EDI Developer - Healthcare

Role: EDI Developer - Healthcare

Location Onsite | Newtown Square, PA (LOCALS ONLY)

Experience: 10 Years

Job Description:

In depth knowledge in EDI especially 837 transactions

Good knowledge in SQL Server

Understanding and Implementing Payer Healthcare process for Medicare and Medicaid Claims (837) translation and Adjudication, 999 (Functional Acknowledgements) and 277CA (Claim Acknowledgements)

Developing 837, 820 and 277CA mapping specification documents.

Establishing Scheduler jobs for the respective transaction flows

Coordinating with Testing team on End-to-End process

Preferred Consulting Analysts serve a key support role to the engagement team delivering the most appropriate client solutions Primary responsibilities are to logically organize concurrent deliverables with multiple deadlines solve and structure client problems through data and root cause analysis leading to proposed recommendations Problem and Scope Definition

Support formulation of problem statement and definition of scope

Drill down beyond the problems surface to understand root cause

Construct problem statement including problem description

Identify key stakeholders and construct stakeholder analysis ie how they are affected

Contribute to project planning and effort estimation within scope

Support the identification of risks and mitigation approaches

Job Description: Good-to-have skills

Healthcare EDI Transactions, Medicaid & Health care background

Knowledge on SQL

IBM STX

Strong analytical and communication skills

Technology M/F, ODBA, SQL DBA, M/F DBA, App Support, Incident Management, etc. SQL, EDI 837, EDI App Support