... in EDI formats - 837 (P/I/D), 835, 834 • Hands-on experience in Facets (Claims + Enrollment modules) • Proficiency in Azure DevOps (ADO) for QA tracking • Knowledge of HIPAA compliance and ...
... in EDI formats - 837 (P/I/D), 835, 834 • Hands-on experience in Facets (Claims + Enrollment modules) • Proficiency in Azure DevOps (ADO) for QA tracking • Knowledge of HIPAA compliance and ...
Conduct systems analysis to validate designs. Perform or facilitate reverse engineering of code ... enrollment platforms and supporting end-to-end deployment activities. * EDI 834 experience ...
Conduct systems analysis to validate designs. Perform or facilitate reverse engineering of code ... enrollment platforms and supporting end-to-end deployment activities. * EDI 834 experience ...
Implementation Manager
Clermont, FL · On-site +1
$80K - $100K/yr
... enrollment data between benefit administration systems, insurance carriers, and the Self Bill Pro ... Gather and analyze business requirements for EDI integration projects, translating client needs ...
Implementation Manager
Clermont, FL · On-site +1
$80K - $100K/yr
... enrollment data between benefit administration systems, insurance carriers, and the Self Bill Pro ... Gather and analyze business requirements for EDI integration projects, translating client needs ...
Implementation Manager
Clermont, FL · On-site +1
$80K - $100K/yr
... enrollment data between benefit administration systems, insurance carriers, and the Self Bill Pro ... Gather and analyze business requirements for EDI integration projects, translating client needs ...
Implementation Manager
Clermont, FL · On-site +1
$80K - $100K/yr
... enrollment data between benefit administration systems, insurance carriers, and the Self Bill Pro ... Gather and analyze business requirements for EDI integration projects, translating client needs ...
RCMS Configuration Associate
Tampa, FL · On-site
Responsible for setup, enrollment, and maintenance of EDI clearinghouse integrations for multiple ... Conduct RCM implementation billing analysis and training sessions with clients to facilitate ...
RCMS Configuration Associate
Tampa, FL · On-site
Responsible for setup, enrollment, and maintenance of EDI clearinghouse integrations for multiple ... Conduct RCM implementation billing analysis and training sessions with clients to facilitate ...
RCMS Configuration Specialist I
Tampa, FL · On-site
$70 - $90/hr
Basic understanding of clearinghouse EDI relationships, payer enrollment, claims submission, and ... Strong analytical and problem-solving skills with attention to detail and the ability to recommend ...
RCMS Configuration Specialist I
Tampa, FL · On-site
$70 - $90/hr
Basic understanding of clearinghouse EDI relationships, payer enrollment, claims submission, and ... Strong analytical and problem-solving skills with attention to detail and the ability to recommend ...
RCMS Configuration Specialist I
Tampa, FL · On-site +1
Basic understanding of clearinghouse EDI relationships, payer enrollment, claims submission, and ... Strong analytical and problem-solving skills with attention to detail and the ability to recommend ...
RCMS Configuration Specialist I
Tampa, FL · On-site +1
Basic understanding of clearinghouse EDI relationships, payer enrollment, claims submission, and ... Strong analytical and problem-solving skills with attention to detail and the ability to recommend ...
RCMS Configuration Specialist I
Tampa, FL · On-site +1
Basic understanding of clearinghouse EDI relationships, payer enrollment, claims submission, and ... Strong analytical and problem-solving skills with attention to detail and the ability to recommend ...
RCMS Configuration Specialist I
Tampa, FL · On-site +1
Basic understanding of clearinghouse EDI relationships, payer enrollment, claims submission, and ... Strong analytical and problem-solving skills with attention to detail and the ability to recommend ...
Policy Administration Specialist - Group Life & Health Insurance
Lake Mary, FL · On-site
$70K - $85K/yr
Strong analytical and problem-solving skills. * Excellent communication and documentation skills ... Familiarity with EDI processes, enrollment file management, or payroll/benefits integrations.
Quick apply
Policy Administration Specialist - Group Life & Health Insurance
Lake Mary, FL · On-site
$70K - $85K/yr
Strong analytical and problem-solving skills. * Excellent communication and documentation skills ... Familiarity with EDI processes, enrollment file management, or payroll/benefits integrations.
