Claim EDI Process Lead

Job Summary

A company is looking for a Claim EDI Process Capability Lead - Remote.

Key Responsibilities:

• Oversee day-to-day claim intake, processing, and outbound capabilities to ensure timely and compliant operations
• Develop relationships with various teams and clients to document process requirements and build scalable solutions
• Maintain knowledge of industry standards and applicable laws to ensure compliance and effective claims processing

Required Qualifications:

• 10+ years of experience in claim inbound and/or outbound EDI operations, preferably in medical claims
• Demonstrated experience in designing complex business operations and processes focused on scalability
• Experience in vendor management