Title: EDI Developer
Location: Newtown Square, PA
Type: Contract
Job Description:
In depth knowledge in EDI especially 837 transactions
Good knowledge in SQL Server
Understanding and Implementing Payer Healthcare process for Medicare and Medicaid Claims (837) translation and Adjudication, 999 (Functional Acknowledgements) and 277CA (Claim Acknowledgements)
Developing 837, 820 and 277CA mapping specification documents.
Establishing Scheduler jobs for the respective transaction flows
Coordinating with Testing team on End-to-End process
Preferred Consulting Analysts serve a key support role to the engagement team delivering the most appropriate client solutions Primary responsibilities are to logically organize concurrent deliverables with multiple deadlines solve and structure client problems through data and root cause analysis leading to proposed recommendations Problem and Scope Definition
Support formulation of problem statement and definition of scope
Drill down beyond the problems surface to understand root cause
Construct problem statement including problem description
Identify key stakeholders and construct stakeholder analysis ie how they are affected
Contribute to project planning and effort estimation within scope
Support the identification of risks and mitigation approaches
Job Description: Good-to-have skills
Healthcare EDI Transactions, Medicaid & Health care background
Knowledge on SQL
IBM STX
Strong analytical and communication skills
Years of Experience Required 10+
Technology M/F, ODBA, SQL DBA, M/F DBA, App Support, Incident Management, etc. SQL, EDI 837, EDI App Support