Joel Prater

Healthcare EDI expert delivering quality improvements via team leadership using data-driven methodologies.

Role
Edi Platform Owner at Blue Shield of California
Location
Lodi, CA, US
LinkedIn followers
500 followers

About Joel Prater

EDI Platform owner at Blue Shield of California.Team Leader focused on servant leadership. Actively supporting a team of developers and engineers, providing mentorship, decision making, and focusing on growing team members. Modeling a growth mindset and encouraging the team to always improve and deliver better results.21 Years experience working directly with customers/vendors in the health care industry, including working directly with all BlueCross and BlueShield plans and hundreds of provider organizations in some capacity.15 years EDI experience, with detailed knowledge of both 4010 and 5010 provider related transactions, direct experience with customer testing, migration, and support. Heavy emphasis on reporting, troubleshooting, and problem solving. Co-Chair for X12N Technical Task Group and voting member of X12N Management Team.15 years project support, including supporting a 40 million dollar plus EDI platform modernization project as a business and EDI subject matter expert. Team lead for requirements writing, gap analysis, testing planning, review and approval of design, and transaction and trading partner testing.Experience speaking publicly to related industry groups on various EDI transaction related topics.Experience testifying in open court as an expert witness for EDI billing practicesSpecialties: Servant LeadershipASQ Certified Six Sigma Green BeltTeam member growth and continual learningDocumentation ManagementX12N Health Care transactionsTrading partner testingReportingTroubleshootingCustomer support

Experience

  1. Edi Platform Owner

    Blue Shield of California

    Oct 2021 — Present

Education

  • The University of Arizona Global Campus

    Master of Business Administration - MBA

  • The University of Arizona Global Campus

    Bachelor of Business Administration - BBA, Business Administration and Management, General

Skills

  • Healthcare IT
  • Troubleshooting
  • Test Planning
  • Change Management
  • Healthcare Industry
  • Requirements Gathering
  • Documentation
  • Design Review
  • Test Management
  • Integration
  • Report Writing
  • Visio
  • X12
  • Databases
  • Hl7
  • Testing
  • Hipaa
  • Business Process
  • Defect Tracking
  • Software Documentation
  • Sdlc
  • Business Intelligence
  • Healthcare Information Technology
  • Requirements Analysis
  • Defect Identification
  • Healthcare
  • Regression Testing
  • Access
  • Test Cases
  • System Testing
  • Analysis
  • Microsoft Office
  • Problem Solving
  • Eai
  • Business Analysis
  • Data Warehousing
  • Business Requirements
  • Vendor Management
  • Data Analysis
  • Process Improvement

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