Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Senior EDI Lead & Tester — Medicaid Claims

Chandra Technologies, Inc

Chandra Technologies, Inc is seeking a Lead EDI Specialist / Tester in Raleigh, NC. This role is crucial for supporting the Managed Care Transition Project and Medicaid Reform Project. Key responsibilities include executing test scripts, conducting QA on EDI applications, and managing EDI document types. Ideal candidates will have strong expertise in HIPAA X12 EDI Transactions and must be able to work independently with minimal supervision. #J-18808-Ljbffr Chandra Technologies, Inc

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Senior EDI Lead & Tester — Medicaid Claims in Raleigh, NC vacancy
  •  ...Services (DHHS) is seeking a Lead EDI Specialist / Tester to perform work related to...  ...Specialist to support the Medicaid Reform Project. This position...  ...EDI issues with encounter claims and trading partner...  ...using established metrics for senior management. Effectively communicate... 
    EDI
    Claims
    Local area

    Chandra Technologies, Inc

    Raleigh, NC
    3 days ago
  •  ...Lead EDI Specialist NC Dept of Health and Human Services (DHHS)...  ...work related to support the Medicaid Reform Project. This position...  ...regarding EDI issues with encounter claims and trading partner...  ...key established metrics for senior management Effectively communicate... 
    EDI
    Claims

    My3Tech Inc

    Raleigh, NC
    1 day ago
  • Astyra Corporation is seeking a Lead EDI Specialist for a 4-month onsite contract in Raleigh, NC. The role requires extensive experience...  ...transactions, and will support various projects including the Medicaid Reform Project. The ideal candidate will have strong communication... 
    EDI
    Senior
    Contract work

    Astyra Corporation

    Raleigh, NC
    4 days ago
  •  ...Hello, Hope you're doing good. Position: DHHS_IT EDI Tester Location: Dix Campus Raleigh North Carolina ( Remote...  ...on testing web applications *Experience with Healthcare Claims Processing Testing. * Must be an excellent team player... 
    EDI
    Claims
    Local area
    Remote work

    My3Tech Inc

    Raleigh, NC
    4 days ago
  •  ...A leading public sector solutions firm in Raleigh is seeking a TPA Claiming Lead to manage claims operations and develop a consistent claiming program. This role requires...  ...skills, and a deep understanding of Medicaid policies. The successful candidate will direct... 
    Claims
    Remote work

    Public Consulting Group

    Raleigh, NC
    4 days ago
  • Job Description Seeking a highly experienced Senior Consultant with deep expertise in EDI (Electronic Data Interchange), specifically in 834 (Benefit Enrollment and Maintenance) and 837 (Healthcare Claims) transaction sets. The ideal candidate will have a strong background... 
    EDI
    Senior
    Claims
    Day shift

    TechDigital Group

    Raleigh, NC
    4 days ago
  • A leading construction consultancy is seeking a Claims Analyst to review and analyze construction claims related to delays and cost impacts. Candidates should have significant experience in this area and proficiency in Oracle P6 is required. The role is full-time with... 
    Senior
    Claims
    Full time

    MBP

    Raleigh, NC
    2 days ago
  •  ...Claims Analyst/Lead Claims Analyst/Senior Claims Analyst MBP is looking for Claims Analyst/Lead Claims Analyst/Senior Claims Analyst in Tampa, FL, Raleigh, NC, or Washington DC areas, with significant experience developing and/or providing review and analysis of construction... 
    Senior
    Claims
    Full time
    Contract work
    For contractors
    Work at office
    Night shift

    Mc Donough Bolyard Peck

    Raleigh, NC
    4 days ago
  • Plante & Moran, PLLC is seeking an experienced professional to lead strategic engagements related to Medicaid and Medicare cost reports. This role requires a strong background in healthcare reimbursement and substantial experience in accounting and financial analysis.... 
    Senior

