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Fallon Health Senior EDI Coordinator in Worcester, Massachusetts

Overview

About Fallon Health :

Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit www.fallonhealth.org.

Senior EDI Coordinator (Worchester, MA). Fallon Community Health Plan, Inc. d.b.a. Fallon Health.

JOB DUTIES: Oversees the EDI Process for the company, including tracking of all incoming and outgoing EDI files, monitoring and researching unsuccessful transmissions, recognizing patterns and contacting appropriate parties for resolution of issues, handling provider concerns over submittal discrepancies and taking the lead on increasing the volume of contracted providers using electronic submission. Responsible for training and development of all EDI staff and documenting all new procedures. Works with internal and external customers to fulfill tasks and meet deadlines. Candidate should function under minimal supervision, typically working independently.

JOB REQUIREMENTS: Master’s or foreign equivalent degree in Electrical/ElectronicEngineering, Electrical Power Systems, Computer Science, Engineering, Health Science or a related field and Two (2) years of experience in the job offered or a related occupation.

In the alternative, Employer will accept Bachelor’s or foreign equivalent degree in Electrical/ElectronicEngineering, Electrical Power Systems, Computer Science, Engineering, Health Science or a related field and Five (5) years of experience in the job offered or a related occupation.

Experience must include Two (2) years with:

  • QNXT;

  • EDI (Electronic Data Interchange) including regression testing;

  • BizTalk Server;

  • SNIP level validation;

  • SQL skills

To Apply, Please Send Resume To : Fallon Community Health Plan, Inc. d.b.a. Fallon Health; Attn.: HR, 10 Chestnut Street, Worcester MA 01608; and please refer to this job title and job posting. EOE.

Responsibilities

Qualifications

Location US-MA-Worcester

Posted Date 2 weeks ago (3/30/2021 10:43 AM)

Job ID 6292

# Positions 1

Category Information Technology

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