Are you looking to make an immediate impact where you can help our clients solve their business challenges? Deloitte’s Core Business Operations (CBO) portfolio operates at the center of our client’s business. By joining our team, you could help C-suite and program leaders transform their organization and accelerate mission execution through emerging and disruptive technologies, innovative business models, retooled program operations and industry-driven solutions.
Work you’ll do : We are seeking a highly skilled and experienced EDI X12 Operations Specialists to join our team. The ideal candidate will have extensive experience(5+ years) with HIPAA, X12 transactions, enterprise healthcare systems, and X12 testing. This role requires a deep understanding of healthcare claims processing and the ability to update companion guides.
Key Responsibilities:
- Collaborate with cross-functional teams to ensure seamless EDI operations.
- Work closely with operations team on daily ticket triage.
- Update incident and defect information.
- Prepare solution overview / summary for discussion with the business during weekly governance meetings.
- Oversee the integration and functionality of enterprise healthcare systems involving Fee-For-Service (FFS) claims and Encounters.
- Conduct thorough X12 testing to ensure accuracy and efficiency.
- Update and maintain companion guides to reflect current standards and practices.
- Provide expertise and guidance on EDI-related issues and projects.
- Develop and implement best practices for EDI processes and procedures.
The team
Deloitte’s Government and Public Services (GPS) practice – our people, ideas, technology and outcomes—is designed for impact. Serving federal, state, & local government clients as well as public higher education institutions, our team of over 15,000+ professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise.
Deloitte’s Health Technology offering transforms the way the Healthcare IT market embraces modernization and modularization. Using our deep health, government, and technology consulting experience, our team strategically advises on design as well as implements and deploys solutions. In order to help clients reduce costs, improve health outcomes, and respond to public health crises, our Health Technology practice addresses critical health agency issues including: claims management, electronic health records, health information exchanges, health analytics, and health case management.
Basic Qualifications :
- Bachelor’s degree required from an accredited college or university or High School Diploma plus 13 years of commensurate experience or an Associates degree with 6 years of experience
- Limited immigration sponsorship may be available
- Must be able to obtain and maintain the required clearance for this role.
- Ability to travel 25%, on average, based on the work you do and the clients and industries/sectors you serve
Preferred Qualifications:
- 5+ years of experience with HIPAA regulations and compliance.
- In-depth knowledge of X12 transactions, specifically 270/271, 276/277, 835, and 837.
- 5+ years of experience in triaging production issues involving complex scenarios.
- 5+ years of extensive experience with enterprise healthcare systems involving FFS claims and Encounters.
- Strong background in X12 testing and validation.
- 5+ years of experience in updating and maintaining companion guides.
- Excellent problem-solving skills and attention to detail.
- Strong communication and interpersonal skills.
- Ability to work independently and as part of a team.
You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.
Information for applicants with a need for accommodation: https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html
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