Overview
Skills
Job Details
Dear Partner,
Good Morning ,
Greetings from Nukasani group Inc !, We have below urgent long term contract project immediately available for Medicaid EDI Manager, Mason, OH, Hybrid need submissions you please review the below role, if you are available, could you please send me updated word resume, and below candidate submission format details, immediately. If you are not available, any referrals would be greatly appreciated.
Interviews are in progress, urgent response is appreciated. Looking forward for your immediate response and working with you.
Candidate Submission Format - needed from you
Full Legal Name
Personal Cell No ( Not google phone number)
Email Id
Skype Id
Interview Availability
Availability to start, if selected
Current Location
Open to Relocate
Work Authorization
Total Relevant Experience
Education./ Year of graduation
University Name, Location
Last 4 digits of SSN
Country of Birth
Contractor Type
DOB: (dd/mm) mm/dd
Home Zip Code
Assigned Job Details
Job Title : Medicaid EDI Manager
Location: Mason, OH, Hybrid
Rate : Best competitive rate
Position Overview
We are is seeking a detail-oriented and experienced Medicaid EDI Manager to manage membership data processes and ensure the accuracy and integrity of Medicaid data transfers. This hybrid role requires collaboration with internal teams, IT personnel, and external partners to support new and existing plan implementations.
This is a backfill opportunity with potential to transition from contract to permanent hire for the right candidate.
Key Responsibilities
- Load membership data from various electronic sources into the AS400 system accurately and efficiently.
- Coordinate Medicaid membership data transfers for new plans and modifications with clients and internal teams.
- Troubleshoot and resolve data issues through collaboration with management, IT staff, and client personnel.
- Answer client service team inquiries regarding data submission requirements in a timely, professional manner.
- Review and validate membership data using PC-based applications (Excel, Access, Word) to ensure accuracy.
- Assist in coordinating receipt, loading, tracking, and reporting of Medicaid membership data.
- Recommend and support system and process improvements to enhance data accuracy and efficiency.
- Maintain strong internal and external communication to support service excellence and compliance.
Required Qualifications
- 3 5 years of relevant business experience, preferably within the insurance industry.
- Proven knowledge of AS400 systems, Medicaid processes, and electronic data exchange.
- Strong skills in Excel, Access, and Microsoft Word.
- Solid understanding of third-party benefits and administration.
- Demonstrated ability to troubleshoot electronic data issues and perform problem resolution.
- Excellent communication, customer service, and multitasking skills.
Thanks and Regards
Nancy
Talent Acquisition | Nukasani Group Inc
Tel:
Email:
;br />540 W Galena Blvd, Suite 200, Aurora IL 60506.