Hybrid EDI Data Analyst, Medicaid EDI Manager

Posted last month

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About the role

  • Perform membership data load from various electronic media into the AS400 system.
  • Coordinate membership data transfer for new plans and modifications to existing plans, with client and internal personnel.
  • Troubleshoot data issues through coordination and communication with management team, IT, and client personnel.
  • Load membership data into the AS400 efficiently and accurately.
  • Follow research and data processing guidelines and meet established standards.
  • Answer client service team questions regarding data submission requirements in a professional and timely manner.
  • Identify and resolve data issues.
  • Use PC based applications to review membership data as necessary to ensure accurate data load or problem resolution.
  • Assist in coordinating receipt, loading, tracking, and reporting of membership data.
  • Identify and recommend systems and process modifications necessary to effectively and efficiently support the research function.
  • Demonstrate strong teamwork abilities and the desire to provide quality customer service.

Requirements

  • 3-5 years Business experience , preferably in the insurance industry.
  • Familiarity with electronic media and AS400.
  • Strong working knowledge of software programs, specifically Excel and Access.
  • Maintain detailed documentation and process flow of all EDI processes.
  • Understands third party benefits and administration.
  • Detailed working knowledge of mainframe computers and systems in general.
  • Detailed working knowledge of basic person computer operations.
  • Strong customer service focus.
  • High school diploma or equivalent required.
  • Candidates who are US Citizens, Green Card holders eligible to work on W2 highly preferred.
  • Employment Type: W2 only. NO C2C, NO 1099.

Benefits

  • Hybrid role (3 days onsite)
  • Contract with potential extensions

Job title

EDI Data Analyst, Medicaid EDI Manager

Job type

Experience level

Mid levelSenior

Salary

$52 per hour

Degree requirement

High School Diploma

Location requirements

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