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EDI Supervisor

Medicare COB

Location: 25 Broadway

Job Code: EDIS MCOB

Essential Duties:

Supervising the daily activities of the EDI unit to ensure compliance with COB contract provisions.
Ensuring the proper handling and timely processing of electronic data files and other related EDI activities.
Monitoring daily file transfers between COB systems, business partners and COB customers.
Recommending changes in methods, procedures or policies to improve departmental performance.
Supervising and training of subordinates.
Assisting in the negotiation, execution and maintaining COBAs between CMS and health insurers, including Medicaid State Agencies, for exchanging eligibility information.
Conducting seminars and presentations for various groups regarding EDI and COBAs.
Interfacing with CMS representatives, members of the Medicare contractor community and other related personnel.
Participating in CMS initiated outreach projects.
Preparing necessary reports.
Performing other related duties as assigned.

Knowledge Skills & Abilities:

Knowledge of IBM mainframe, utilities and JCL.
Knowledge of data processing concepts and personal computers.
Knowledge of Medicare and other health insurance policies and procedures a plus.
Experience in negotiation and execution of crossover (complementary) trading partner agreements a plus.
Excellent oral and written communication skills.

Qualifications: