EDI (Electronic Data Interchange) Specialit

We are seeking a detail-oriented and technically skilled EDI Specialist to manage and support the electronic exchange of data between our organization and external partners. This role is vital in ensuring the accuracy, security, and timeliness of benefits-related data transmissions, including eligibility, enrollments, and terminations.

Job Responsibilities:

• Develop, test, implement, and maintain EDI transactions (e.g., 834 files, CSV, Excel) for benefits enrollment and eligibility.
• Monitor and validate daily EDI transmissions, ensuring timely and successful data processing.
• Troubleshoot EDI errors, rejections, and discrepancies in collaboration with internal teams and external partners.
• Maintain accurate EDI documentation, mapping specifications, and communication protocols.
• Coordinate with HR, Benefits, and IT teams to gather business requirements and support integrations.
• Set up and manage secure data transmission protocols (e.g., SFTP, AS2) for new and existing trading partners.
• Participate in onboarding new partners and supporting EDI implementation processes.
• Analyze existing EDI processes and recommend improvements for performance, compliance, and data accuracy.

Requirements

Requirements

• Bachelor’s degree in Information Systems, Computer Science, or a related field (or equivalent experience).
• 2+ years of experience working with EDI in a healthcare, insurance, or benefits administration environment.
• Strong knowledge of EDI formats, especially 834 transaction sets, CSV, and Excel-based data exchange.
• Familiarity with transmission protocols like SFTP, AS2, and API-based data transfer.
• Strong analytical and troubleshooting skills with a focus on data integrity and compliance.
• Ability to communicate effectively with both technical and non-technical stakeholders.
• Experience using EDI tools or integration platforms is a plus.

Preferred Skills

• Knowledge of HIPAA compliance and healthcare data privacy standards.
• Experience with benefits administration systems or payroll platforms.
• Understanding of ANSI X12 standards.

Benefits

What we Offer:

• Opportunities for growth and advancement
• Competitive compensation package, including Philcare HMO

Work Hours:

• Full-time, Eastern Standard Time business hours, Remote

To Apply: https://apply.workable.com/treantly/j/66118084F8/