Electronic Data Interchange Developer

Role: IN-IDOH Senior EDI Developer (804198)Location: Indianapolis IN, 46204 HybridDuration: 6+ MonthsClient: State of IndianaFinal interview will be via Teams or in personLocal Candidates OnlyGreen Card or USC Short Description:The IndianaDepartment of Health (IDOH) is seeking an EDI expert in order to maintain and advance its health insurance claims processing system, ACAPS.Complete Description:The EDI Expert is responsible for maintaining the life cycle of claims as they arrive from health providers at IDOH, are loaded into our database, are adjudicated based on state and national pricing standards, and as adjudication messages are generated and sent back to the originating provider. This position will work with the project manager, software developers, business analysts, and functional team members on the project activities.Essential Duties / Responsibilities:• Review update all documentation related to claims processing and EDI transactions• Identify incompletely documented claims processing and EDI processes, and document them• Work with development team as a SME as IDOH’s ACAPS system is rewritten in .Net• Act as liaison between OTC team and the Children’s program area on claims processing issues• Working with technical and functional staff on detailed business requirements, understanding business processes and technology, agency standards, federal and state policies to align with project’s goals.• Write technical specifications based on conceptual design and stated business requirements.• Test new and existing systems• Ensure accurate and appropriate file exchanges with external trading partners and resolve EDI data transmission conflicts.• Provide helpdesk level support for EDI claim transactions.o Provide support to healthcare providers who interact with IDOH’s CSHCS systemo Assist in onboarding new providerso Assist in onboarding new clearinghouses• Ability to work independently with less guidance and work with ISDH externals partners as needed.Skills RequiredBachelor’s Degree in Computer Science or related fields with IT experience RequiredDatabase knowledge Required 5 YearsUnderstanding EDI file formats (835, 837, 210) Required 5 YearsKnowledge of HIPAA regulations RequiredAbility to solve complex troubleshooting issues RequiredExcellent verbal and written communication skills RequiredHealth Industry experience Highly desiredKnowledge of IBM Websphere (WTX) Highly desiredDatabase/SQL experience Highly desired