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Edi Data Jobs in Florida (NOW HIRING)

CFS

EDI Specialist

Weston, FL · Remote

$38 - $45/hr

We are seeking an experienced EDI Specialist to provide immediate support for electronic data interchange (EDI) operations. This is a remote contract role where you will manage integrations between ...

New

Icwgroup

EDI Administrator

Orlando, FL · On-site

PURPOSE OF THE JOB The purpose of this job is to support the Electronic Data Interchange (EDI) program, through handling compliance for multiple jurisdictions across multiple lines of business by ...

Zelis

EDI Analyst

Saint Petersburg, FL

Design and maintain EDI integration workflows, data mappings, technical documentation, and testing plans. * Interpret payer and provider specifications to ensure compliance with HIPAA, ANSI X12, and ...

Jazwares

Sr EDI Developer

Plantation, FL · On-site

As the Senior EDI Developer, you will be responsible for designing, developing, implementing, and maintaining Electronic Data Interchange (EDI) solutions and enterprise system integrations. This role ...

Jazwares

Sr EDI Developer

Plantation, FL · On-site

As the Senior EDI Developer, you will be responsible for designing, developing, implementing, and maintaining Electronic Data Interchange (EDI) solutions and enterprise system integrations. This role ...

Cook Systems

EDI Specialist

Tallahassee, FL · On-site

Provides technical expertise and support for Electronic Data Interchange (EDI) and Business-to-Business communications. Responsible for analyzing, developing, and maintaining EDI interfaces, ensuring ...

Kavaliro

EDI Developer

Orlando, FL · On-site

This role requires close collaboration with billing operations, data teams, and compliance ... Key Responsibilities & Required Skills Healthcare Billing & EDI Expertise * Deep experience with ...

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All JobsEdi Data JobsEdi Data Jobs in Florida

Edi Data information

What is the difference between Edi Data vs EDI Specialist?

AspectEdi DataEDI Specialist
CredentialsTypically no formal certifications requiredOften requires certifications like Certified EDI Professional (CEIP)
Work EnvironmentData entry and management within various industriesAnalyzing, implementing, and troubleshooting EDI systems
Industry UsageUsed across multiple sectors for data exchangePrimarily in logistics, retail, and healthcare
Job FocusHandling EDI data files and formatsConfiguring and maintaining EDI systems and workflows

While Edi Data involves managing and processing EDI data files, an EDI Specialist focuses on implementing, troubleshooting, and optimizing EDI systems. Both roles are essential in electronic data interchange processes but differ in scope and responsibilities.

What are popular job titles related to Edi Data jobs in Florida? For Edi Data jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Edi Data jobs in Florida look for? The top searched job categories for Edi Data jobs in Florida are:
What cities in Florida are hiring for Edi Data jobs? Cities in Florida with the most Edi Data job openings:
Edi Data jobs near you

