IT Lead EDI Specialist

Job Title: IT Lead EDI Specialist

Location with zip code: Raleigh, NC 27603

Duration: Full Time:

Schedule: Health and Human Services is seeking a Lead EDI Specialist to perform work related to supporting the Medicaid Reform Project.

Job Description:

This position is responsible for the following activities related to a critical system being developed in-house at the State:

• High degree of business and technical knowledge with significant practical experience in HIPAA X12 EDI Transactions.
• Expert in EDI mapping for 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
• Develop and execute test scripts related to X12 Transmission.
• Conducts QA and Testing on EDI applications.
• Develop and execute Test scripts related to X12 Transmission.
• Experience setting up users/new Trading Partner relationship/Standards/Envelope and full cycle testing.
• Provides technical support during and after implementation for healthcare electronic data interchange applications.
• Responds to inquiries regarding EDI issues with encounter claims and trading partner activities.
• Management of catalog of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0

Required Qualifications:

• Expert in developing and executing test scripts related to X12 EDI Transmission.
• Demonstrated proficiency in conducting QA and testing on EDI applications.
• Expert in EDI mapping for 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
• High degree of business and technical knowledge with significant practical experience in HIPAA X12 EDI Transactions.
• Strong understanding of healthcare claims processing - Claims, Provider, Eligibility.
• Experience setting up users/new Trading Partner relationship/Standards/Envelope and full cycle testing
• Experience in creating and managing catalog of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
• Working knowledge of Medicaid and/or MMIS.
• Excellent verbal and written communication skills with the ability present to both technical and business audiences.
• Proven experience in processing and monitoring all inbound and outbound X12 transactions
• Knowledge of Agile Methodology.
• Experience in collaborating with EDI partners to resolve transmission problems.
• LOCAL candidates only.

About our Company: -

22nd Century Technologies, Inc., is one of the fastest growing IT Service Integrator and Workforce Solution companies in the United States. Founded in 1997, 22nd Century Technologies is a Certified National Minority Business Enterprise with 6,000+ people including 600+ Cyber SMEs nationwide supporting our customers in all 50 states, Canada, and Mexico. With HQs in Somerset, NJ and Mclean, VA, 22nd Century has 14 offices throughout the United States. As part of our unrelenting focus on quality and compliance, 22nd Century Technologies delivery is based on Certified Matured Processes including CMMI L3 Dev & SVC, ISO 20000, ISO 27001, and ISO 9001 quality processes. With a strong focus on the public sector, 22nd Century currently holds government contracts with 14 out of 15 Federal Executive agencies including DoD, 37 other Federal agencies, 50 States, 115+ Local agencies, and 37 School Districts. In the last three years, we have expanded our services to Fortune 500 and other commercial clients and currently support 80+ commercial clients.

Recognized among Best Company to Work For by Forbes, 22nd Century Technologies, Inc., consistently exceeds our clients expectations by focusing on their absolute satisfaction with jobs while keeping our employees motivated. 22nd Century Technologies is an Equal Opportunity Employer" and s & all other parties authorized to work in the US are encouraged to apply."

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.