EDI Specialist

W2 Only, no sponsorship available Exciting opportunity for an EDI Specialist for a Contract to hire position in Philadelphia, PA. In this role you will work 3 days/week in the Philadelphia, PA office. Job Description Initially focused on overseeing spreadsheet process (still working with EDI but focused on a subset of files coming in). They will be cross trained to take on more EDI / other 834 files work. Specific Duties/Requirements : Requires an extensive knowledge of EDI Portal and managing inbound EDI enrollment file activity. Responsible for ensuring successful transfer of inbound EDI enrollment data to include troubleshooting/reconciliation of data integrity issues. Responsible for managing EDI file activity for high-profile/complex EDI client business (BPO, Shared Services, non-standard, etc.). Direct contact between EDI senders, clients, Account Management teams, Customer Experience teams, BizTalk/.Net teams, and project teams. Responsible for supporting project work within the business area (lead and/or participate in project meetings, sprint work, business requirement documentation, system upgrades, and business check-outs). Responsible for managing all robotic process automation (RPA) work for the business area. Responsible for providing support to the Department's Business Systems Analyst with client specific EDI enrollment testing. Additional Job Responsibilities : Assist in the development of user system documentation and desk level procedures. Manage daily team inventory activity and provide support/training/direction to Eligibility Specialist team members. Support enrollment related issues resolution/Enrollment Resolver Group participant. Organize/disperse team project work to other team members. Assist with manual enrollment processing for all lines of business. Support Member Enrollment System platform (to include development work, inquiries and EDI file activity) Meet departmental quality and production standards Other duties as assigned by the Leadership Team. Knowledge Summary : Ability to work with multiple business systems and have a general understanding of system design. Knowledgeable of Microsoft office products and project management tools. Effective oral and written communications skills necessary. Must have a general understanding the business environment and associated systems. Must be detail oriented and have a general understanding of corporate business systems. Must be able to work independently with assigned task. Ability to investigate, perform preliminary testing and present findings. Technical writing skills needed. Must have related enrollment experience in the Health Rules system platform, a full understanding of the Front Office System and how these platforms interact with EDI Portal for EDI enrollment validation. Education & Experience : Bachelor's degree in Business Administration, Management Information Systems, Computer Science or equivalent work experience in the Healthcare/Technology space Understanding of XML/ANSI 834 / HIPAA X12 transactions would be beneficial. In lieu of degree, minimum 2- 3 years proven EDI/eligibility experience Strong communication and analytical skills required. Scope : Has working knowledge and experience in own discipline. Continues to build knowledge of the organization, processes and customers. Performs a range of mainly straightforward assignments. Uses prescribed guidelines or policies to analyze and resolve problems. Receives a moderate level of guidance and direction from more senior level roles.