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Lead EDI Specialist / Tester Medicaid & HIPAA X12

Raleigh, NC, US • Posted 4 hours ago • Updated 3 hours ago

Contract W2

3 Months

No Travel Required

On-site

Depends on Experience

Fitment

Dice Job Match Score™

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Job Details

Skills

Electronic Data Interchange
ASC X12
Agile
Collaboration
Communication
Process Flow
Documentation
HIPAA
Health Care
MMIS
Mapping
Medicaid
NCPDP
Quality Assurance
Reporting
Technology Assessment
Test Scripts
Testing
Trading

Summary

Title: Lead EDI Specialist / Tester Medicaid & HIPAA X12 Job ID: 26-02464 Location: Dix Campus Raleigh, North Carolina Duration: 03 months of contract

Location: Local Candidates Only

Client is seeking a Lead EDI Specialist / Tester to support Medicaid Reform and Managed Care Transition projects. The ideal candidate should have strong experience in HIPAA X12 EDI transactions, EDI mapping, testing, and healthcare claims processing.

Key Responsibilities:

Develop and execute EDI/X12 test scripts and QA testing
Perform EDI mapping for 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
Monitor inbound/outbound X12 transactions and troubleshoot EDI issues
Support trading partner setup, validation, and full-cycle testing
Collaborate with internal teams, vendors, and healthcare providers
Maintain EDI documentation, process flows, and reporting metrics

Required Skills:

7+ years of X12 EDI testing experience
Strong HIPAA X12 EDI transaction knowledge
Experience with healthcare claims, provider, and eligibility processing
Experience with Medicaid/MMIS environments preferred
Knowledge of Agile methodology and EDI issue resolution
Strong communication and stakeholder coordination skills.

Contact:
Raghu: | URL:

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: sunrise
Position Id: 26-02464
Posted 4 hours ago

Contact the job poster

Raghu Mysore

Delivery Manager @ Sunrise Systems, Inc.

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