EDI Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Configure, validate, and oversee EDI 834 (Enrollment and Maintenance) transactions to guarantee precise processing of new hires, qualifying life events, and terminations across all benefit plans.

• Spearhead the technical implementation and onboarding of new employer groups and insurance carriers, creating secure data exchange connections through SFTP, AS2, or other sanctioned protocols.

• Ensure all data exchanges comply with stringent HIPAA security standards to safeguard Protected Health Information (PHI).

• Design, test, and sustain EDI maps and transformation rules to convert incoming employer and payroll data into standardized system formats, ensuring data integrity and consistency.

• Proactively detect and rectify file rejections or data discrepancies before they affect employee access to their health funds.

• Work closely with Account Management, Claims, and Operations teams to foster a high-quality client experience and ensure accurate, timely data flow across systems.

⛳️ Requirements

• Bachelor’s degree in Information Technology, Computer Science, or a related discipline.

• 3+ years of experience in EDI, particularly within the healthcare or benefits administration sectors.

• Understanding of health benefits (HSA, FSA, HRA, COBRA) and the life events that initiate data changes.

• A self-motivated individual who thrives in a small-business setting, taking ownership of the process from inception to completion.

• Strong knowledge of ANSI X12 standards, especially 834 (Enrollment) and ideally 820 (Premium Payments).

• Practical experience with EDI translation tools and SQL for data validation.

🏝️ Benefits

• Health/Dental/Vision Coverage

• 401k with employer match

• Generous PTO & Paid Holidays

• A Monday-Friday Schedule (No nights or weekends)

• Opportunity for growth and development