edi management Jobs

Refine Results
1 - 20 of 353 Jobs

Healthcare Business Analyst with Provider/EDI/Encounters/Claims/Enrollment/Care Management

Infinite Computer Solutions (ICS)

•

Remote

Full-time

We have multiple openings for below remote roles- Role Functional Area Quantity Business Analyst Provider 4 Business Analyst Encounters 2 Business Analyst EDI Transactions 2 Business Analyst Claims Professional and Institutional Medical 4 Business Analyst Enrollment 4 Business Analyst Care Management ( CM ) 2 Business Analyst Interoperability / Healthcare API Technology 4 Business Analyst Healthcare Rewards (or additional Claims) 2 Business Analyst Utilization Managem
Easy Apply
Posted 27 days ago | Updated 1 day ago

Experienced EDI Business Analyst

Gainwell Technologies LLC

•

Jacksonville, Florida, USA

Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have
Posted 1 day ago

Healthcare Business Analyst

AgreeYa Solutions

•

San Leandro, California, USA

Contract, Third Party

Job Duties and Responsibilities: Workflow Study, Data, and Business Analysis Recommend changes to adapt practices (data systems) Write, review and automate SQL for EDI transactions Analyze downstream EDI effects of changes Quality assurance and testing of EDI processes to ensure data integrity and compliance to state and federal requirements. Identify failures in EDI processes and work with internal team and vendor to resolve issues. Gather business requirements, analyze data, document mapping
Easy Apply
Posted 14 days ago | Updated 7 days ago

EDI Coordinator

EDI Specialists, Inc.

•

Rowley, Massachusetts, USA

Full-time

Overview Our Electronic Data Interchange (EDI) Coordinator will work with our EDI platform EDI HQ, to maintain reliable communications for production, troubleshoot issues, coordinate partner onboarding and collaborate with IT and CFT. Our EDI coordinate will use EDI tools for monitoring and will be responsible for ensuring smooth transitions when changes or maintenance are required. This generally consists of tasks such as handling inbound/outbound documents, conducting auditing, handling relev
Easy Apply
Posted 11 days ago | Updated moments ago

Healthcare Analyst

EDI Specialists, Inc.

•

Valley Stream, New York, USA

Full-time

Summary: The Analyst acts as the primary liaison between IT and the operational departments within the organization. This position functions in a trusted advisor role. This position will primarily support the Claims functional area of the organization with a strong focus on Healthcare EDI data sets. This includes submissions to the NYS Medicaid, Managed Care, and CMS for Medicare claims. Duties and Responsibilities: Other duties may be assigned. 1. Testing, including the creation of test scenari
Easy Apply
Posted 8 days ago | Updated moments ago

EDI Business Analyst

Talent Group

•

Remote

Full-time

10+ years of experience within the US healthcare industryGood understanding on 834, 837, 820 X12 data formats and standards. Experience with CMS Submission Process, EDI transactions and response file processing flowSolicit, review and analyze business requirementsWrite business and technical requirementsCommunicate and validate requirements with stakeholdersValidate solution meets business needsApply technology to enable business solutionWork with technology teams to create and deliver high qual
Easy Apply
Posted 1 day ago | Updated 19 hours ago

EDI ERP Analyst

EDI Specialists, Inc.

•

Saline, Michigan, USA

Full-time

The EDI ERP Analyst is responsible for the daily operation and stability of the North America region's ERP and EDI systems. The EDI ERP analyst will work with users, customers, and suppliers to identify and resolve EDI and ERP related information technology concerns. Responsibilities: Technical expert for EDI and ERP related products. Monitor and resolve EDI processing and communication concerns due to system configuration or technical concerns. Design, layout, and support EDI and ERP processes
Easy Apply
Posted 7 days ago | Updated moments ago

EDI Developer with Healthcare(Remote)

People Force Consulting Inc

•

Remote

Contract

JD: 5+ years EDI experience to include 1 year of healthcareTechnical solution guidance & design user acceptance testingCreate, lead and facilitate presentations to Operations team, and internal & external stakeholders & clientsEDI files (fixed length, delimited, X12 and/or EDI 835) and adjudication systemsSQL knowledgeAdvanced test editors or other technology toolsProvider billing and/or claims payment experience helpfulExcellent communication skills
Easy Apply
Posted 23 hours ago | Updated 13 hours ago

EDI Developer

Mokshaa LLC

•

Remote

Full-time, Part-time, Third Party, Contract

Key Responsibilities: - Design, architect, and implement EDI solutions to enable the electronic exchange of business documents such as purchase orders, invoices, and shipping notices. - Configure and customize BAI solutions A2A and B2B with industry standards and regulations. - Design and implement OpenText solutions for enterprise information management, including document capture, archiving, and workflow automation. - Configure and manage Managed File Transfer (MFT) solutions to securely t
Easy Apply
Posted 7 days ago | Updated 21 hours ago

EDI Specialist

Top Prospect Group

•

Woonsocket, Rhode Island, USA

Contract

We are seeking a talented and experienced EDI (Electronic Data Interchange) Specialist to join our team. The EDI Specialist will be responsible for the implementation, maintenance, and support of electronic data interchange processes to facilitate seamless communication and data exchange between our organization and our partners. Responsibilities: Design, develop, and implement EDI solutions to support business requirements and improve operational efficiency.Configure and maintain EDI maps, tran
Easy Apply
Posted 57 days ago | Updated 21 days ago

