Manager, EDI

At MTM, we are not just colleagues; we are collaborators on a shared mission;communities without barriers. We have exciting opportunities to join our growing team where your work has a direct impact on the communities we serve. Our company culture is one of innovation, collaboration, and growth. If you are passionate, driven, and ready to join a team where your work will directly transform and shape our industry, then we want to talk to you!

The Manager, Electronic Data Interchange (EDI) is accountable for overseeing the development and support of EDI technical standards, identifying EDI solutions to business needs and overall process improvement. This position is responsible for directing the day to day operations involving the development, implementation and ongoing maintenance of the HIPAA 837 (claims), 835 (remittances), 834/271U (eligibility) and other EDI transactions. In addition, the Manager, EDI is responsible for planning, implementing and managing EDI projects relating to these transactions, including client/trading partner requirements, analysis, design, mapping, programming, training and documentation.

• Lead EDI team and contribute to the development of EDI transactions, SQL extract and load processes, and automation of data transfers

• Manage the EDI system & integration testing

• Analyze response files for unaccepted records and perform root cause analysis in order to resubmit

• Oversee the creation EDI maps for processing of Proprietary and ANSI X12 files

• Identify and implement process improvements to streamline data exchanges

• Regularly meet with Clients to identify, document and implement contractual EDI transactions and reports

• Ensure timely and accurate submissions of data exchanges

• Prioritize daily projects and tasks and strategically assign throughout the EDI team

• Collaborate closely with development teams, account managers, claims and finance teams to ensure contractual requirements are met and exceeded

• Manage work plans, timelines and budgets

• Remain current on the ever-changing EDI environment to ensure accuracy when dealing with customers

• Build a strong team that delivers excellent EDI solutions

• Development of timely and innovative solutions, with optimal use of technology and human resources

• Create database reports based on business and Client requests

• Assist with training material for internal and external stakeholders

• Actively listen and probe customers, in a professional, timely manner, to obtain further details and the reason for the issue reported

• Research and articulately communicate EDI information

• Develop, grow and retain top talent

• Ensure the project adheres to stakeholder needs

• Participate in finalist presentations, demos, conference calls, and conduct web demos of EDI capability, as needed

• High School Diploma or G.E.D.

• Bachelor’s degree in related field and/or five (5) to ten (10) years enterprise system experience; or an equivalent combination of education and experience

• Minimum of five (5) years’ experience with ANSI x12 and HIPAA standard formats

• Minimum of three (3) years’ experience with SQL

• Minimum one (1) experience following Agile methodologies and leading Scrum ceremonies

• Experience with Dell Boomi, Actian or equivalent EDI technology

• Experience with writing functional design documents, troubleshooting complex EDI issues, and unit testing methods

• Analytical and problem-solving skills

• Ability to assimilate new and existing technologies and 3rd party products

• Exemplary communication skills with the ability to interact effectively with IT customers and resources, external trading partners, and upper management

• Ability to be effective in a fast paced, dynamic environment

• Ability to relate to a variety of requests

• Ability to identify with the customer needs and circumstances

• Proven experience in EDI mapping tools

• Strong SQL Server and T-SQL programming skills

• High level of attention to detail

• A self-motivated individual with exemplary organization skills

• Ability to motivate and supervise people toward high productivity in a team environment

• Ability to acquire and maintain knowledge of MTM…