Lead EDI Data Analyst Job at Intellipro Group Inc., Mason, OH

dER0Tkd3SW5qRXBldlVrVlZPVzI4aU03
  • Intellipro Group Inc.
  • Mason, OH

Job Description

Job Title: EDI Data Analyst- Lead
Position Type: Contract
Location: Mason, Ohio  
Salary Range / Rate: $50-$55/hr (USD)
Top 3-5 mandatory and/or minimum requirements
  • Ability to analyze claims data
  • Develop standard and custom testing plans to ensure compliance with requirements
  • Maintain detailed documentation and process flow of all EDI processes
Top 3-5 desirable attributes/qualifications?
  • HIPAA X12 EDI Transactions experience
  • Experience with EDI mapping for 837, 999, 277CA, 835
  • Experience with Medicaid Claims processing
Job Description: The Medicaid EDI Manager will play a critical role within the Business Data Solutions team to maintain and implement Medicaid encounter feeds. The Medicaid Manager will be the primary resource implementing new client and/or state outbound transactions. The Manager will develop requirements based on stakeholder meetings and interpretation of Companion Guides. The Manager will identify, recommend and implement process improvements in support of the EDI system based on observation, monitoring and external inquiries regarding EDI issues.

Secondary responsibilities include researching and analyzing encounter edits or rejections for Medicaid clients and work with internal/external teams to resolve. The Manager will work to improve overall encounter, member and provider data quality. As well they will track encounter submission quality and timeliness.

About Us:
Founded in 2009, IntelliPro is a global leader in talent acquisition and HR solutions. Our commitment to delivering unparalleled service to clients, fostering employee growth, and building enduring partnerships sets us apart. We continue leading global talent solutions with a dynamic presence in over 160 countries, including the USA, China, Canada, Singapore, Japan, Philippines, UK, India, Netherlands, and the EU.
IntelliPro, a global leader connecting individuals with rewarding employment opportunities, is dedicated to understanding your career aspirations. As an Equal Opportunity Employer, IntelliPro values diversity and does not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or any other legally protected group status. Moreover, our Inclusivity Commitment emphasizes embracing candidates of all abilities and ensures that our hiring and interview processes accommodate the needs of all applicants. Learn more about our commitment to diversity and inclusivity at .
Compensation: The pay offered to a successful candidate will be determined by various factors, including education, work experience, location, job responsibilities, certifications, and more. Additionally, IntelliPro provides a comprehensive benefits package, all subject to eligibility.

Job Tags

Full time, Contract work, Work experience placement,

Similar Jobs

Copilot Careers

Substitute Teacher - No Experience Needed! Job at Copilot Careers

 ...Credits and NJ Substitute Certification \n Certified - Valid NJ CE, CEAS, or Standard Teacher Certification \n Proficient in English(speaking, reading, writing)\n \n Benefits: \n \n Full suite of benefits including: medical, dental, vision, and 401k \n... 

Experis

Recruiter Job at Experis

 ...Our client, a leading organization in the healthcare manufacturing industry , is seeking a Recruiter to join their HR team in Maple Grove, MN . As aRecruiter, you will be part of the Human Resources department supporting staffing and recruiting initiatives. The... 

Lexington Health Inc

Float Nursing Technician Job at Lexington Health Inc

 ...Float Nursing Technician Inpatient Float Pool Full Time PM Shift 7p-7a Sign-On Bonus: 2500 Consistently named best hospital, Lexington Medical Center dedicates itself to providing quality health services that meet the needs of its communities. Ranked #1 in the... 

Great Lakes Skilled Trades

Overhead Door Installer/Service Tech Job at Great Lakes Skilled Trades

 ...looking for quality craftsmen who want steady work and career growth. Starting pay: $25.00/h - $35.00/h Job May Include: - Installing/servicing overhead doors in commercial and industrial settings - Installing related equipment such as door openers, sensors,... 

Aerodyne Industries

Aerospace Systems Engineer - NASA Projects, 9/80 Job at Aerodyne Industries

A leading aerospace company in Houston seeks a Systems Engineer to be responsible for requirements development and compliance on NASA projects. The candidate will work closely with technical teams in defining system architecture, managing project requirements, and supporting...