Medicaid QA Tester Lead / EDI Tester

Published date Posted on Indeed on Aug 05, 2022 (7 d ago)
Job Description Summary:

Job Summary:

Essential Duties and Responsibilities:

  • Support leadership in ensuring that the project is delivered to specifications, on time and within budget.
  • Develop initiative strategies for provider capacity building such as evaluating business models, creating training, recruitment, events participation, outreach approach, and support activities.
  • Work closely with management and work groups to create and maintain work plan documents. - Track the status and due dates of projects.
  • Manage relationships with project staff responsible for projects.
  • Produce regular weekly and monthly status reports, work plan status, target dates, budget, resource capacity and other, as well as ad hoc reports as needed.
  • Collaborate with project managers on various initiatives and projects to track progress and provide support as necessary. - Create and maintain management plans and other deliverables.
  • Facilitate regular meetings and reviews.
  • Evaluate employee performance and recommend employees' needs and development opportunities to leadership.
  • Adhere to contract requirements and comply with all corporate policies and procedures.
  • Responsible for testing EDI transactions.
  • Familiarity with XML with an EDI background including but not limited to HIPPA EDI transactions, prior authorizations, and 837 claims experience.
  • Perform other duties as assigned by management.

Minimum Requirements:

  • Bachelor's degree with 5-7 years of experience consulting within designated function. Advanced degree preferred.
  • Develop solutions to highly complex problems which require a high degree of ingenuity and innovation.
  • Ensure solutions are consistent with organization objectives.
  • Solutions may serve as precedent for future decisions.
  • Develop advanced concepts, techniques, and standards requiring a high level of interpersonal and technical skills.
  • Develop new applications based on professional principles and theories.
  • Viewed as an EDI expert in field within the organization to serve as a lead tester.

MAXIMUS Introduction: Since 1975, Maximus has operated under its founding mission of Helping Government Serve the People, enabling citizens around the globe to successfully engage with their governments at all levels and across a variety of health and human services programs. Maximus delivers innovative business process management and technology solutions that contribute to improved outcomes for citizens and higher levels of productivity, accuracy, accountability and efficiency of government-sponsored programs. With more than 30,000 employees worldwide, Maximus is a proud partner to government agencies in the United States, Australia, Canada, Saudi Arabia, Singapore and the United Kingdom. For more information, visit https://www.maximus.com. EEO Statement: EEO Statement: Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We’re proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. Maximus is an Affirmative Action/Equal Opportunity Employer. Maximus provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status. Pay Transparency: Maximus compensation is based on various factors including but not limited to a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation shall be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation.

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