Senior Data Engineer - EDI Claims Processing

NationsBenefits

Plantation, FL • On-site

$105K - $143K/yr

Full-time

Medical

Posted 15 days ago

NationsBenefits rating

6.6

Company rating: 6.6 out of 10

Based on 16 frontline employees who took The Breakroom Quiz

309th of 481 rated business services

Job description

NationsBenefits is recognized as one of the fastest-growing companies in America and a Healthcare Fintech provider of supplemental benefits, flex cards, and member engagement solutions. We partner with managed care organizations to provide innovative healthcare solutions that drive growth, improve outcomes, reduce costs, and bring value to their members.Through our comprehensive suite of innovative supplemental benefits, fintech payment platforms, and member engagement solutions, we help health plans deliver high-quality benefits to their members that address the social determinants of health and improve member health outcomes and satisfaction.Our compliance-focused infrastructure, proprietary technology systems, and premier service delivery model allow our health plan partners to deliver high-quality, value-based care to millions of members.We offer a fulfilling work environment that attracts top talent and encourages all associates to contribute to delivering premier service to internal and external customers alike. Our goal is to transform the healthcare industry for the better! We provide career advancement opportunities from within the organization across multiple locations in the US, South America, and India.
Location: Plantation, FL (On-site)
Senior Data Engineer
About the Role
We are seeking an experienced Senior Data Engineer - EDI Claims Processing to join our growing Data Engineering team. This role is responsible for designing, developing, and maintaining enterprise-scale healthcare data integration solutions focused on HIPAA X12 EDI transactions, Medicaid encounters, and CMS compliance.
The ideal candidate has extensive experience building high-volume data pipelines using Databricks and SQL Server, a deep understanding of HIPAA X12 transaction standards, and hands-on experience supporting healthcare claims processing, clearinghouse integrations, and regulatory compliance.
This is an excellent opportunity for a healthcare data engineering professional who enjoys solving complex integration challenges while delivering reliable, scalable, and compliant data solutions.
Key Responsibilities
EDI Data Pipeline Engineering
  • Design, develop, and optimize enterprise-grade ingestion, parsing, validation, transformation, and delivery pipelines for HIPAA X12 transactions, including:
    • 837 (Professional, Institutional, Dental Claims)
    • 277CA (Claims Acknowledgment)
    • 999 (Implementation Acknowledgment)
    • 834 (Member Eligibility)
    • 835 (Remittance Advice)
  • Build scalable, high-performance ETL/ELT workflows using Databricks, PySpark, Delta Lake, and SQL Server.
Claims & Encounter Processing
  • Manage Medicaid encounter submissions, reconciliation, and error remediation with state Medicaid agencies.
  • Support CMS encounter processing by implementing regulatory updates, schema changes, and compliance requirements.
  • Collaborate with internal teams to ensure accurate and timely claims submissions.
Data Integration & Validation
  • Develop automated validation frameworks to ensure HIPAA compliance, SNIP validation, and business rule enforcement.
  • Maintain secure and reliable integrations with healthcare clearinghouses and trading partners.
  • Analyze and troubleshoot complex EDI processing issues across multiple systems.
Operational Excellence
  • Build monitoring, alerting, logging, and SLA reporting for production EDI workflows.
  • Continuously improve pipeline performance, scalability, and reliability.
  • Maintain technical documentation, mapping specifications, companion guide implementations, and data dictionaries.
Cross-Functional Collaboration
  • Partner with Claims Operations, Compliance, Product, IT Security, and external healthcare partners to support enterprise data integration initiatives.
  • Participate in architecture discussions and recommend best practices for healthcare data engineering.
Required Qualifications
  • Bachelor's degree in Computer Science, Information Technology, Engineering, or a related field (or equivalent experience).
  • 5-8+ years of experience as a Data Engineer, Integration Engineer, or Healthcare Data Engineer.
  • Strong expertise with HIPAA X12 EDI transaction standards, including:
    • 837 (Professional, Institutional, Dental)
    • 277CA
    • 999
    • 834
    • 835
  • Hands-on experience with Medicaid encounter processing and state Medicaid submissions.
  • Experience implementing CMS encounter regulations, schema updates, and compliance changes.
  • Strong experience with Databricks, PySpark, Delta Lake, and SQL Server.
  • Experience with healthcare claims validation platforms such as HIPAA Suite or similar EDI processing tools.
  • Strong understanding of:
    • HIPAA regulations
    • PHI security and data privacy
    • SNIP validation levels
    • EDI mapping, loops, segments, and companion guides
  • Experience integrating with healthcare clearinghouses such as Availity, Change Healthcare, or similar platforms.
  • Excellent troubleshooting, analytical, and problem-solving skills.
Preferred Qualifications
  • Experience with Azure Databricks or other cloud-based data engineering platforms.
  • Knowledge of healthcare interoperability standards such as FHIR and HL7.
  • Experience with encounter error remediation and state-specific Medicaid edit codes.
  • Background supporting Medicaid Managed Care, Medicare Advantage, or Accountable Care Organization (ACO) environments.
  • Experience building automated reconciliation, validation, and quality assurance frameworks for healthcare EDI transactions.
  • Familiarity with CI/CD pipelines and DevOps practices for data engineering.
Technical Skills
  • Databricks
  • PySpark
  • Delta Lake
  • SQL Server
  • T-SQL
  • Azure Databricks (Preferred)
  • HIPAA X12 EDI
  • Medicaid Encounters
  • CMS Encounter Processing
  • HIPAA Suite (or equivalent)
  • ETL / ELT Development
  • Data Validation & Reconciliation
  • Healthcare Claims Processing
  • Azure (Preferred)
What You'll Bring
  • Strong ownership mindset with the ability to work independently on complex technical initiatives.
  • Excellent communication and collaboration skills across technical and business teams.
  • Passion for building scalable, reliable, and compliant healthcare data solutions.
  • Commitment to delivering high-quality data engineering solutions in a fast-paced healthcare environment.
Why Join Us?
Join a collaborative team where you'll help build mission-critical healthcare data platforms that support millions of healthcare transactions. You'll work with modern data technologies, contribute to large-scale integration initiatives, and play a key role in ensuring secure, compliant, and high-quality healthcare data processing.
NationsBenefits is an Equal Opportunity Employer.

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