Excelraise, LLC is a leading provider of full-service IT solutions and a talent management company headquartered in Denver, CO. At Excelraise, we specialize in IT staffing solutions tailored for government and federal clients across the USA.

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Excelraise, LLC is seeking an IT Lead EDI Specialist for our client in Raleigh, NC. Lead EDI Specialist / Tester to perform work related to support the Managed Care Transition Project.

Skills

• Expert in developing and executing test scripts related to X12 EDI Transmission
• Demonstrated proficiency in conducting QA and testing on EDI applications
• Expert in EDI mapping for 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
• High degree of business and technical knowledge with significant practical experience in HIPAA X12 EDI Transactions.
• Strong understanding of healthcare claims processing – Claims, Provider, Eligibility.   Highly desired
• Experience setting up users/new Trading Partner relationship/Standards/Envelope and full cycle testing
• Experience in creating and managing catalog of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
• Working knowledge of Medicaid and/or MMIS.   Highly desired
• Excellent verbal and written communication skills with the ability present to both technical and business audiences.   Desired
• Proven experience in processing and monitoring all inbound and outbound X12 transactions
• Knowledge of Agile Methodology
• Experience in collaborating with EDI partners to resolve transmission problems.
• LOCAL candidates only