Manage benefit enrollments, terminations, qualifying life events, and open enrollment processes ... Review and respond to EDI file errors and system notifications. 401(k) Administration & Compliance
Quick apply
Manage benefit enrollments, terminations, qualifying life events, and open enrollment processes ... Review and respond to EDI file errors and system notifications. 401(k) Administration & Compliance
Lead Software Engineer
Miami, FL · On-site
... enrollment (834 transactions) · Claims adjudication rules, edits, and pricing logic · EDI ... Analysts, QA, and Product to eliminate the root cause of most CapAdmin defects: incomplete ...
Quick apply
Lead Software Engineer
Miami, FL · On-site
... enrollment (834 transactions) · Claims adjudication rules, edits, and pricing logic · EDI ... Analysts, QA, and Product to eliminate the root cause of most CapAdmin defects: incomplete ...
Manage benefit enrollments, terminations, qualifying life events, and open enrollment processes ... Review and respond to EDI file errors and system notifications. 401(k) Administration & Compliance
Manage benefit enrollments, terminations, qualifying life events, and open enrollment processes ... Review and respond to EDI file errors and system notifications. 401(k) Administration & Compliance
... enrollment (834 transactions) • Claims adjudication rules, edits, and pricing logic • EDI ... Analysts, QA, and Product to eliminate the root cause of most CapAdmin defects: incomplete ...
... enrollment (834 transactions) • Claims adjudication rules, edits, and pricing logic • EDI ... Analysts, QA, and Product to eliminate the root cause of most CapAdmin defects: incomplete ...
Lead Software Engineer Healthcare Payer
Miami, FL · On-site
$140 - $180/hr
... enrollment (834 transactions) * Claims adjudication rules, edits, and pricing logic * EDI standards ... Work directly with Business Analysts, QA, and Product to eliminate the root cause of most CapAdmin ...
Lead Software Engineer Healthcare Payer
Miami, FL · On-site
$140 - $180/hr
... enrollment (834 transactions) * Claims adjudication rules, edits, and pricing logic * EDI standards ... Work directly with Business Analysts, QA, and Product to eliminate the root cause of most CapAdmin ...
Client Service Manager
Clermont, FL · On-site +1
$80K - $90K/yr
Identify and find the root cause of enrollment, date, premium, and coverage discrepancies ... Familiarity with 834 and LDEx EDI files. * Strong analytical acumen; comfort with data analysis and ...
Client Service Manager
Clermont, FL · On-site +1
$80K - $90K/yr
Identify and find the root cause of enrollment, date, premium, and coverage discrepancies ... Familiarity with 834 and LDEx EDI files. * Strong analytical acumen; comfort with data analysis and ...
Edi Enrollment Analyst information
See Florida salary details
$28.8K - $35.3K
9% of jobs
$35.3K - $41.9K
4% of jobs
$47.7K is the 25th percentile. Wages below this are outliers.
$41.9K - $48.4K
14% of jobs
$48.4K - $55K
16% of jobs
The median wage is $60.1K / yr.
$55K - $61.6K
10% of jobs
$61.6K - $68.1K
13% of jobs
$73.3K is the 75th percentile. Wages above this are outliers.
$68.1K - $74.7K
13% of jobs
$74.7K - $81.2K
10% of jobs
$81.2K - $87.8K
6% of jobs
$87.8K - $94.3K
6% of jobs
$94.3K - $100.9K
0% of jobs
$28.8K
$63.6K
$100.9K
How much do edi enrollment analyst jobs pay per year?
As of Sep 3, 2026, the average yearly pay for edi enrollment analyst in Florida is $63,584.00, according to ZipRecruiter salary data. Most workers in this role earn between $48,200.00 and $75,100.00 per year, depending on experience, location, and employer.
What is an EDI Enrollment Analyst?
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 skills and qualifications are needed to be an EDI Enrollment Analyst?
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 challenges do 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.
