Job Description
Job Description
Provide data analysis, transactional support, error detection, resolution, and all related services for the successful Electronic Data Interchange (EDI) Operations of the Exchange.
Perform Medicaid transaction file analysis and validations.
Review and resolve all data issues, including but not limited to Master Data Management (MDM), Master Person Identifier (MPI), and other data issues.
Perform HBX System Error analysis.
Validate -A and -B files, and reconcile transactions.
Analyze EDI files sent to and received from Carriers, Managed Care Organizations (MCO), and other entities, and identify errors and root causes for EDI file rejections.
Coordinate with the development team, business team, and testing team to analyze, fix, test, and transmit EDI files daily and as required.
Analyze the EDI files from the Carriers and MCOs and perform root cause analy...
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