IT Lead EDI Specialist

Raleigh, NC, US • Posted 7 days ago • Updated 18 hours ago

Contract W2

No Travel Required

On-site

Depends on Experience

Fitment

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Job Details

Skills

EDIMAPPING
837 EDI
277CA EDI
834 EDI
835 EDI
TA1 EDI
HIPAA
EDI
Electronic Data Interchange

Summary

Job Title: IT Lead EDI Specialist Job ID: 26-00103 Location: Raleigh, NC (Local candidates only) Duration: 6 Months Contract

Job Summary:

Seeking a Lead EDI Specialist/Tester to support Medicaid Reform / Managed Care Transition projects. The role focuses on HIPAA X12 EDI mapping, testing, QA, and trading partner coordination for healthcare systems.

Key Responsibilities:

Lead EDI QA, testing, and X12 transmission validation
Expert EDI mapping for 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
Develop and execute EDI test scripts and full-cycle testing
Monitor and troubleshoot inbound/outbound X12 transactions
Manage trading partner setup, standards, and issue resolution
Maintain EDI documentation, reports, and process flows
Collaborate with internal teams, vendors, and healthcare providers

Requirements:

7+ years X12 EDI testing & scripting experience
5+ years HIPAA X12 EDI mapping and QA experience
Strong healthcare claims knowledge (Claims, Eligibility, Providers)
Experience with Medicaid/MMIS (preferred)
Knowledge of Agile methodology
Excellent communication skills; able to work independently.

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.

Dice Id: sunrise
Position Id: 26-00103
Posted 7 days ago

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IT Lead EDI Specialist

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Job Details

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Summary

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