edifecs jobs

Remote

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11d ago

An EDIFECS Developer is crucial for organizations that rely on EDI for exchanging data with partners and clients, ensuring the accuracy, compliance, and efficiency of electronic data transactions.

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Contract, Third Party

Depends on Experience

EDIFECS Encounter Management developer

Dayton, Ohio

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17d ago

Job Details: Dayton, OH Onsite Day 1 Must Have Skills EDIFECS Encounter Management develop EDI expertise Product development & management Nice to have skills SQL Proficiency Requirement Analysis and Design Healthcare Regulations Detailed Job Description The project is aim to enhance claim and encounter processing for Medicare, Medicaid, and Duals lines of business. It leverages the EDIFECS tool to facilitate encounter processing. This includes encompassing new implementations, migrations, an

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Contract

$50 - $60

Edifecs EDI Specialist

Remote

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13d ago

Edifecs EDI SpecialistExperience: 5+ years in Healthcare EDIAbout the RoleWe are seeking an experienced Edifecs EDI Specialist to join our team. The ideal candidate will have extensive hands-on experience with Edifecs products, strong healthcare EDI knowledge, and the ability to work in a fast-paced, collaborative environment. Key ResponsibilitiesWork with Edifecs Transaction Management, Trading Platform, SpecBuilder, and XEngine to design, configure, and maintain EDI processes. Implement and ma

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Contract

$40+

Sr. EDI Developer (with EDIFECS Exp) & Health Care Plan Exp.

No location provided

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3d ago

Hi Good Morning, Sr. EDI Developer (with EDIFECS Exp. ) Location: Remote Duration: Long Term Contract Must have Health Care Plan Exp. Essential Functions Analyzes business requirements EDIFECS and creates EDI mapping specifications. Analyzes and interprets EDI data to identify trends, patterns, and issues. Monitors EDI transactions and troubleshooting errors. Creates and maintains detailed documentation for all reporting processes and procedures. Configures EDI software and mapping tools to

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Full-time, Contract

Edifecs Senior Software Engineer (EDI) - Remote

Remote or Frisco, Texas

•

Today

Create/update maps, guidelines and profiles using Edifecs tools such as EDIFECS SpecBuilder, Map Builder, EAM as per functional logic.Create maps and guidelines (xml, DFF, PFF) for Healthcare EDI transactions like 278, 837 I/P, 834, 835, 820 transactions.Responsible for design, development, and implementation of Edifecs solution.Excellent understanding of technical and business challenges relating to EDI product upgrades.Able to configure the Edifecs tools, and understand systems integration, ap

Full-time

USD 77,785.00 - 124,455.00 per year

Edifecs Lead Software Engineer - Must have EDI experience (Remote)

Remote or Frisco, Texas

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Today

This is a fully remote position for an Edifecs Lead Software Engineer (EDI).4+ years related experience including a minimum of 2+ years designing, building and deploying Edifecs software.Experience working with technical teams to develop and test EDI processes.Ability to work independently and as part of a team.Critical thinker.Demonstrated problem solving techniques.Strong verbal and written communication skills. This position services as an expert technical and industry resource to management,

Full-time

USD 83,890.00 - 142,610.00 per year

EDI Business Analyst with Healthcare

Los Angeles, California

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4d ago

Title:EDI Business Analyst with Healthcare Location-Los Angeles, CA Visa-Any Job description: What You'll Do: Partner with business teams to define and document requirements for EDI-related initiatives. Work across claims, provider portal, and customer service portal projects. Translate business needs into functional specs for technical teams. Review EDI transactions (837, 835, 270/271, etc.) for accuracy and compliance. Support testing and validate solutions before go-live. Qualifications:

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Contract

Lead Application Architect

Remote or Ohio

•

Today

You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Leads in the development and creation of database system designs and architectures in line with the organization's technical needs. Maintains documentation of diagrams, processe

Full-time

USD 119,100.00 - 220,500.00 per year

Director, Information Technology (Encounters, EDI, HEDIS/Star) (Director IV)

Orange, California

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29d ago

Director, Information Technology (Encounters, EDI, HEDIS/Star) (Director IV) CalOptima CalOptima Health is seeking a highly motivated Director, Information Technology (Encounters, EDI, HEDIS/Star) (Director IV) to join our team. The Director will be accountable for the Information Technology (IT) strategy and execution for Encounters, Electronic Data Interchange (EDI), and Healthcare Effectiveness Data and Information Set (HEDIS)/Star Ratings for CalOptima Health. This position will work closely

Full-time

$204,199 - $326,717

Remote Healthcare EDI Business Analyst

Remote

•

6d ago

Note : GCEAD, L2EAD, consultant can apply for this position who can work on W2. Job Descriptions : Essential Job Functions: Specific and in-depth knowledge of ANSI X12 transactionsSpecific knowledge of WEDI SNIP EditsMust possess ability to work within a trouble ticket application for resolving trading partner questions and issues.Ability to be self-motivated and work independently with little or no supervision.Excellent verbal and written communication skills.Ability to establish and maintai

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Full-time

Depends on Experience

Lead Engineer, Applications - Edifecs/JavaScript/SQL - Remote

Remote or Long Beach, California

•

Today

Job Description JOB DESCRIPTION Job Summary Designs and builds company specific enterprise application systems and technology expertise across multiple disciplines. Applies and promotes key principles (e.g., stability, scalability, performance, security, compatibility, re-use), helping ensure a balance between tactical and strategic technology solutions. Considers business problems "end-to-end": including people, process, and technology, both within and outside the enterprise, as part of any

Full-time

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