    Plante & Moran, PLLC

    Raleigh, NC
    2 days ago
  •  ...Senior Pharmacy BA Specialist (Only Locals) Location: Dix Campus Raleigh North Carolina...  ...NCPDP, Drug Rebate Processing, RetroDUR, EDI, X12, HL7, HIPAA PHI, ICD-10 Should be...  ...are preferred: Managed Care and Medicaid experience Project Management experience... 
    EDI
    Senior
    Local area

    Software Technology Inc

    Raleigh, NC
    1 day ago
  •  ...clinical interpretation and make independent decisions on health claims. This remote position allows you to work from anywhere in the...  ...years of clinical experience, along with knowledge of Medicare and Medicaid regulations. You'll be part of a caring community making... 
    Senior
    Claims
    Remote work

    Humana

    Raleigh, NC
    2 days ago
  •  ...managing patient accounts for all clinic visits in Halifax County, North Carolina. This role requires familiarity with billing claims to Medicaid, Medicare, and private insurers, as well as skills in resolving billing errors. The position mandates a high school diploma... 
    Senior
    Claims

    NCARCA

    Raleigh, NC
    12 hours ago
  •  ...DHHS- IT Senior Pharmacy BA Specialist Location: Dix Campus Raleigh...  ...a Senior PBM BA Specialist to lead Business and Technical...  ...implementing and supporting the Medicaid Enterprise System (MES) Pharmacy...  ...Rebate Processing, RetroDUR, EDI, X12, HL7, HIPAA PHI, ICD-10... 
    EDI
    Senior

    My3Tech

    Raleigh, NC
    4 days ago
  • $22.3 - $35.2 per hour

     ...Lead Coordinator, Collections About Navista We believe in the power of community...  ...ensuring accurate and timely processing of claims, including denials and the maximation of...  ...knowledge of ICD-10-CM, CPT, HCPCS, Medicare, Medicaid, Managed Care preferred ~ Strong... 
    Claims
    Hourly pay
    Temporary work
    Work at office
    Local area
    Immediate start
    Flexible hours

    Cardinal Health

    Raleigh, NC
    4 days ago
  • $69.85k - $97.09k

     ...Quality outcomes across HIX, Medicare Advantage, and Medicaid. With advanced analytics and real-time intelligence,...  ...financial impact. Analyze and reconcile claims and encounter data which will include 837 EDI encounter files for EDPS, RAPS and Edge Server submission... 
    EDI
    Claims
    For contractors
    Local area
    Remote work

    Veradigm

    Raleigh, NC
    4 days ago
  • $60.8k - $82.9k

     ...As a Revenue Cycle EDI Systems Analyst , you...  ...utilized for billing and claims management. Identify...  ...Familiarity with Medicare/Medicaid billing processes...  ...company: CenterWell is a leading healthcare services business...  ...largest provider of senior-focused primary care, a... 
    EDI
    Claims
    Bi-weekly pay
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Remote work
    Home office

    CenterWell

    Raleigh, NC
    1 day ago
  • A technology solutions provider is seeking an experienced EDI Architect located in Raleigh, North Carolina. The candidate should have a minimum of 10 years B2B/EDI experience and the ability to design and architect EDI solutions using Dell Boomi. Responsibilities include... 
    EDI
    Senior

    TechDigital Group

    Raleigh, NC
    22 hours ago
  • Tata Consultancy Services Limited is seeking a Senior Business Analyst in Raleigh, North Carolina. The role demands a strong background in payment systems, particularly ACH, EDI, and risk management. Responsibilities include bridging business and technology teams, creating... 
    EDI
    Senior

    Tata Consultancy Services Limited

    Raleigh, NC
    2 days ago
  • $22.3 - $28.8 per hour

     ...'s account balance is zero. The Lead, Coding & Billing is a hands-on senior individual contributor who provides...  ...ensuring high-quality coding, clean claim submission, denial prevention, and...  ...of ICD-10-CM, CPT, HCPCS, Medicare, Medicaid, Managed Care. Bachelor's degree... 
    Claims
    Hourly pay
    Temporary work
    Local area
    Immediate start
    Flexible hours

