Relevant Experience (in Yrs):
- 7-10 years of hands on Edifecs/EDI development experience.
- Experience working directly in a Healthcare payer or healthcare providers EDI solution that involves upgrades or migration of EDI technologies.
- Experience with requirements gathering, design, and mapping EDI X12 276/277 claims status and claims response, EDI X12 834 member enrollment, EDI X12 835 claims payment and remittance and EDI X12 837 electronic claims transactions.
- Experience with Healthcare Electronic Data Interchange (EDI) mapping and EDI analysis.
- Experience using Edifecs toolset, Edifecs SpecBuilder, Edifecs MapBuilder, Edifecs XEngine, Edifecs XEngine Server, Edifecs Transactions Management, Edifecs, Trading Partner Management Edifecs Application Manager (EAM), Edifecs GBD repository, HIPAA X12, Unix/Linux Java Understanding of EDI Transactions.
- Experience working in Edifecs 8.4 or
- Ability to use strong industry knowledge to relate to customer needs and dissolve customer concerns and high level of focus and attention to detail.
- Work within the EDIFECS tools for migration.
- Understands HIPAA requirements inside/out.
- Experience working in EDIFECS migration.
Agile Methodology.
Roles & Responsibilities:
Involved in gathering requirements, installing, configuring and overseeing the implementation of EDIFECS.
Interface with the internal business and technical resources.
Design, build, and test payer EDI systems.
Working with an established and dynamic development team that includes outside vendor personnel and remote project team members.