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Edi Enrollment Analyst Jobs (NOW HIRING)

Waystar

Enrollment Support Coordinator

Atlanta, GA · On-site

Generate, monitor and routinely follow up on EDI enrollments to ensure resolution. * Apply critical thinking, logical reasoning and root cause analysis to analyze enrollment issues and develop ...

Waystar

Enrollment Support Coordinator

Atlanta, GA · On-site

Generate, monitor and routinely follow up on EDI enrollments to ensure resolution. * Apply critical thinking, logical reasoning and root cause analysis to analyze enrollment issues and develop ...

American Vision Partners

EDI Analyst

Phoenix, AZ · Remote

Overview *This role is seeking candidates who specialize in EDI analytics and ERA/EFT Enrollments, we are not seeking developers and/or designers, thank you!* As an EDI Analyst, you will be ...

American Vision Partners

EDI Analyst

Phoenix, AZ · Remote

Overview *This role is seeking candidates who specialize in EDI analytics and ERA/EFT Enrollments, we are not seeking developers and/or designers, thank you!* As an EDI Analyst, you will be ...

American Vision Partners

EDI Analyst

Phoenix, AZ · Remote

This role is seeking candidates who specialize in EDI analytics and ERA/EFT Enrollments, we are not seeking developers and/or designers, thank you!* As an EDI Analyst, you will be responsible for the ...

Patientco

Enrollment Support Coordinator

Atlanta, GA

ABOUT THIS POSITION This representative is responsible for supporting the EDI enrollment processes ... Apply critical thinking, logicalreasoningand root cause analysis to analyze enrollment issues and ...

American Vision Partners

EDI Analyst

Phoenix, AZ · On-site

Overview *This role is seeking candidates who specialize in EDI analytics and ERA/EFT Enrollments, we are not seeking developers and/or designers, thank you!* As an EDI Analyst, you will be ...

Patientco

Enrollment Support Coordinator

Atlanta, GA

ABOUT THIS POSITION This representative is responsible for supporting the EDI enrollment processes ... Apply critical thinking, logicalreasoningand root cause analysis to analyze enrollment issues and ...

Infojini Inc

Sr. EDI Analyst

Linthicum Heights, MD · On-site

Position: Sr. EDI Analyst Location: Linthicum, MD Duration: 12+ months REQUIRED SKILLS: A minimum ... In-depth understanding of 834 enrollment transactions including Adds, Terminations, Cancellations ...

Infojini Inc

Sr. EDI Analyst

Linthicum Heights, MD

We offer an excellent compensation package Job details mentioned below Position: Sr. EDI Analyst ... In-depth understanding of 834 enrollment transactions including Adds, Terminations, Cancellations ...

Quantix

EDI Business Analyst

Denver, CO

Company used to receive state enrollment forms that will now come in EDI format. These new EDI forms will need to integrate with their claims system. Required Skills: 1) Business Analyst ...

Quantix

EDI Business Analyst

Denver, CO

Company used to receive state enrollment forms that will now come in EDI format. These new EDI forms will need to integrate with their claims system. Required Skills: 1) Business Analyst ...

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All JobsEdi Enrollment Analyst Jobs

Edi Enrollment Analyst information

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$38.5K

$85.1K

$135K

How much do edi enrollment analyst jobs pay per year?

As of Jul 30, 2026, the average yearly pay for edi enrollment analyst in the United States is $85,086.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,500.00 and $100,500.00 per year, depending on experience, location, and employer.

What are EDI Enrollment Analysts?

EDI Enrollment Analysts are professionals who specialize in managing and processing electronic data interchange (EDI) transactions related to enrolling members in health plans or other benefit programs. They ensure that enrollment data is accurately transmitted between employers, insurance companies, and third-party administrators using standardized EDI formats, such as the 834 transaction set. These analysts troubleshoot data discrepancies, coordinate with IT and business teams, and maintain compliance with industry regulations. Their role is essential for the smooth and secure exchange of enrollment information in the healthcare and insurance industries.

What are the key skills and qualifications needed to thrive as an EDI Enrollment Analyst, and why are they important?

To thrive as an EDI Enrollment Analyst, you need a strong understanding of electronic data interchange (EDI) standards, healthcare enrollment processes, and data analysis, typically supported by a relevant degree or equivalent experience. Familiarity with EDI transaction sets (such as 834 files), healthcare management systems, and tools like SQL or EDI mapping software is essential. Strong attention to detail, problem-solving skills, and effective communication are valuable soft skills in this role. These competencies are critical for ensuring accurate data exchange, compliance, and smooth coordination between stakeholders in healthcare enrollment.

What is the difference between Edi Enrollment Analyst vs Edi Claims Specialist?

AspectEdi Enrollment AnalystEdi Claims Specialist
Primary RoleManages enrollment setup and data accuracy for electronic data interchange (EDI) systemsProcesses and reviews insurance claims electronically, ensuring proper submission and reimbursement
Required SkillsData management, EDI systems knowledge, attention to detailClaims processing, coding, compliance understanding
Work EnvironmentHealthcare organizations, insurance companies, EDI departmentsHealthcare providers, insurance companies, claims processing centers

The Edi Enrollment Analyst focuses on setting up and maintaining EDI enrollment data, ensuring accurate transmission of enrollment information. In contrast, the Edi Claims Specialist handles electronic claims submissions and reimbursements. Both roles require knowledge of EDI systems and healthcare data, but their core responsibilities differ in process focus and daily tasks.