What is the difference between Edi Enrollment Analyst vs Edi Claims Specialist?
| Aspect | Edi Enrollment Analyst | Edi Claims Specialist |
|---|---|---|
| Primary Role | Manages enrollment setup and data accuracy for electronic data interchange (EDI) systems | Processes and reviews insurance claims electronically, ensuring proper submission and reimbursement |
| Required Skills | Data management, EDI systems knowledge, attention to detail | Claims processing, coding, compliance understanding |
| Work Environment | Healthcare organizations, insurance companies, EDI departments | Healthcare 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 popular job titles related to Edi Enrollment Analyst jobs in Florida?
For Edi Enrollment Analyst jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Edi Enrollment Analyst jobs in Florida look for?
The top searched job categories for Edi Enrollment Analyst jobs in Florida are:
What cities in Florida are hiring for Edi Enrollment Analyst jobs?
Cities in Florida with the most Edi Enrollment Analyst job openings:
Contractor
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Job description
Must Have Technical/Functional Skills
• Strong SME knowledge in Healthcare Claims Processing lifecycle
• Expertise in EDI formats - 837 (P/I/D), 835, 834
• Hands-on experience in Facets (Claims + Enrollment modules)
• Proficiency in Azure DevOps (ADO) for QA tracking
• Knowledge of HIPAA compliance and payer systems
• 8+ years of experience in Healthcare QA/Testing
• 4+ years of experience as Test Lead in Facets projects
• Deep understanding of Claims Adjudication & Payment workflows
• Experience in handling claims denials, adjustments, and reprocessing
• Strong exposure to EDI claim and remittance transactions
• Experience in mocking and validating EDI files (837/835/834)
• Knowledge of ITS claims processing (SF, DF, RF)
• Experience in Member Enrollment workflows (Medicaid, Medicare, ACA)
• Understanding of Billing lifecycle for member enrollment
• Hands-on experience with ADO Test Plans, Test Suites, and Defect tracking
• Ability to perform data validation and reconciliation activities
• Strong experience in functional and end-to-end testinG
Familiarity with Agile/Scrum methodologies • Excellent stakeholder communication and coordination skills • Experience in risk identification, defect triage, and RCA
Roles & Responsibilities
• Lead end-to-end testing for Claims, Enrollment, and Billing modules
• Act as SME for Claims Processing and EDI transactions
• Validate Facets Claims and Membership workflows
• Design and execute test strategies, test plans, and test cases
• Perform EDI validation (837, 835, 834) including mock data creation
• Manage defect lifecycle, triage, and resolution tracking in ADO
• Ensure HIPAA compliance in all testing activities
• Validate ITS claims processing across SF, DF, RF flows
• Drive quality metrics, reporting, and release sign-offs
• Collaborate with business, development, and partner teams for E2E validation
Generic Managerial Skills, If any
• Leading and Mentoring team members
• Strong problem-solving and critical thinking
• Ability to work with minimal supervision
• Documentation and knowledge sharing
• Excellent communication
Key Words to search in Resume
• EDI claims
• EDI files (837 , 835, 834)
• Facets
• Claims
• Member Enrollment
• Billing lifecycle
• Azure DevOps (ADO)
• HIPAA compliance
• Healthcare QA, Testing
• Test Lead
• Claims Adjudication
• Payment workflows
• ITS
Pre-Screening Questionnaire
• Do you have 7+ years of Healthcare QA/Testing experience?
• Do you have experience as a QA/Test lead , leading and mentoring team members?
• Do you have experience with Facets including Claims, Enrollment, and Billing modules?
• Do you have experience in EDI validation (837, 835, 834) including mock data creation?
• Do you have experience in Claims Processing ?
• Do you have experience in ITS claims processing ?
• Have you managed defect lifecycle, triage, and resolution tracking in ADO?
• Have you been responsible for quality metrics, reporting, and release sign-offs?
• Have you collaborated with business, development, and partner teams for E2E validation?
*What are Regulated Positions
"Regulated Positions" are those positions which requires TAG to recruit candidates with specific work
authorizations viz., US Citizens (or) US Persons only as these may be regulated by any of the below listed
per MSA.
- ITAR (International Traffic in Arms Regulations).
- NERC CIP (NERC Critical Infrastructure Protection).
- NRC (Nuclear Regulatory Commission).
- Any other regulations as appropriate.
