Remote Manager of Healthcare EDI
Job title: Remote Manager of Healthcare EDI in New York City, NY at EDI Staffing
Company: EDI Staffing
Job description:
- Candidates must reside in: AZ, CT, FL, GA, IL, IN, KS, KY, MI, NJ, NY, OH, OK, SC, TN, or TX*
- Oversee the team responsible for developing and executing technical solutions to optimize EDI operations.
- Oversee a team of EDI experts tasked with designing, documenting, and maintaining technical solutions for inbound and outbound data needs.
- Facilitate communication and collaboration between business users and developers to translate business needs into requirements.
- Manage reporting and EDI workflow planning and resources across the organization.
- Lead the EDI/reporting component of new client and vendor implementation projects.
- Liaise with other departments to resolve reporting, data, and EDI issues.
- Collaborate with the Project Management Team to develop scope of work and timeline and milestones for new projects.
- Identify and develop reasonable timelines and milestones for changes, defect corrections, improvements, or enhancements to existing data flows.
- Oversee generation, transmission, and maintenance of both inbound and outbound EDI data.
- Identify opportunities to improve relevant processes for service delivery, operational efficiencies, and effectiveness.
- Provide training and support to end-users on workflows and system enhancements.
- Audit, QA and UAT programming and configuration outputs, break fixes, enhancements, improvements, and changes.
- Develop and maintain reasonable dashboards which support the team and the organization.
- Develop and maintain documentation related to configuration, workflow, and process execution.
- Develop and maintain appropriate internal audit of the EDI processes and performance.
- Develop and maintain appropriate performance measures of the EDI team, processes, and performance.
- 10+ years of experience
- Experience in EDI technology, informatics, and reporting in a supervisory role in healthcare, insurance, or third-party benefits administration
- Experience with EDI formats related to healthcare including 270, 271, 278, 276, 277, 837, 835, 834, and 999.
- Knowledge of health data security and related regulatory requirements and EDI document formats.
- Knowledge of EDI claims management platforms
- Experience with Microsoft SQL Server or PostGREsql databases including writing queries
- Communicate clearly and professionally with internal and external customers
- Work effectively individually and as part of a team to achieve established outcomes.
- Understand other's roles and empower one another to take responsibility to be successful.