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Edi Enrollment Analyst Jobs in Virginia (NOW HIRING)

One Konnect

Sales Operation Associate

Arlington, VA · On-site

Continuously develop an understanding of industry trends, EDI and API integrations, enrollment and ... Strong analytical skills with advanced Excel proficiency. * Excellent written and verbal English ...

All JobsEdi Enrollment Analyst JobsEdi Enrollment Analyst Jobs in Virginia

Edi Enrollment Analyst information

See Virginia salary details

$38.2K

$84.4K

$133.8K

How much do edi enrollment analyst jobs pay per year?

As of Aug 29, 2026, the average yearly pay for edi enrollment analyst in Virginia is $84,357.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,900.00 and $99,600.00 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?

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 popular job titles related to Edi Enrollment Analyst jobs in Virginia?

For Edi Enrollment Analyst jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Edi Enrollment Analyst jobs in Virginia look for?

The top searched job categories for Edi Enrollment Analyst jobs in Virginia are:

Edi Enrollment Analyst jobs near you

Senior Business System Analyst - Remote

Norfolk, VA • On-site, Remote

Sentara Healthcare
Hospitals • 10K+ employees

6.7

Company rating: 6.7 out of 10

Based on 413 frontline employees who took The Breakroom Quiz

532nd of 895 rated healthcare providers

People enjoy working here

Recommended by students

Good schedule notice

Learn more about Sentara Healthcareexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 7 days ago

Job description

City/State
Norfolk, VA
Work Shift
First (Days)
Overview:
Sentara is hiring a Senior Business Systems Analyst!
This position is fully remote.
Overview
Position is responsible for support, enhancement and implementation software applications used within the organization. Oversees and directs intermediate scale projects or components of large-scale projects; develops project plans and timelines and coordination of project resources.
Description
Incumbent will identify opportunities to leverage technologies in areas that improve and enhance the business practices by designing and implementing application/product enhancements. Works with and is a liaison to customers and end-users, appropriate IT personnel and software vendors on a regular basis to align technology functionality to operational processes. Assess, research, analyze, and document stakeholder needs, selecting the appropriate information gathering and/or modeling technique to elicit requirements. Develop detailed test cases, execute them, and share results with business and tech managers for approval. Work jointly with developers to solution and provide cost and time estimates on fixes and enhancements. Performs longer term analysis and design of systems and hardware to maintain the production environments. Synthesize requirements and develop recommendations that best meet the objectives of the business. Works on project teams that are developing or modifying very complex information systems.
Education
  • Bachelor's degree preferably in a field such as Computer Science, Business, Technical, Education, Information Systems, Finance, Business Administration, Accounting, Engineering, Information Technology (Required) or

  • Candidates without a bachelor's degree with 6 or more years of relevant experience may be considered.

Experience:
  • 4 years of relevant experience (Required)
  • Advanced SQL experience (Required)
  • Experience with EDI-834 files (Required)
  • Experience working with QNXT and/or Facets is nice to have
  • Member enrollment experience is a plus.
  • Experience with Clarity - ID card-related configuration and member eligibility processes is a plus
  • Experience with Medicaid, commercial health plans, and marketplace coverage is a plus.
  • Proficiency in SQL, HTML, and CSS (Preferred)

We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is: 69,876 - 116,438. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities
Talroo-IT
Keywords: Member enrollment, EDI-834, ID card configuration, member eligibility, QNXT, Facets, SQL, reporting, queries, enrollment, Medicaid, commercial, health plans, Clarity
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to 10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - 5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - 10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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