Role Descriptions: Functional testingFacets Claims testing Pricing claims and Alliance claim pricing testing SQL/DB testing| Automation
Essential Skills: Functional testingFacets Claims testing Pricing claims and Alliance claim pricing testing SQL/DB testing| Automation
Desirable Skills:
Keyword:
Skills: Functional Testing
Experience Required: 8-10, Project Code :
• Strong SME knowledge in Healthcare Claims Processing lifecycle
• Expertise in EDI formats - 837 (P/I/D), 835, 834
• Hands-on experience in Facets (Claims + Enrollment modules)
• Proficiency in Azure DevOps (ADO) for QA tracking
• Knowledge of HIPAA compliance and payer systems
• 8+ years of experience in Healthcare QA/Testing
• 4+ years of experience as Test Lead in Facets projects
• Deep understanding of Claims Adjudication & Payment workflows
• Experience in handling claims denials, adjustments, and reprocessing
• Strong exposure to EDI claim and remittance transactions
• Experience in mocking and validating EDI files (837/835/834)
• Knowledge of ITS claims processing (SF, DF, RF)
• Experience in Member Enrollment workflows (Medicaid, Medicare, ACA)
• Understanding of Billing lifecycle for member enrollment
• Hands-on experience with ADO Test Plans, Test Suites, and Defect tracking
• Ability to perform data validation and reconciliation activities
• Strong experience in functional and end-to-end testinG
Familiarity with Agile/Scrum methodologies • Excellent stakeholder communication and coordination skills • Experience in risk identification, defect triage, and RCA
Roles & Responsibilities
• Lead end-to-end testing for Claims, Enrollment, and Billing modules
• Act as SME for Claims Processing and EDI transactions
• Validate Facets Claims and Membership workflows
• Design and execute test strategies, test plans, and test cases
• Perform EDI validation (837, 835, 834) including mock data creation
• Manage defect lifecycle, triage, and resolution tracking in ADO
• Ensure HIPAA compliance in all testing activities
• Validate ITS claims processing across SF, DF, RF flows
• Drive quality metrics, reporting, and release sign-offs
• Collaborate with business, development, and partner teams for E2E validation
Generic Managerial Skills, If any
• Leading and Mentoring team members
• Strong problem-solving and critical thinking
• Ability to work with minimal supervision
• Documentation and knowledge sharing
• Excellent communication
Key Words to search in Resume
• EDI claims
• EDI files (837 , 835, 834)
• Facets
• Claims
• Member Enrollment
• Billing lifecycle
• Azure DevOps (ADO)
• HIPAA compliance
• Healthcare QA, Testing
• Test Lead
• Claims Adjudication
• Payment workflows
• ITS
Pre-Screening Questionnaire
• Do you have 7+ years of Healthcare QA/Testing experience?
• Do you have experience as a QA/Test lead , leading and mentoring team members?
• Do you have experience with Facets including Claims, Enrollment, and Billing modules?
• Do you have experience in EDI validation (837, 835, 834) including mock data creation?
• Do you have experience in Claims Processing ?
• Do you have experience in ITS claims processing ?
• Have you managed defect lifecycle, triage, and resolution tracking in ADO?
• Have you been responsible for quality metrics, reporting, and release sign-offs?
• Have you collaborated with business, development, and partner teams for E2E validation?
*What are Regulated Positions
"Regulated Positions" are those positions which requires TAG to recruit candidates with specific work
authorizations viz., US Citizens (or) US Persons only as these may be regulated by any of the below listed
per MSA.
- ITAR (International Traffic in Arms Regulations).
- NERC CIP (NERC Critical Infrastructure Protection).
- NRC (Nuclear Regulatory Commission).
- Any other regulations as appropriate.
Role Descriptions: Functional testingFacets Claims testing Pricing claims and Alliance claim pricing testing SQL/DB testing| Automation
Essential Skills: Functional testingFacets Claims testing Pricing claims and Alliance claim pricing testing SQL/DB testing| Automation
Desirable Skills:
Keyword:
Skills: Functional Testing
Experience Required: 8-10, Project Code :
About Real Soft
Sourced by ZipRecruiter
Industry
It services
Company size
501 - 1,000 Employees
Headquarters location
Monmouth Junction, NJ, US
Year founded
1991