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EDI Technical Analyst - Medicaid & Medicare Claims

Company: The Judge Group Inc.
Location: Boston
Posted on: April 11, 2021

Job Description:

Location: REMOTESalary: NegotiableDescription: Our client is currently seeking a EDI Technical Analyst with Medicaid & Medicare Claims experience. This job will have the following responsibilities:--- Work closely with internal and external customers to gather business requirements and translate requirements clearly into accurate specifications--- Analyze and design specifications used for enhancements and extensions in EDI applications, interfaces, and mappings--- Establish, document, and maintain EDI procedures/processes--- Diagnose problems with EDI processes, working with other technical and/or business resources as necessary--- Develop EDI and batch process monitoring to track levels of activity, compiling and tracking metrics--- Support the development of technical EDI implementation documentation, technical reports and payer companion guides--- Prepare and/or review deliverables and enforce the approval process of deliverables to ensure adherence to EDI standards--- Possess excellent communication and presentation skills with the ability to communicate complex technical concepts to business users in a clear and concise manner.Qualifications & Requirements:--- Commercial, Medicaid and Medicare claims data Experience--- 3+ years of experience with EDI X12 transactions in the healthcare industry (999, 837, 834, 277) or HL7--- 3+ years of experience with NCPDP transactions--- Experience with COTS transaction validation software applications--- Solid understanding of Federal, State, and HIPAA regulations with respect to the reporting and access of sensitive information (PHI)--- Proven experience working with technical leads, programmers and developers to translate requirements into system designsContact: lkraft@judge.com This job and many more are available through The Judge Group. Find us on the web at www.judge.com

Keywords: The Judge Group Inc., Boston , EDI Technical Analyst - Medicaid & Medicare Claims, IT / Software / Systems , Boston, Massachusetts

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