What are some common challenges EDI Enrollment Analysts face when managing data exchanges with multiple healthcare partners?

EDI Enrollment Analysts often encounter challenges such as managing varying data formats, ensuring compliance with HIPAA regulations, and troubleshooting errors in data transmission between healthcare providers, payers, and vendors. Coordinating the enrollment process across multiple systems requires strong attention to detail and effective communication to resolve discrepancies quickly. Additionally, adapting to frequent updates in industry standards and partner requirements is essential to maintaining seamless electronic data interchange.
More about Edi Enrollment Analyst jobs
What cities are hiring for Edi Enrollment Analyst jobs? Cities with the most Edi Enrollment Analyst job openings:
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Edi Enrollment Analyst jobs near you
Infographic showing various Edi Enrollment Analyst job openings in the United States as of July 2026, with employment types broken down into 50% Full Time, and 50% Contract. Highlights an 87% In-person, and 13% Remote job distribution, with an average salary of $85,086 per year, or $40.9 per hour.

Electronic Enrollment Analyst

Health Plans Inc

Westborough, MA • On-site

$55K - $65K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

Job description

Do you envision working for a company that has the expertise of a long-standing industry leader, but the spirit of an entrepreneur? Does the thought of making a real impact motivate and energize you? If so, HPI is the place for you. Join a team that values integrity, flexibility, loyalty, compassion and dedication—we can’t wait to meet you.

What we do

HPI is unique. A respected industry leader that’s been serving customers for over 44 years, we’re known for our innovation and adaptability. Our experience has given us our expertise, but our forward-thinking, entrepreneurial spirit has given us our strong reputation. As a third-party administrator, we offer a suite of health and benefit solutions to employers. By joining HPI, you’ll contribute to ideas that make a real difference for employers and employees nationwide. There isn’t a challenge we won’t accept and we’re looking for people who have a passion to take it on. Not just a job—a mission.

Our commitment extends beyond our clients to our own employees. We foster a supportive and inclusive work environment where innovation thrives. By investing in our team’s growth and well-being, we ensure they are equipped to provide exceptional service.

What you’ll do

Reporting to the Supervisor of 834 EDI Enrollment, the Electronic Enrollment Analyst is primarily responsible for designing, analyzing, implementing, supporting and maintaining specifications for set-ups and enhancements with 834 EDI application interfaces and HPI’s online enrollment portal. The Electronic Enrollment Analyst will implement scalable solutions that will ensure that HPI is ready for future growth.

In this role, you’ll also:

  • Develop and maintain programs and processes that manage inbound enrollment data.
  • Configure various applications to facilitate consistent and optimal performance related to enrollment activities.
  • Serves as a liaison for internal & external technical staff as well as business areas to set up enrollment data transfer processes in a timely manner.
  • Coordinate 834 EDI testing and trading partner implementation initiatives.
  • Respond to inquiries regarding 834 EDI technical transfers and online enrollment activities.
  • Assess older setups, offering suggestions/implementing automated improvements.
  • Assist the Supervisor with analyzing, designing, and developing specifications for enhancements with 834 EDI application interfaces.
  • Investigate, test and provide feedback to management on any new processes and/or potential issues.
  • Troubleshoot existing applications.
  • Help identify opportunities to improve job functions and identify automation opportunities within related departments.
  • Create and maintain documentation including all pertinent design documents and process flows.

What you bring

  • Associate degree or equivalent work experience, plus a minimum of 3 years of related experience.
  • 3+ years of experience working at a TPA or in a related industry preferred.
  • Experience with ANSII 834 EDI transaction sets preferred.
  • Working knowledge of HIPAA privacy and security rules.
  • Demonstrated strong quantitative and analytic skills and aptitude.
  • Must be detailed, analytical and accurate.
  • Recognize and maintain confidentiality of work materials as appropriate.
  • Proficiency in Microsoft Office Suite including Word, Excel, Outlook, PowerPoint and Teams.
  • Excellent organizational skills, attention to detail, proven ability to organize complex processes involving multiple, detailed tasks and multiple inputs.
  • Ability to effectively communicate and exchange information.
  • Ability to work within specified timeframe and meet deadlines.
  • Ability to work both independently and as a member of the team.
  • Ability to prioritize and multitask efficiently and accurately.

Why choose us?

  • We’re a people-first company and value giving back to our community. Ask us about our volunteer opportunities.
  • Our space is a reflection of who we are—innovative, open and collaborative.
  • We think feeling your best is an important factor in producing great work, so we embrace a “smart casual” dress code and work at ergonomic desks.
  • Need to reenergize? When at our Westborough headquarters, take a break to chat in the onsite café, go for a walk on one of the beautiful trails in our office park, or get in a quick workout at one of the campus gyms.

Our Benefits Package

We care about you and believe the greatest gift you can give yourself, your family, and the world is a healthy you! We offer a comprehensive and competitive benefits package to help you lead a happy, healthy life, including:

  • Medical, Dental and Vision and Prescription Drug Coverage
  • Fitness Reimbursement Benefit
  • Employee Assistance Program
  • Flexible Spending Account & Health Savings Account
  • 401(k) and Quarterly Bonuses
  • Generous Paid-Time Off & Volunteering Opportunities
  • Educational Assistance & Professional Development Opportunities

So, think you want to join the HPI team? We hope to hear from you!

You can read more about us at hpitpa.com/about-us/careers/

EEO/AA/M/F/Vet/Disability Employer