Job Post: EDI Integration Analyst for a healthcare payer engagement.
Visa: USC-EAD
Remote
Summary:
- This person will support a critical remediation engagement for our health plan client. This role leads the assessment of end-of-life EDI (Electronic Data Interchange) platform and drives the modernization roadmap that will guide its eventual replacement.
- The analyst will also support near-term in-bound data quality work tied to clearinghouse and claims-intake processes.
- This is a planning and requirements-definition role it defines what a replacement EDI system must do and how the transition will be managed; it does not include execution of the platform migration itself.
Required Qualifications:
EDI/transaction integration within a healthcare payer, provider, or clearinghouse environment.
Prior experience with QNXT or comparable core claims administration platforms and their EDI interfaces.
Consultative arrangement experience. Working alongside executives and producing executive-facing collateral and deliverables.
Strong working knowledge of core HIPAA X12 healthcare transactions, particularly 837 (claims) and 835 (remittance/payment); familiarity with 834, 270/271, 276/277 a plus.
Experience defining business and technical requirements for EDI platform replacements or upgrades.
Experience developing test/cutover strategies for parallel or side-by-side EDI transaction validation.
Familiarity with clearinghouse relationships and transaction routing/scrubbing rules
Thanks & Regards
Vaibhav Srivastav
Senior Talent Acquisition Specialist
Mob- (551) (322) (0987)
Email-
Voto Consulting LLC- M/WBE Certified Company
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