Role Overview
We are seeking a specialized EDI Claims Implementation Specialist to support a critical system migration for a Massachusetts Medicaid client. This role is central to transitioning claims processing from a legacy system to a new platform, requiring a professional who understands the full lifecycle of a claim.
Key Responsibilities
- Inbound Claims Bridging: Manage the intake and translation of inbound EDI files (837P/I), ensuring seamless data flow into the new adjudication system.
- Adjudication Support: Collaborate with configuration teams to address system impacts, ensuring claims adjudicate correctly under the new platform.
- Downstream Reporting: Oversee the generation of outbound encounter reporting (835/277CA), ensuring compliance with Massachusetts Medicaid regulations.
Rate:
Not specified
Location:
Latham
IR35 Status:
Outside
Remote Status:
Remote
Industry:
Data & Analytics
Seniority Level:
Not Specified