Electronic Data Interchange Manager

SVAM International Inc.; San Francisco (CA); Remote; USD 126,000 - 190,000; Full time

Job summary

A leading company, SVAM International Inc., is seeking an EDI Manager to manage EDI operations and ensure compliance with healthcare regulations. This remote contract position requires extensive experience in EDI systems and strong analytical skills. The ideal candidate will possess a bachelor's degree and several years of proven EDI management experience.

Qualifications

• 7 to 9 years experience as an EDI analyst.
• Experience with Edifecs products preferred.
• Knowledge of healthcare terminology and managed care.

Responsibilities

• Manage daily EDI operations and ensure compliance with regulations.
• Coordinate with internal teams for EDI requirements.
• Oversee EDI/Interoperability projects and documentation.

Skills

HIPAA

Data analysis

Communication

Analytical skills

Leadership

Education

Bachelor’s degree or higher

Tools

Microsoft Office

Job description

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Direct message the job poster from SVAM International Inc.

Lead/Sr. Technical Recruiter at SVAM International INC. - We're Massively Hiring!!!

Kindly go through the entire email.- Remote

Title: EDI Manager

Location- Remote, open to work PST

Duration: Initially stated 6 months Long Term Contract to HIRE

Skills Required:

The EDI Lead manages and responsible for the overall EDI/Interoperability process. The position is responsible for managing, planning, and guiding the daily EDI operations and ensuring the plan’s Trading Partners, contracted networks, hospitals, government agencies and providers transactions (X12, HL7, NCPDP, Proprietary, FHIR) are in compliance with HIPAA, CMS, DHCS and DMHC mandates, regulations and policies. This position also includes the role of liaison between all the internal Business Units for all EDI/Interoperability requirements, particularly eligibility, provider data, claims, clinical data and encounters. In addition, develop and provide oversight of EDI/Interoperability processes and documentation. The lead is responsible for all EDI/Interoperability related projects. The Lead manages all EDI/Interoperability priorities and assignments working with the IT Applications Managers and Director.

Knowledge/Skills/Abilities

• In-depth knowledge of HIPAA/EDI X12 5010 healthcare-related file formats X12 and FHIR HL7formats.
• Ability to synthesize data from various sources and perform various types of data analysis.
• Ability to produce accurate and precise work, detect discrepancies and resolve discrepancies all while meeting deadlines.
• Ability to work effectively, independently, and as part of a team.
• Strong oral, verbal and written communication skills.
• Advanced analytical skills and problem-solving skills with the ability to formulate and communicate recommendations for improvement.
• Knowledge and application of English grammar including composition, editing, and proofreading skills. Demonstrated ability to coordinate cross-functional work teams toward task completion.
• Demonstrated effective leadership and analytical skills.
• General PC knowledge including Microsoft Office.

Education and Experience

• Bachelor’s degree or higher or relevant industry experience
• Proven experience as an EDI analyst, with a minimum of 7 to 9 years
• Knowledge of Qnxt and/or other Cognizant solutions.
• Minimum 5-7 years of experience using Edifecs products preferred
• PC literacy and demonstrated experience with MS Office (Outlook, Word, Excel, PowerPoint).
• Excellent human relations and verbal/written communication skills
• Creative and analytical problem-solving skills
• Ability to make sound independent decisions
• Strong interpersonal skills
• Experience with health care organization or health plan preferred.
• Experience in the implementation of new systems is preferred.
• Familiar with health care, managed care terminology, or Medi-Cal preferred.

Looking forward to hearing from you,

Thanks & Regards,

SVAM International, INC. | 233 East Shore Road |Suite 201 Great Neck, NY 11023

Direct: 516 350 5572 | 408 766 1937 or Whatsapp Text |Office: 516 466-6655 Ext -334

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Contract

Job function

• Job function

  Information Technology

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