Specific Duties/Requirements

·Requires an extensive knowledge of EDI Portal and managing inbound EDI enrollment file activity.

·Responsible for ensuring successful transfer of inbound EDI enrollment data to include troubleshooting/reconciliation of data integrity issues.

·Responsible for managing EDI file activity for high-profile/complex EDI client business (BPO, Shared Services, non-standard, etc.).

·Direct contact between EDI senders, clients, Account Management teams, Customer Experience teams, BizTalk/.Net teams, and project teams.

·Responsible for supporting project work within the business area (lead and/or participate in project meetings, sprint work, business requirement documentation, system upgrades, and business check-outs).

·Responsible for managing all robotic process automation (RPA) work for the business area.

·Responsible for providing support to the Department’s Business Systems Analyst with client specific EDI enrollment testing.

Additional Job Responsiblities

·Assist in the development of user system documentation and desk level procedures.

·Manage daily team inventory activity and provide support/training/direction to Eligibility Specialist team members.

·Support enrollment related issues resolution/Enrollment Resolver Group participant.

·Organize/disperse team project work to other team members.

·Assist with manual enrollment processing for all lines of business.

·Support Member Enrollment System platform (to include development work, inquiries and EDI file activity)

·Meet departmental quality and production standards

·Other duties as assigned by the Leadership Team.