IN-IDOH Senior EDI Developer

EDI Expert Position

The Indiana Department of Health (IDOH) is seeking an EDI expert in order to maintain and advance its health insurance claims processing system, ACAPS.

The EDI Expert is responsible for maintaining the life cycle of claims as they arrive from health providers at IDOH, are loaded into our database, are adjudicated based on state and national pricing standards, and as adjudication messages are generated and sent back to the originating provider. This position will work with the project manager, software developers, business analysts, and functional team members on the project activities.

Required/Desired Skills

• Bachelor’s Degree in Computer Science or related fields with IT experience - Required - 0
• Database knowledge - Required - 5
• Understanding EDI file formats (835, 837, 210) - Required - 5
• Knowledge of HIPAA regulations - Required - 0
• Ability to solve complex troubleshooting issues - Required - 0
• Excellent verbal and written communication skills - Required - 0
• Health Industry experience - Highly desired - 0
• Knowledge of IBM Websphere (WTX) - Highly desired - 0
• Database/SQL experience - Highly desired - 0

Questions

• Absences greater than two weeks MUST be approved by CAI management in advance, and contact information must be provided to CAI so that the resource can be reached during his or her absence. The Client has the right to dismiss the resource if he or she does not return to work by the agreed upon date. Do you agree to this requirement?
• Please provide candidate’s email address.
• Candidate must be local to Indianapolis. Please provide City and State the resource resides.
• Selected resource will be required to work onsite 3 days per week and 2 days remote. Please confirm the resource understands this requirement.
• Initial technical interview will be via Teams. Final interview will be via Teams or in person, per the request of the manager. Please confirm the resource understands the interview process.
• The manager has indicated the position is a possible contract to hire opportunity. Candidates presented must be eligible for full time hire, without requiring sponsorship. Please confirm the resource is understanding of this requirement.