    Cardinal Health

    Raleigh, NC
    8 days ago
  • A leading consulting company based in Raleigh is seeking an experienced Senior Consultant specializing in EDI solutions, specifically for healthcare clients focusing on 834 and 837 transactions. Ideal candidates will possess deep expertise in healthcare data exchange, integration... 
    EDI
    Senior
    Day shift

    TechDigital Group

    Raleigh, NC
    3 days ago
  • A national health services organization seeks a Claims Analyst in Raleigh, NC. The role focuses on processing Stop Loss claims and requires 5 years' experience in health insurance claims. Candidates should possess strong communication and organizational skills and ideally... 
    Senior
    Claims

    Highmark Health

    Raleigh, NC
    22 hours ago
  • Overview Lead Teams. Strengthen Billing Accuracy. Drive Revenue Excellence. We are looking...  ...and ensuring compliance across Medicare, Medicaid, and Commercial payers. The Revenue Cycle...  ...of Medicare, Medicaid, and Commercial claims and payments. Step in to personally... 
    Claims
    Daily paid
    Full time
    Part time
    Work at office
    Local area

    Gentiva

    Raleigh, NC
    3 days ago
  • $85k - $120k

    A national insurance carrier seeks a claims adjuster to focus on resolving litigated commercial and homeowner property claims. Candidates should have over 5 years of experience in property claims with a focus on high exposure files. The role involves investigating claims... 
    Senior
    Claims

    Utica National Insurance Group

    Raleigh, NC
    1 day ago
  • $40 per hour

    A cybersecurity training firm seeks experienced professionals to evaluate AI-generated cybersecurity content and solve technical security challenges. The ideal candidate has over 2 years of hands-on experience in various cybersecurity roles and coding skills. Strong writing...
    Senior
    Hourly pay
    Remote work

    DataAnnotation

    Raleigh, NC
    4 days ago
  • $82.4k - $123.6k

     ...partners (Operations, Implementation, Sales, Claims, Client Relationship Managers, Product),...  ...traditional Electronic Data Interface (EDI) File Feeds to support complex client needs...  ...videoconferences. Primary Job Duties: Lead Customer data integration implementations... 
    EDI
    Claims
    Temporary work
    Work at office
    Remote work
    3 days per week

    The Hartford

    Raleigh, NC
    1 day ago
  •  ...significant practical experience in HIPAA X12 EDI Transactions. Expert in EDI mapping for 8...  ...regarding EDI issues with encounter claims and trading partner activities. Management...  ...activity using key established metrics for senior management. Effectively communicate issues... 
    EDI
    Claims

    COOLSOFT

    Raleigh, NC
    3 days ago
  •  ...Allstate Northern Ireland Limited is seeking an experienced Auto Field Adjuster to support claims in the Raleigh, NC area. The role requires creating damage estimates and negotiating settlements while maintaining documentation and organizational skills. Applicants should... 
    Senior
    Claims
    Remote work

    Allstate Northern Ireland

    Raleigh, NC
    12 hours ago
  •  ...experience working with NCFAST Two (2) years or more recent experience as a case manager in Family & Children's Medicaid Social Services experience as a Team Lead, Trainer or mentor Qualifications Strong policy knowledge in Family and Children's Medicaid... 
    Full time
    Temporary work
    Work experience placement

    Wake County

    Raleigh, NC
    2 days ago
  • $70.9k - $76.9k

    Ryder System, Inc. is seeking a claims adjuster in Jacksonville, Florida. The candidate will handle Auto Liability claims in a self-insured environment, requiring strong interpersonal and negotiation skills. A Bachelor's degree is preferred alongside a minimum of two years... 
    Senior
    Claims

    Ryder

    Raleigh, NC
    22 hours ago
  • A technology integration firm is seeking a Senior Performance Test Engineer with Appian experience to support performance testing for federal programs. Responsibilities include executing performance strategies, validating system scalability, and collaborating with stakeholders... 
    Senior
    Remote job
    Flexible hours

    Groundswell

    Raleigh, NC
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Senior EDI Lead & Tester — Medicaid Claims. Be the first to apply!