Mgr-EDI Development and Support (Full-time Remote, NC Based)

Responsibilities & Duties

• Program Management
• Lead and manage the EDI development and support team, providing guidance, mentorship, and technical expertise
• Oversee the design, development, and implementation of EDI solutions, ensuring compliance with industry standards and business requirements
• Collaborate with cross-functional teams, including IT, operations, and business analysts, to gather requirements, define EDI processes, and establish integration points
• Manage EDI projects from initiation to completion, including project planning, Team resource allocation, and monitoring project timelines and deliverables
• Coordinate with external trading partners to establish EDI connections, document requirements, and facilitate testing and certification processes
• Develop and maintain EDI maps, transformations, and data mappings to enable seamless data exchange between internal systems and external partners
• Ensure the reliability, availability, and security of EDI systems, and proactively monitor system performance, troubleshoot issues, and implement corrective actions in conjunction with the appropriate IT resources
• Stay updated with EDI standards, industry trends, and emerging technologies, and propose new and innovative solutions to improve EDI processes and enhance data exchange capabilities
• Provide technical expertise and support to resolve complex EDI-related issues, and serve as an escalation point for EDI production support tickets
• Prepare and present regular reports and updates to IT management, highlighting project status, key performance indicators, and recommendations for improvement
• Implementation, Monitoring and Support Activities
• Supervise the development, testing, implementation and ongoing maintenance of the HIPAA 837 claims, 835 remittance, 834 eligibility, 999 response and other EDI files
• Monitor and provide support to all EDI production processes and support for all trading partners
• Support the design and maintenance of all EDI maps to ensure compliance to all business and State requirements
• Analyze all EDI implementations and recommend improvements to processes and coordinate with trading partners to resolve all issues effectively