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Edi Enrollment Analyst Jobs (NOW HIRING)

Roundstone

EDI Analyst

Cleveland, OH · Hybrid

$70K - $80K/yr

EDI Analyst Founded in 2003, Roundstone is not your typical insurance company. We're on a mission ... Experience with claims systems, eligibility processing, or healthcare data, such as enrollment ...

Infojini Inc

Sr. EDI Analyst

Linthicum Heights, MD

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 · On-site

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 ...

PetSafe Brands

EDI Analyst III

The EDI Analyst provides analysis and support to both internal and external customers on EDI-related issues, including the electronic exchange of data such as enrollment, claims, payments, and ...

University of Utah Health

EDI Analyst I

Murray, UT · On-site

Responds to inquiries regarding EDI issues with enrollment, claims, payments and/or clearinghouse ... Experience in collecting, organizing, analyzing, and presenting data. Required for Level 2 * ...

Radiosystemscorporation

EDI Analyst III

The EDI Analyst provides analysis and support to both internal and external customers on EDI-related issues, including the electronic exchange of data such as enrollment, claims, payments, and ...

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 ...

Benefit Harbor LP

EDI Analyst

Plano, TX

EDI Analyst I Summary/Objective As a member of the Account Management team, the EDI Analyst I is ... Perform post-OE and quarterly enrollment audits, document results and assist Account Management ...

Benefit Harbor LP

EDI Analyst

Plano, TX · On-site +1

$65K - $68K/yr

EDI Analyst I Summary/Objective As a member of the Account Management team, the EDI Analyst I is ... Perform post-OE and quarterly enrollment audits, document results and assist Account Management ...

Independent Health Association

EDI Specialist

Nova, OH · On-site

$75K - $85K/yr

... analysis, design, mapping, training and documentation. The EDI Specialist will utilize this ... The EDI specialist will be responsible for all converted enrollment formats to ensure quality ...

Independent Health Association

EDI Specialist

Buffalo, NY · On-site

$75K - $85K/yr

... analysis, design, mapping, training and documentation. The EDI Specialist will utilize this ... The EDI specialist will be responsible for all converted enrollment formats to ensure quality ...

Brown & Brown, Inc.

EDI Data Analyst

Manasquan, NJ · On-site

Winston Benefits, a Brown & Brown company, is seeking an EDI Data Analyst responsible for ... Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details ...

Brown & Brown, Inc.

EDI Data Analyst

Manasquan, NJ · On-site

Winston Benefits, a Brown & Brown company, is seeking an EDI Data Analyst responsible for ... Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details ...

Belcan

EDI Data Analyst- Lead

Mason, OH · On-site

$26.31/hr

Demonstrated experience working with data, file processing, EDI, eligibility, enrollment, or ... analytical ability, attention to detail, and the ability to learn technical processes quickly.

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Edi Enrollment Analyst information

See salary details

$38.5K

$85.1K

$135K

How much do edi enrollment analyst jobs pay per year?

As of Aug 21, 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 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.

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Edi Enrollment Analyst jobs near you
Infographic showing various Edi Enrollment Analyst job openings in the United States as of August 2026, with employment types broken down into 91% Full Time, and 9% Contract. Highlights an 63% In-person, 5% Hybrid, and 32% Remote job distribution, with an average salary of $85,086 per year, or $40.9 per hour.

Enrollment Support Coordinator

Crew Career Center

Atlanta, GA • On-site

Full-time

Medical, Retirement, PTO

Re-posted 12 days ago

Job description

ABOUT THIS POSITION

This representative is responsible for supporting the EDI enrollment processes for the majority of our clients. This role is critical in managing a queue of technical enrollment cases to ensure timely resolution and maintain a high level of communication standards. The role requires completion of both technical & administrative tasks and frontline client communication.

WHAT YOU'LL DO

  • Manage and prioritize a dynamic queue of cases, ensuring service level agreements (SLAs) are met.

  • Documentation of case details, progresstrackingand communication updates.

  • Supportfrontlineenrollment processesbyprocessing enrollment requests, working with payers, andassistingclientele directly.

  • Serve asmainpoint of contact for clientbase,participatein regular clientand payerfacing calls and emailinteractions.

  • Generate,monitorandroutinelyfollow up on EDIenrollmentsto ensure resolution.

  • Apply critical thinking, logicalreasoningand root cause analysis to analyze enrollment issues and develop effective solutions.

  • Clearly communicate complex enrollment concepts concisely to payers,providersand internal stakeholders.

  • Routinely meet or exceed all key performance indicators (KPI's), QA goals andSLA's.

WHAT YOU'LL NEED

  • Proficiencies in Microsoft Office softwareincluding Outlook,Exceland Word.

  • Proficiencyin manipulatingPDFs with Adobe or similarPDF editingprogram.

  • Clear and effective communicationincludingexcellent verbal and written skills.

  • Demonstrated attention to detail and organizationalwork habits.

  • Ability to meet deadlines witha strong senseof urgency.

  • Ability to prioritizecompetingtasks under aggressive time constraints.

  • Self-motivated with the ability to multitask and work independently as well as in a team setting.

  • Ability to effectively build andmaintainprofessional relationships with clientele.

Preferred Qualifications

  • Experience inprovider/payer EDI enrollment revenue cycle management or Healthcare IT.

  • 2+ years of experience intechnicalsupport, casemanagementor operational role.

  • Proficiencywith Salesforce or similar CRM platform.

  • Familiarity with casemanagementbest practices and workflows.

ABOUT WAYSTAR

Through a smart platform and better experience, Waystar helps providers simplify healthcare payments and yield powerful results throughout the complete revenue cycle.

Waystar's healthcare payments platform combines innovative, cloud-based technology, robust data, and unparalleled client support to streamline workflows and improve financials so providers can focus on what matters most: their patients and communities. Waystar is trusted by 1M+ providers, 1K+ hospitals and health systems, and is connected to over 5K commercial and Medicaid/Medicare payers. We are deeply committed to living out our organizational values: honesty; kindness; passion; curiosity; fanatical focus; best work, always; making it happen; and joyful,optimistic & fun.

Waystar products have won multiple Best in KLAS or Category Leader awards since 2010 and earned multiple #1 rankings from Black Book surveys since 2012. The Waystar platform supports more than 500,000 providers, 1,000 health systems and hospitals, and 5,000 payers and health plans. For more information, visit waystar.comor follow @Waystaron Twitter.

WAYSTAR PERKS

  • Competitive total rewards (base salary + bonus, if applicable)
  • Customizable benefits package (3 medical plans with Health Saving Account company match)
  • We offer generous paid time off for our non-exempt team members, starting with 3 weeks +13 paid holidays, including 2 personal floating holidays. We also offer flexible time off for our exempt team members + 13 paid holidays
  • Paid parental leave (including maternity + paternity leave)
  • Education assistance opportunities and free LinkedIn Learning access
  • Free mental health and family planning programs, including adoption assistance and fertility support
  • 401(K) program with company match
  • Pet insurance
  • Employee resource groups

Waystar is proud to be an equal opportunity workplace. We celebrate, value, and support diversity and inclusion. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, marital status, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

This applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

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