Medicaid EDI Manager (Mason, OH - Hybrid Role)

Overview

Hybrid
Up to $50
Contract - W2
Contract - 12 Month(s)

Skills

Medicaid
IBM iSeries
Data Management
Insurance
Data Processing
Mainframe
IT Management
Health Care
FOCUS
Electronic Data Interchange
Customer Service
Attention To Detail
Benefits Management
Customer Support
Data Entry
Data Loading
Management
Media
Microsoft Excel
Teamwork

Job Details

Medicaid EDI Manager (Mason, OH - Hybrid Role)
We are looking to hire a candidate with the skills sets mentioned and experience for one of our clients within the retail luxury goods and jewelry industry. This is a Hybrid role in Mason, Ohio.
*Candidates who are s and s are eligible to work on W2 highly preferred.


Position Summary:

We are seeking a Medicaid EDI Manager to join the team in a hybrid role based in Mason, OH. The ideal candidate should be experienced in electronic data processing and membership data management, particularly in the healthcare or insurance space and have a strong background in working with AS400 systems, membership data loading and cross-functional communication. If you're a detail oriented professional who thrives in data driven environments, we would love to hear from you.

Key Responsibilities:

  • Accurately load membership data into the AS400 system from various electronic media.
  • Coordinate membership data transfers for new plans and plan modifications with internal teams and clients.
  • Troubleshoot and resolve membership data issues by collaborating with IT, management, and clients.
  • Answer inquiries from client service teams regarding data submission requirements in a timely and professional manner.
  • Use Excel, Access, and other PC-based applications to review and verify data accuracy.
  • Assist in tracking, loading, and reporting of membership data.
  • Recommend process or system improvements to enhance data processing efficiency.
  • Deliver high-quality service with a strong focus on teamwork and customer support.

Communication Requirements:

  • Internal: Regular written and verbal communication with associates and field management.
  • External: Frequent interaction with clients, brokers, software/system providers, and third-party administrators.
  • Must demonstrate strong listening skills to fully understand issues and effectively resolve them.

Required Skills & Qualifications:

  • Working knowledge of mainframe systems (AS400 preferred).
  • Strong proficiency in Microsoft Excel, Access, and Word.
  • Familiarity with third-party benefits administration.
  • Ability to problem-solve and troubleshoot electronic data issues.
  • Strong organizational skills and ability to multi-task under pressure.
  • Customer-service mindset with excellent communication abilities.
  • 3 5 years of professional experience, preferably in the insurance or healthcare industry.
  • Experience handling electronic media and AS400 systems.
  • Hands-on experience with data entry, validation, and troubleshooting.


Other Job Specifications:

  • Employment Type: W2 only. NO C2C, NO 1099.
  • Contracting Period: 12+ months contract, with potential extensions(Contract-to-Hire role)
  • Job Location: Hybrid Mason, Ohio (3 days onsite in office).
  • Contract Rate: $50/hr. on W2.
  • Interview Process: Phone/Video/In-person Interviews.
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