Medicaid EDI Manager (Mason, OH - Hybrid Role)

Position Summary:

We are seeking a Medicaid EDI Manager to join the team in a hybrid role based in Mason, OH. The ideal candidate should be experienced in electronic data processing and membership data management, particularly in the healthcare or insurance space and have a strong background in working with AS400 systems, membership data loading and cross-functional communication. If you're a detail oriented professional who thrives in data driven environments, we would love to hear from you.

Key Responsibilities:

• Accurately load membership data into the AS400 system from various electronic media.
• Coordinate membership data transfers for new plans and plan modifications with internal teams and clients.
• Troubleshoot and resolve membership data issues by collaborating with IT, management, and clients.
• Answer inquiries from client service teams regarding data submission requirements in a timely and professional manner.
• Use Excel, Access, and other PC-based applications to review and verify data accuracy.
• Assist in tracking, loading, and reporting of membership data.
• Recommend process or system improvements to enhance data processing efficiency.
• Deliver high-quality service with a strong focus on teamwork and customer support.

Communication Requirements:

• Internal: Regular written and verbal communication with associates and field management.
• External: Frequent interaction with clients, brokers, software/system providers, and third-party administrators.
• Must demonstrate strong listening skills to fully understand issues and effectively resolve them.

Required Skills & Qualifications:

• Working knowledge of mainframe systems (AS400 preferred).
• Strong proficiency in Microsoft Excel, Access, and Word.
• Familiarity with third-party benefits administration.
• Ability to problem-solve and troubleshoot electronic data issues.
• Strong organizational skills and ability to multi-task under pressure.
• Customer-service mindset with excellent communication abilities.
  

• 3–5 years of professional experience, preferably in the insurance or healthcare industry.
• Experience handling electronic media and AS400 systems.
• Hands-on experience with data entry, validation, and troubleshooting.

Other Job Specifications:

• Employment Type: W2 only. NO C2C, NO 1099.
• Contracting Period: 12+ months contract, with potential extensions(Contract-to-Hire role)
• Job Location: Hybrid – Mason, Ohio (3 days onsite in office).
• Contract Rate: $50/hr. on W2.
• Interview Process: Phone/Video/In-person Interviews.