SAP MM Functional Consultant : Chicago, IL (Hybrid) - only Locals

Vrddhi Solutions LLC

•

Chicago, Illinois, USA

Contract, Third Party

Position: SAP MM Functional Consultant Location: (Northfield IL / Chicago, IL) - Onsite 2-3 days a week Only Local candidates required Duration: Longterm Experience : 10+ years required Candidate must show the DL / ID proof on video at the time of submission Job Description: Proficiency in EDI (Electronic Data Interchange) protocols and processes, including the ability to design, implement, and troubleshoot EDI interfaces.Strong experience in working with SAP ECC (Enterprise Central Component) o
Easy Apply
Posted 2 hours ago | Updated 1 hour ago

EDI Consultant - 100% Remote - Application experience with D365 F&O and SPS Commerce a must!! (DN)

Phaxis, LLC

•

Remote

Contract

Job description Do you love the world of Consumer Products? Are you solidly hands on with EDI? Do you have actual application experience with D365 F&O and SPS Ecommerce?? Are you ready to start in two weeks? If so, this could be the assignment for you! Eastern or Midwest time zone preferred. The main skill is helping to TEST EDI transactions with our EDI partner SPS to/from customers as well as our 3PLs distribution centers (EDI documents 850, 940, 945, 856, 810 and others..) and be able to hav
Easy Apply
Posted 29 days ago | Updated 26 days ago

SAP S4 Manufacturing Boards Operational Supplier Collaboration Consultant (16242)

Baer

•

Santa Clara, California, USA

Contract

Baer is looking for SAP S4 Manufacturing Boards Operational Supplier Collaboration Consultant for a 18+ month project located in Santa Clara, CA. Title: SAP S4 Manufacturing Boards Operational Supplier Collaboration Consultant Location: Remote and travel to Santa Clara Duration: 18 months Rate: Hourly Plus Expenses Reimbursed Alignment: W2 or C2C (Vendors Not Permitted) Responsibilities: Lead efforts to enhance supplier collaboration using SAP S/4HANA tools.Establish and maintain strong relatio
Easy Apply
Posted 32 days ago | Updated 4 days ago

Edifecs Developer

91135789

•

Ashburn, Virginia, USA

Third Party, Contract

Role: Edifecs Developer Experience: 8+ yrs. Type of Work: Remote Key Qualifications: Develop, test, and deploy integration solutions using Edifecs tools (XEngine, SpecBuilder, TM, and EAM). Hands on experience in developing solutions using Edifecs Smart Trading. Experience with Encounter Management product. Design and implement Edifecs routes in Edifecs profiles. Strong experience in developing Complex maps for DFF, PFF, EDI, HL7, XML etc. Strong experience with groovy, Drools, Guideline, Guid
Easy Apply
Posted 4 days ago | Updated 20 hours ago

EDI Business Analyst

Triune Infomatics Inc

•

San Leandro, California, USA

Full-time

Role: EDI Business Analyst (Medi-Cal 835 and 837 EDI) Location: San Leandro, CA (Monday to Friday) Contract to Hire 6 months MUST have experience in Medi-Cal, 835, or 837 experience. Looking for an EDI Analyst who must have 837/835 EDI experience, Medi-Cal format preferred with Finance experience Minimum Qualifications: The ideal candidate will have demonstrated a track record of success processing and maintaining Health Care EDI and support the following additional areas: Designing, developi
Easy Apply
Posted 6 days ago | Updated 3 days ago

EDI Manager

EDI Specialists, Inc.

•

Long Beach, California, USA

Full-time

Develop and Support a paperless (electronic) system for conducting business Manage inbound data feeds including: all claim file types, MOR, MMR, DXHCC, RAPS, Reconciliation files, eligibility and capitation data Manage outbound encounter data submission and process, Alternate Submission Methods (ASM), and supplemental "Clinical data submissions to health plan trading partners or designated clearinghouses. Responsible for full reconciliation of encounter data between clients, Health plans and C
Easy Apply
Posted 38 days ago | Updated moments ago

ITX Developer

ApTask

•

Atlanta, Georgia, USA

Full-time

Job Title: ITX Developer Location: Atlanta, GA Job Type: Fulltime Job Description: Must possess a strong proven, hands-on experience and understanding of the EDI X12 transactions formats that govern healthcare Electronic Data Interchange (EDI) Deep knowledge of ITX mappings from EDI to XML & vice-versa.Extensive knowledge of IBM ITXA Tool with HIPAA Compliance Check.Ability to provide analysis from a ITX perspective on map functionality and design for new maps and updated mapsDesign, Develop an
Easy Apply
Posted 7 days ago

Integration Manager (EDI)

Blue Ocean Ventures

•

California, USA

Full-time

POSITION OVERVIEW This role is an exciting opportunity for the candidate who wants to make a difference within an expanding organization and be a part of a growing global industry. Integrations Manager (EDI) role stands apart from other roles in an IT Organization. Each day offers the opportunity to use multiple technologies across different systems, departments, and lines of business. This role is perfect for those who have years of experience developing integrations between customers and syste
Easy Apply
Posted 4 days ago

EDI Consultant @ Bay Area, CA (onsite)

Vedainfo Inc.

•

Bayside, California, USA

Contract, Third Party

Hi, Please find the job role below and share resume if interested: Job Title: SAP PI / PO Consultant | EDI Location: Bay Area, CA (onsite) Client: Direct Client Position type: Contract Duration: 12 months+ Job Description We are hiring for an EDI Consultant on our implementation team. You will play a critical role in leading our customers and/or vendors through EDI onboarding, delivering file specifications and testing/troubleshooting any issues. Required skills and Responsibilities: Lea
Easy Apply
Posted 20 days ago | Updated 1 day ago