EDI Analyst - Hybrid

Company: Viva USA Inc.
Location: Mason
Posted on: April 4, 2025

Job Description:

Title: EDI Analyst - Hybrid

Read on to find out what you will need to succeed in this position, including skills, qualifications, and experience.










Mandatory skills:

HIPAA X12 EDI Transactions,
EDI mapping, 837, 999, 277CA, 835,
Medicaid Claims processing,
claims data Develop standard, custom testing plans,
EDI processes, EDI system, EDI issues,
Medicaid encounter feeds,
outbound transactions, researching, analyzing encounter edits, rejections, provider data quality, encounter submission quality







Description:


The Medicaid EDI Manager will play a critical role within the Business Data Solutions team to maintain and implement Medicaid encounter feeds. The Medicaid Manager will be the primary resource implementing new client and/or state outbound transactions. The Manager will develop requirements based on stakeholder meetings and interpretation of Companion Guides. The Manager will identify, recommend and implement process improvements in support of the EDI system based on observation, monitoring and external inquiries regarding EDI issues.

Secondary responsibilities include researching and analyzing encounter edits or rejections for Medicaid clients and work with internal/external teams to resolve. The Manager will work to improve overall encounter, member and provider data quality. As well they will track encounter submission quality and timeliness.

Specific Skills Needed:
Top 3-5 mandatory and/or minimum requirements:
Ability to analyze claims data Develop standard and custom testing plans to ensure compliance with requirements
Maintain detailed documentation and process flow of all EDI processes

Top 3-5 desirable attributes/qualifications:
HIPAA X12 EDI Transactions experience
Experience with EDI mapping for 837, 999, 277CA, 835
Experience with Medicaid Claims processing

Notes:
8:00am to 5:00pm
Hybrid: 3x a week









VIVA USA is an equal opportunity employer and is committed to maintaining a professional working environment that is free from discrimination and unlawful harassment. The Management, contractors, and staff of VIVA USA shall respect others without regard to race, sex, religion, age, color, creed, national or ethnic origin, physical, mental or sensory disability, marital status, sexual orientation, or status as a Vietnam-era, recently separated veteran, Active war time or campaign badge veteran, Armed forces service medal veteran, or disabled veteran. Please contact us at hr@viva-it.com for any complaints, comments and suggestions.




Contact Details :

Account co-ordinator: Sekhar Radhakrishnan, Phone No : (847) 892-7502, Email: staffing10@viva-it.com

VIVA USA INC.
3601 Algonquin Road, Suite 425
Rolling Meadows, IL 60008
staffing10@viva-it.com - http://www.viva-it.com
Remote working/work at home options are available for this role.

Keywords: Viva USA Inc., Middletown , EDI Analyst - Hybrid, Professions , Mason, Ohio