EDI Project Manager

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

Summary

At Gainwell, we are passionate about helping those most vulnerable get access to high-quality, affordable healthcare. We harness the power of technology to help our clients improve the health and well-being of the members they serve. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Join us and build your career with an inclusive team that thrives on finding innovative solutions to some of healthcare's biggest challenges.

Your role in our mission

• Project Management, ability to plan, manage and track EDI projects
• Must possess advanced, working knowledge of SDLC (Software Development Life Cycle) and Agile Scrum Methodologies.
• Specific knowledge of claims, enrollment, and /or Authorizations in a Medicaid environment
• Ability to be self-motivated and work independently with little or no supervision.
• Understands scope of project and manages to it, executing change control as needed
• Ability to prioritize and plan activities and develop into a project schedule that adheres to project standards
• Communicates project activities and status to internal project team, leadership team, and client team
• Works with team to ensure timely development and testing of the solution and meeting release milestone commitments
• Proactively identifies, documents and manages project risks and issues
• Excellent verbal and written communication skills.
• Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers, and customers.
• Ability to maintain attendance to support required quality and quantity of work
• Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
• Ability to abide by Gainwell's policies.

What we're looking for

• 7+ years experience managing EDI projects in Operations or Development, onboarding project experience preferable
• 4+ years experience in Scrum Master or Agile Lead role
• Experience with commonly used EDI concepts, practices, and procedures within a heath care field
• Must possess a strong proven understanding of the Healthcare EDI X12N transactions formats that govern healthcare Electronic Data Interchange (EDI).
• Ability to understand and apply concepts from the PMBOK knowledge areas
• PMP Certification required
• In depth knowledge of and experience with HIPAA/EDI X12 5010 healthcare-related transactions including 270-271, 276-277,277CA,277U, 278, 820, 834, 835, 837, 999, 824, and NCPDP

What you should expect in this role

• Remote position
• Opportunities to travel through your work (0-10%)
• Video cameras must be used during all interviews, as well as during the initial week of orientation
• The deadline to submit applications for this posting is 06/24/2024

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The pay range for this position is $64,900.00 - $92,700.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.