EDI Data Analyst - Lead (Medicaid EDI Manager) - Hybrid (Mason, Ohio)

EDI Data Analyst - Lead (Medicaid EDI Manager) - Hybrid (Mason, Ohio)

We are looking to hire a candidate with the skills sets mentioned and experience for one of our clients within the retail luxury goods and jewelry industry. This is a Hybrid role in Mason, Ohio, 3X a week onsite (Tue -Thur.).

*Candidates who are US Citizens, Green Card holders eligible to work on W2 highly preferred.

Position Summary:

Perform membership data load from various electronic media into the AS400 system. Coordinate membership data transfer for new plans and modifications to existing plans, with client and internal personnel. Troubleshoot data issues through coordination and communication with management team, IT, and client personnel.

• Load membership data into the AS400 efficiently and accurately.


• Follow research and data processing guidelines and meet established standards.


• Answer client service team questions regarding data submission requirements in a professional and timely manner.


• Identify and resolve data issues.


• Use PC based applications to review membership data as necessary to ensure accurate data load or problem resolution.


• Assist in coordinating receipt, loading, tracking, and reporting of membership data.


• Identify and recommend systems and process modifications necessary to effectively and efficiently support the research function.


• Demonstrate strong teamwork abilities and the desire to provide quality customer service.

Key Responsibilities:

• Detailed working knowledge of mainframe computers and systems in general.


• Detailed working knowledge of basic person computer operations.


• Strong working knowledge of software programs, specifically Excel and Access.


• Understands third party benefits and administration.


• Strong customer service focus.


• Ability to solve problems and troubleshoot electronic data issues.


• Ability to work well under pressure and multi-task.


• Frequent oral and written communication with internal associate and field management.


• Frequent oral and written communication with clients, brokers, software/system providers, and third-party administrators.


• Employs excellent listening skills to understand issue and drive research and resolution.

Required Experience/Skills/Education:

• 3-5 years Business experience, preferably in the insurance industry.


• Familiarity with electronic media and AS400.


• Experience with Excel, Access and Microsoft Word.


• Maintain detailed documentation and process flow of all EDI processes.

Other Job Specifications:

• Employment Type: W2 only. NO C2C, NO 1099.


• Contracting Period: 6+ months contract, with potential extensions.


• Job Location:
  Hybrid Mason, Ohio (3 days onsite in office).


• Contract Rate: $52/hr. on W2.


• Interview Process: Phone/Video/In-person Interviews.