Principal EDIFECS Consultant - HEALTHCARE

Overview

On Site
$140,000+
Full Time

Skills

EDIFECS
EDI
HIpaa
Healthcare

Job Details

Job Title: Principal EDIFECS Consultant - HEALTHCARE

Duration: Full Time Role

Location: Hartford, CT, Raleigh, NC, Indianapolis, IN, Richardson, TX and Tempe, AZ (ONSITE)

Job Description:

Required Qualifications:

  • At least 11years of Information technology experience.
  • Bachelor s degree or foreign equivalent required from an accredited institution. Will also consider three years of progressive experience in the specialty in lieu of every year of education.
  • Design, configure, and maintain EDI workflows using Edifecs platform.
  • Analyze and support HIPAA X12 transactions including 837, 835, 270/271, 276/277, and 278.

Preferred Qualifications:

  • Planning and Co-ordination skills.
  • Good Communication and Analytical skills.
  • Deep understanding of U.S. healthcare ecosystem, including Medicare, Medicaid, and commercial plans.
  • Experience and desire to work in a management consulting environment that requires regular travel.
  • Experience and desire to work in a Global delivery environment.
  • Ability to write design documents and walk the audience through the design.
  • Able to estimate for the end-to-end delivery of Integration projects.
  • Lead the design and development of end-to-end healthcare solutions leveraging AI, analytics, cloud, and digital platforms.
  • Collaborate with cross-functional teams to build scalable, compliant, and member-centric solutions.
  • Experience with EDI mapping, validation, and troubleshooting
  • Guide clients through value-based care, population health, member engagement, and care coordination initiatives.
  • Product Management experience
  • Hands-on technical exp SQL, UI wireframe tools
  • Knowledge of AI landscape
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.