Medicaid EDI Manager

Medicaid EDI Manager needs 4+ years’ experience

Medicaid EDI Manager requires:

• Hybrid: 3x a week.

• HIPAA X12 EDI Transactions experience

• Experience with EDI mapping for 837, 999, 277CA, 835

• Medicaid Claims processing

• Ability to analyze claims data Develop standard and custom testing plans to ensure compliance with requirements

Medicaid EDI Manager duties:

• Research and analyze encounter edits or rejections for Medicaid clients and work with internal/external teams to resolve.

• Manager will work to improve overall encounter, member and provider data quality.

• Work to improve overall encounter, member and provider data quality