EDI Data Analyst Lead

Company: CloudRay Inc
Location: Mason
Posted on: April 12, 2025

Job Description:

Position: EDI Data Analyst Lead

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Location: Mason, OH
Duration: long Term Contract.

Job Description:

The Medicaid EDI Manager will play a critical role within the Business Data Solutions team to maintain and implement Medicaid encounter feeds. The Medicaid Manager will be the primary resource implementing new client and/or state outbound transactions. The Manager will develop requirements based on stakeholder meetings and interpretation of Companion Guides. The Manager will identify, recommend and implement process improvements in support of the EDI system based on observation, monitoring and external inquiries regarding EDI issues.


Secondary responsibilities include researching and analyzing encounter edits or rejections for Medicaid clients and work with internal/external teams to resolve. The Manager will work to improve overall encounter, member and provider data quality. As well they will track encounter submission quality and timeliness.

3 for Compliance purposes and 2 for HiTrust / Security requirements:

1. General Compliance
2. HIPAA
3. Fraud, Waste, and Abuse
4. Security Essentials
5. Introduction to Phishing

Keywords: CloudRay Inc, Dayton , EDI Data Analyst Lead, Professions , Mason, Ohio