Medicaid EDI Manager

Title : EDI Data Analyst- Lead (Medicaid EDI Manager)

Location : Mason, Ohio, 45040 Hybrid role, 3x (Tue - Thur)

Duration : 4+ Months contract job with possibilities od extension or conversion

Shift : 8AM - 5PM Eastern time, Mon to Fri

Description

GENERAL FUNCTION :

Perform membership data load from various electronic media into the AS400 system. Coordinate membership data transfer for new plans and modifications to existing plans, with client and internal personnel. Troubleshoot data issues through coordination and communication with management team, IT, and client personnel.

MAJOR DUTIES AND RESPONSIBILITES

Load membership data into the AS400 efficiently and accurately

Follow research and data processing guidelines and meet established standards

Answer client service team questions regarding data submission requirements in a professional and timely manner

Identify and resolve data issues

Use PC based applications to review membership data as necessary to ensure accurate data load or problem resolution.

Assist in coordinating receipt, loading, tracking, and reporting of membership data

Identify and recommend systems and process modifications necessary to effectively and efficiently support the research function

Demonstrate strong teamwork abilities and the desire to provide quality customer service

EXPERIENCE

3-5 years Business experience, preferable in the insurance industry. Familiarity with electronic media and AS400Experience with Excel, Access and Microsoft Word EDUCATION High school diploma or equivalent required.

COMMUNICATION WITH OTHERSINTERNAL Frequent oral and written communication with internal associate and field management

EXTERNAL Frequent oral and written communication with clients, brokers, software / system providers, and third party administrators

LISTENING Employs excellent listening skills to understand issue and drive research and resolution

KNOWLEDGE AND SKILLS

Detailed working knowledge of mainframe computers and systems in general

Detailed working knowledge of basic person computer operations

Strong working knowledge of software programs, specifically Excel and Access

Understands third party benefits and administration

Strong customer service focus

Ability to problem solve and troubleshoot electronic data issues

Ability to work well under pressure and multi-task

EEO :

Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of Minority / Gender / Disability / Religion / LGBTQI / Age / Veterans.