Hipaa MMIS Agile Specialist (Jobs in Raleigh, NC)   Requirement id 158254 Job title Specialist Job location in Raleigh, NC Skills required X12 EDIFACT Mapping, Hipaa, MMIS, Agile Open Date 20-May-2026 Close Date Job type Contract Duration 4 Months Compensation DOE Status requirement --- Job interview type --- Apply    Email Recruiter: coolsoft Job Description Specialist: X12 EDIFACT Mapping, Hipaa, MMIS, Agile Start date : 05/26/2026 End Date : 09/18/2026 Submission deadline : 5/27/2026 Client Info :NCDHHS-AM Note: *Hybrid *Agency Interview Type:Webcam Interview Only Description: we are seeking a Lead EDI Specialist to perform work related to to support the Medicaid Reform Project. 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   Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 158254 while calling.   Other jobs in NC: Chapel Hill (2), Charlotte (58), Dix Campus (1), Greensboro (3), Morrisville (2), North Charlotte (2), Raleigh (96), St Raleigh (2), Winston Salem (3), X12 EDIFACT Mapping job openings in Raleigh, NC Jobs List DHHS- IT Lead EDI Specialist (659489) Create date: 01-Sep-2021 Start Date :09/6/2021 End Date :08/31/2022 Submission Deadline :09/8/2021 Client Info : NCDHHS-AM Note : * Agency Interview Type: Webcam Interview Only Description : It is seeking a Lead EDI Specialist to perform work related to to support the Medicaid R.... (This job is for - job Jobs in NC Raleigh Specialist - (in Raleigh, NC))         (Specialist: X12 EDIFACT Mapping, Hipaa, MMIS, Agile in Raleigh, NC)

Featured Jobs TCP/IP Cisco Architect (Jobs in Columbia, South Carolina) BRD Agile Analyst (Jobs in Atlanta, Georgia) Manager (Jobs in Columbia, South Carolina) SaaS AgileScrum Architect (Jobs in Mechanicsville, Virginia) Hipaa MMIS Agile Specialist (Jobs in Raleigh, North Carolina) ACH Bachelor Consultant (Jobs in Columbia, South Carolina) Powerapps BachelorS Developer (Jobs in Raleigh, North Carolina) Medicaid Manager (Jobs in Raleigh, North Carolina) Troubleshooting VDI Administrator (Jobs in Des Moines, Iowa) Troubleshooting Customer Consultant (Jobs in Jacksonville, Florida)