Jobs via Dice
Job ID:
NC-0115 – EDI Tester (Hybrid/Local)
Location:
Raleigh, NC (NCDHHS-AM)
Duration:
12 months
Positions:
1–2
Responsibilities
Develop and execute test scripts related to X12 transmission.
Conduct QA and testing on EDI applications.
Set up users, new trading partner relationships, standards, envelopes, and perform full‑cycle testing.
Provide technical support during and after EDI implementation.
Respond to inquiries regarding EDI issues with encounter claims and trading partner activities.
Maintain and manage a catalog of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0.
Document and maintain detailed process flows for all EDI processes.
Identify, diagnose, and resolve partner data mapping issues from onset to completion.
Process and monitor all inbound and outbound X12 transactions.
Support the Customer Service group with EDI‑related issues.
Recommend and implement process improvements to support the EDI system.
Troubleshoot EDI document processing errors and coordinate resolution with trading partners.
Analyze EDI transactions, produce documentation and reports, and track day‑to‑day batch processes to identify problems.
Effectively communicate issues and needs with internal business partners, external vendors, and healthcare providers.
Develop and maintain cross‑walk and validation rules for file exchanges.
Triaging incoming EDI issues through monitoring.
Support internal resources to resolve issues, answer questions, and retransmit EDI documents when necessary.
Work with end users to ensure user acceptance testing is thorough and complete.
Perform independently with minimal supervision.
Apply Agile methodology to project activities.
Qualifications
Minimum 7 years of experience developing and executing test scripts for X12 EDI transmission.
Minimum 5 years of experience conducting QA and testing on EDI applications.
Minimum 5 years of experience mapping EDI documents such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0.
Minimum 5 years of knowledge in HIPAA X12 EDI transactions.
Minimum 2 years of experience setting up trading partner relationships and performing full‑cycle testing.
Minimum 3 years of experience managing a catalog of EDI document types.
Minimum 3 years of experience processing and monitoring inbound and outbound X12 transactions.
Minimum 2 years of experience with Agile methodology.
Minimum 2 years experience collaborating with EDI partners to resolve transmission problems.
Strong written and verbal communication skills.
Experience working with Medicaid and/or MMIS is desired.
Expertise in healthcare claims processing—claims, provider, eligibility—is desired.
Local candidates only.
#J-18808-Ljbffr
NC-0115 – EDI Tester (Hybrid/Local)
Location:
Raleigh, NC (NCDHHS-AM)
Duration:
12 months
Positions:
1–2
Responsibilities
Develop and execute test scripts related to X12 transmission.
Conduct QA and testing on EDI applications.
Set up users, new trading partner relationships, standards, envelopes, and perform full‑cycle testing.
Provide technical support during and after EDI implementation.
Respond to inquiries regarding EDI issues with encounter claims and trading partner activities.
Maintain and manage a catalog of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0.
Document and maintain detailed process flows for all EDI processes.
Identify, diagnose, and resolve partner data mapping issues from onset to completion.
Process and monitor all inbound and outbound X12 transactions.
Support the Customer Service group with EDI‑related issues.
Recommend and implement process improvements to support the EDI system.
Troubleshoot EDI document processing errors and coordinate resolution with trading partners.
Analyze EDI transactions, produce documentation and reports, and track day‑to‑day batch processes to identify problems.
Effectively communicate issues and needs with internal business partners, external vendors, and healthcare providers.
Develop and maintain cross‑walk and validation rules for file exchanges.
Triaging incoming EDI issues through monitoring.
Support internal resources to resolve issues, answer questions, and retransmit EDI documents when necessary.
Work with end users to ensure user acceptance testing is thorough and complete.
Perform independently with minimal supervision.
Apply Agile methodology to project activities.
Qualifications
Minimum 7 years of experience developing and executing test scripts for X12 EDI transmission.
Minimum 5 years of experience conducting QA and testing on EDI applications.
Minimum 5 years of experience mapping EDI documents such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0.
Minimum 5 years of knowledge in HIPAA X12 EDI transactions.
Minimum 2 years of experience setting up trading partner relationships and performing full‑cycle testing.
Minimum 3 years of experience managing a catalog of EDI document types.
Minimum 3 years of experience processing and monitoring inbound and outbound X12 transactions.
Minimum 2 years of experience with Agile methodology.
Minimum 2 years experience collaborating with EDI partners to resolve transmission problems.
Strong written and verbal communication skills.
Experience working with Medicaid and/or MMIS is desired.
Expertise in healthcare claims processing—claims, provider, eligibility—is desired.
Local candidates only.
#J-18808-Ljbffr