http://bit.ly/4ey8w48
https://jobs.nvoids.com/job_details.jsp?id=3392356&uid=78cfd13e229e466ea3154b6a08c3a508

Hello,

Hope you are doing well

I'm Jane working with Intellibee, an Information Technology services company that helps Government and Fortune 500 companies in the areas of Salesforce, cloud, IoT, analytics and mobile application development, besides staffing services.

We have the following urgent multipile positions with our direct clients, Please go through the below positions and respond me with your interest.

Requirement Title |
IT Lead EDI Specialist |

Openings |
2 |

Description |

Title: IT Lead EDI Specialist

Location: Raleigh, NC

NC Dept of Health and Human Services (DHHS) is seeking a Lead EDI Specialist to perform work related to to support the Medicaid Reform Project.

This position is responsible for the following activities related to a critical system being developed in-house at the State:

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

Conducts QA and Testing on EDI applications

Develop and execute Test scripts related to X12 Transmission

Experience setting up users/new Trading Partner relationship/Standards/Envelope and full cycle testing

Provides technical support during and after implementation for healthcare electronic data interchange applications

Responds to inquiries regarding EDI issues with encounter claims and trading partner activities

Management of catalog of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0

Communication between Trading Partners and department

Maintain detailed documentation and process flow of all EDI processes

Identify and facilitate issues with partner data mapping from onset through completion

Process and monitor all inbound and outbound X12 transactions

Support Customer Service group with EDI related issues

Identifies, recommends and implements process improvements in support of the EDI system

Troubleshoot EDI document processing errors and work with trading partners directly to resolve in a timely matter

Conducts analysis of EDI transactions and is responsible for documentation and reports

Collaborate with EDI partners to resolve transmission problems.

Track day-to-day EDI & batch processes to identify and address problems as they arise reporting levels of activity using key established metrics for senior management

Effectively communicate issues and needs with internal business partners, external vendors, and healthcare providers

Develops and maintains cross walking and validation rules for file exchanges

Triages incoming EDI issues thru monitoring

Ability to communicate effectively with technical and business staff

Support internal resources to resolve issues, answer questions, and retransmit EDI documents when necessary

Work with end users to ensure user acceptance testing is thorough and complete

Employees should be able to work independently with minimal supervision.

Knowledge of Agile Methodology

Skill Matrix:

Expert in developing and executing test scripts related to X12 EDI Transmission Required 7 Years

Demonstrated proficiency in conducting QA and testing on EDI applications Required 5 Years

Expert in EDI mapping for 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0 Required 5 Years

High degree of business and technical knowledge with significant practical experience in HIPAA X12 EDI Transactions. Required 5 Years

Strong understanding of healthcare claims processing - Claims, Provider, Eligibility Highly desired

Experience setting up users/new Trading Partner relationship/Standards/Envelope and full cycle testing Required 2 Years

Experience in creating and managing catalog of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0m Required 3 Years

Working knowledge of Medicaid and/or MMIS Highly desired

Excellent verbal and written communication skills with the ability present to both technical and business audiences. Desired

Proven experience in processing and monitoring all inbound and outbound X12 transactions Required 3 Years

Knowledge of Agile Methodology Required 2 Years

Experience in collaborating with EDI partners to resolve transmission problems. Required 2 Years

LOCAL candidates only Required

Benefits at IntelliBee

Long-Term Stability: Join us on a multi-year opportunities with room to grow.

Comprehensive Health Coverage: Access quality healthcare benefits to keep you and your family well.

Future Planning: Enroll in our 401(k) program and invest in your financial security.

Assistance: We support immediate Card processing, if required.

Apply via Email |

Requirement Title |
Project Manager |

Openings |
2 |

Description |

Title: Project Manager

Location: Richmond, VA

Description:

Exp with Data Center migrations exp is a PLUS but not required.

The Senior PM will be responsible for Implementing the Network technology, and plan for the installation of technology/be able to work in a program mgmt setting delivering services for multiple work streams. Standard MS project /office tools.

Central State Hospital (CSH) is constructing a new Behavioral Health Hospital housing 141 Civil Beds and 111 Maximum Security Beds (252 Total) . Our HIRM Davis Facility currently houses Lab, Pharmacy, Radiology, Dental and Physical Therapy which will transition operations to the new CSH. Move in date is currently being discussed and is planned for June 2027.

A comprehensive plan is required to transition to the new hospital and involves complex operational, clinical, technical, regulatory, logistical considerations and requires early alignment between executive leadership, the project management team and project stakeholders.

PM will be responsible for successfully planning, organizing, and motivating diverse project teams to deliver throughout all phases of the project.

The PM must have experience in implementing a new facility, planning for installation of a new Network technology and familiar with Move/relocation of a facility.

The PM will oversee the work a Business System Analysts, the IT Director for the CSH. VITA network team is the reviewer and approver of a Network Solution and support build of a Bill of Materials (BOM) to support the IT Director at CSH. Familiarity with Building a Network Build of Material (BOM) is preferred for the ideal candidate, with the support of the Business System Analyst and IT Director.

DAY TO DAY:

Oversee requirements gathering and review / acceptance by IT Network team.

Assist in team development while holding teams accountable for their commitments and removing roadblock

Manage working relationships with key stakeholders, including executive management, business management, project sponsors, and technology management.

Lead and coordinate the scoping, technical requirements gathering, estimating and planning for single or multiple work-streams

Set project goals that are consistent with technical objectives and the agencys overall technology strategy.

Manage deadlines and push the team to ensure timeliness.

Facilitates resolution of technical issues

Track and communicate a project's progress from a schedule, cost, and risk perspective to the project team, customers, and project stakeholders.

Collaborate with Business Owners, support Deployment of Technology attached to the network, incorporate agency best practices into project plans.

Drive consistent project delivery through the entire project lifecycle, including execution of procurements, definition of project plans, resource allocation, management of project risks, scope, and schedule, delivery of value, and well-ordered transitions to operations.

Adhere to DBHDS & VITA project management practices and governance requirements

Additional responsibilities as assigned.

Because of the size and criticality of the Hospital, strong budget and risk management skills are required to meet funding reporting and VITA oversight requirements.

Skill Matrix:

Active PMP-certified required Required 10 Years

10 years experience as a PM overall Required 10 Years

Prior por current exp with IT Network Buildout (new Facility Build) at least 1 project of this type Required 3 Years

Experience managing Multi-workstream projects Required 3 Years

Experience engaging with Senior IT Leadership (CIO, CTO, etc) Required 10 Years

Resource will agree to obtain VITA PMDP qualification within 2 weeks of starting (no fee or cost to the contractor for this test) Required

Exp with Facility IT Project Management Highly desired 3 Years

Exp with Data Ctr migrations a PLUS Highly desired 2 Years

Benefits at IntelliBee

Long-Term Stability: Join us on a multi-year opportunities with room to grow.

Comprehensive Health Coverage: Access quality healthcare benefits to keep you and your family well.

Future Planning: Enroll in our 401(k) program and invest in your financial security.

Assistance: We support immediate Card processing, if required.

Apply via Email |

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Intellibee Inc, 400 Renaissance Center, Suite 2600, Detroit, Michigan 48243 Phone: 313-586-4145 Extn 405

Keywords: quality analyst information technology golang card microsoft mississippi North Carolina Virginia
Direct Client Requirements - IT Lead EDI Specialist, Project Manager
[email protected]
http://bit.ly/4ey8w48
https://jobs.nvoids.com/job_details.jsp?id=3392356&uid=78cfd13e229e466ea3154b6a08c3a508
[email protected]
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07:16 PM 21-May-26


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Location: Raleigh, North Carolina