• Maternity Revenue Analyst

    AmeriHealth Caritas (Newtown Square, PA)
    …management on needed actions to comply with state requirements as they occur. + Prepare EDI 820 premium payment files, EDI 835 maternity payment files and Adhoc ... deadlines and provides full support to other areas such as Accounting, EDI , Enrollment, Encounters, Healthcare Apps, Statutory and the Actuarial departments. +… more
    AmeriHealth Caritas (12/24/25)
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  • Sr Enterprise Rules and Edits Consultant

    Waystar (Atlanta, GA)
    …analytical tools (Excel, PowerBI, SQL Databases) to identify trends and outliers in EDI 837/835/278 transaction data * Transform data + Design new payer edits based ... solving and decision-making process + Proficient in research investigation + EDI 835/837/270/276/278, X12 structures, formats, and standards + Strong process… more
    Waystar (12/23/25)
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  • Technology Implementation Lead - Pharmacy Growth…

    Humana (Washington, DC)
    …You won't author technical designs, but you will drive outcomes: API/ EDI connectivity, data migrations, testing, and post-go-live optimization. Success looks like ... sales-oriented client leadership; strong technical implementation experience; familiarity with APIs, EDI , HIPAA/NCPDP; and the ability to simplify complexity and get… more
    Humana (12/12/25)
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  • IT Auditor

    Insight Global (Providence, RI)
    …audit. 2. Risk Assessment: Identify potential risks to network security and EDI , such as unauthorized access, data breaches, system failures, and compliance ... firewalls, intrusion detection/prevention systems (IDS/IPS), encryption protocols, and access controls. EDI expertise: Familiarity with EDI standards (eg, X12,… more
    Insight Global (12/09/25)
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  • IBM Sterling File Contractors

    Two95 International Inc. (Plano, TX)
    …is critical and required. Clustered env (not stand alone). + Do NOT need the EDI /mapping experience, so if they ONLY have that, it won't work. + Business Process ... architecting + Only MFT work, do not need the EDI (don't need people who only do mapping) +...want to know if they have MFT experience or EDI or both. Both is OK, only MFT is… more
    Two95 International Inc. (12/08/25)
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  • Senior Manager, Specialty Products Operations

    Zelis (St. Petersburg, FL)
    …across areas such as lockbox reconciliation, sworn statements, 1099 processing, ERA/ EDI support, and clearinghouse operations. In addition to managing daily ... transaction processing, inquiry resolution, and service cycle management. + EDI /ERA Support: Provide oversight of ERA processing, troubleshooting workflows, and… more
    Zelis (11/11/25)
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  • Epic Tapestry Analyst

    Insight Global (Fountain Valley, CA)
    …include the following: lead the design, implementation, and maintenance of EDI workflows within Epic Tapestry, configure and support Enrollment File interfaces ... and Incoming Capitation R&R processes, troubleshoot and resolve EDI -related issues, including mapping errors, data discrepancies, and transmission failures, and… more
    Insight Global (10/24/25)
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  • Technical Business Analyst

    TEKsystems (Columbus, OH)
    Description They will be the TEchnical BA/Product Owner working on AEP Energy's EDI (Electronic Data Interchange) system for generating energy rates to customers. ... EDI platform handles: 1. Accounts Payable 2. Accounts Receivable...energy industry billing processes, logic, and B2B exchanges (including EDI ) to analyze production issues, create business cases, and… more
    TEKsystems (01/16/26)
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  • Accounts Payable Specialist

    Aston Carter (Minneapolis, MN)
    …transitioning to a paperless system. This position offers the opportunity to work with EDI invoices and resolve any discrepancies or issues that may arise. You will ... emailed invoices, transitioning to an automated email inbox system. + Process EDI invoices efficiently. + Research and resolve invoice issues, including PO costing… more
    Aston Carter (01/14/26)
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  • Senior Claims Specialist

    Idaho Division of Human Resources (Boise, ID)
    …assignments. The incumbent will become an expert in Electronic Data Interchange ( EDI ) Claims, capable of assisting claim reporters in proper filing, report ... issues + Use analytical software to provide data to EDI trading partners + Communicate EDI transaction...data to EDI trading partners + Communicate EDI transaction requirements to trading partners * Minimum Qualifications-… more
    Idaho Division of Human Resources (01/13/26)
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