Manager, EDI
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Job Description
Manager, EDI overseeing EDI technical standards and process improvement in healthcare. Leading projects and collaborating with clients to enhance EDI transactions and solutions.
Responsibilities:
- Lead EDI team and contribute to the development of EDI transactions, SQL extract and load processes, and automation of data transfers
- Manage the EDI system & integration testing
- Analyze response files for unaccepted records and perform root cause analysis in order to resubmit
- Oversee the creation EDI maps for processing of Proprietary and ANSI X12 files
- Identify and implement process improvements to streamline data exchanges
- Regularly meet with Clients to identify, document and implement contractual EDI transactions and reports
- Ensure timely and accurate submissions of data exchanges
- Prioritize daily projects and tasks and strategically assign throughout the EDI team
- Collaborate closely with development teams, account managers, claims and finance teams to ensure contractual requirements are met and exceeded
- Manage work plans, timelines and budgets
- Remain current on the ever-changing EDI environment to ensure accuracy when dealing with customers
- Build a strong team that delivers excellent EDI solutions
- Development of timely and innovative solutions, with optimal use of technology and human resources
- Create database reports based on business and Client requests
- Assist with training material for internal and external stakeholders
- Actively listen and probe customers, in a professional, timely manner, to obtain further details and the reason for the issue reported
- Research and articulately communicate EDI information
- Develop, grow and retain top talent
- Ensure the project adheres to stakeholder needs
- Participate in finalist presentations, demos, conference calls, and conduct web demos of EDI capability, as needed
Requirements:
- High School Diploma or G.E.D.
- Bachelor’s degree in related field and/or five (5) to ten (10) years enterprise system experience; or an equivalent combination of education and experience
- Minimum of five (5) years’ experience with ANSI x12 and HIPAA standard formats
- Minimum of three (3) years’ experience with SQL
- Minimum one (1) experience following Agile methodologies and leading Scrum ceremonies
- Experience with Dell Boomi, Actian or equivalent EDI technology
- Experience with writing functional design documents, troubleshooting complex EDI issues, and unit testing methods
Benefits:
- Health and Life Insurance Plans
- Dental and Vision Plans
- 401(k) with a company match
- Paid Time Off and Holiday Pay
- Maternity/Paternity Leave
- Casual Dress Environment
- Tuition Reimbursement
- MTM Perks Discount Program
- Leadership Mentoring Opportunities
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