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Golden Tech Systems Inc. IT Lead EDI Specialist-LOCAL in Raleigh, North Carolina

Company Overview

GoldenTech is a systems integrator firm, focusing on solving complex problems in the areas of DevOps, Cloud and Cyber domains. In addition to offering Cloud based solutions that span Azure, AWS, and Google platforms, GoldenTech also provides cyber security solutions to help our customers from threats. We also provide full stack development on the .NET, J2EE platforms, and harness the synergy between DevSecOps and Agile to deliver solutions faster and on-time. GoldenTech prides ourselves in our ability to exceed in customer satisfaction thereby leading the way to continued customer engagement. Finally, we provide a platform to our workforce and empower them to meet our customers? mission, while succeeding in their career goals. In addition to providing best in class solutions to our Fortune 150 clients and state agencies?since 2007, GoldenTech proudly serves our armed services by working with the US Navy and the US Airforce.

**LOCAL CANDIDATES only!!!

REQUIRED qualifications (min 7 years)

  • Expert in developing and executing test scripts related to X12 EDI Transmission

REQUIRED qualifications (min 5 years)

  • Expert in EDI mapping for 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0

  • Demonstrated proficiency in conducting QA and testing on EDI applications

  • High degree of business and technical knowledge with significant practical experience in HIPAA X12 EDI Transactions

REQUIRED qualifications continued:

  • Experience in creating and managing catalog of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0 (3 years)

  • Experience setting up users/new Trading Partner relationship/Standards/Envelope and full cycle testing (2 years)

  • Proven experience in processing and monitoring all inbound and outbound X12 transactions (3 years)

  • Experience in collaborating with EDI partners to resolve transmission problems (2 years)

  • Knowledge of Agile Methodology (2 years)

Job Summary

GoldenTech Systems is seeking a Lead EDI Specialist / Tester to perform work related to support the Managed Care Transition Project within the NC Dept of Health and Human Services (DHHS).

This position is responsible for the following activities related to a critical system being developed in-house at the State:

  • High degree of business and technical knowledge with significant practical experience in HIPAA X12 EDI Transactions.

  • Expert in EDI mapping for 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0

  • Develop and execute test scripts related to X12 Transmission

  • Conducts QA and Testing on EDI applications

  • Develop and execute Test scripts related to X12 Transmission

  • Experience setting up users/new Trading Partner relationship/Standards/Envelope and full cycle testing

  • Provides technical support during and after implementation for healthcare electronic data interchange applications

  • Responds to inquiries regarding EDI issues with encounter claims and trading partner activities

  • Management of catalog of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0

  • Communication between Trading Partners and department

  • Maintain detailed documentation and process flow of all EDI processes

  • Identify and facilitate issues with partner data mapping from onset through completion

  • Process and monitor all inbound and outbound X12 transactions

  • Support Customer Service group with EDI related issues

  • Identifies, recommends and implements process improvements in support of the EDI system

  • Troubleshoot EDI document processing errors and work with trading partners directly to resolve in a timely matter

  • Conducts analysis of EDI transactions and is responsible for documentation and reports

  • Collaborate with EDI partners to resolve transmission problems.

  • Track day-to-day EDI & batch processes to identify and address problems as they arise reporting levels of activity using key established metrics for senior management

  • Effectively communicate issues and needs with internal business partners, external vendors, and healthcare providers

  • Develops and maintains cross walking and validation rules for file exchanges

  • Triages incoming EDI issues thru monitoring

  • Ability to communicate effectively with technical and business staff

  • Support internal resources to resolve issues, answer questions, and retransmit EDI documents when necessary

  • Work with end users to ensure user acceptance testing is thorough and complete

  • Employees should be able to work independently with minimal supervision.

  • Knowledge of Agile Methodology

Benefits and Perks

  • Golden Tech offers a comprehensive benefits package: This includes healthcare, paid time off, retirement savings plans, Life/AD, dental, vision plans.

  • Golden Tech believes 'best ideas win'. Our management is always open to learn new ideas and ways in which we can help give our workforce a 'solid platform' for growth

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