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Edi Enrollment Analyst Jobs (NOW HIRING)

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 ...

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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Johnson Service Group (JSG) is seeking an EDI Analyst- Eligibility & Enrollment. Remote. Must live in Pacific, Mountain or Central time zones. Work Schedule: Monday-Friday 8:00am- 5:00pm ...

EDI Database Programmer

Manhattan, NY · On-site

$120K - $130K/yr

Position Overview The EDI Database Programmer position in the Analytics and Reporting Department is ... Minimum of 4 years of experience working with complex healthcare data, including claims, enrollment ...

EDI Database Programmer

Manhattan, NY · Hybrid

$120K - $130K/yr

Position Overview The EDI Database Programmer position in the Analytics and Reporting Department is ... Minimum of 4 years of experience working with complex healthcare data, including claims, enrollment ...

The Senior Systems Analyst (EDI) is responsible for providing Electronic Data Interchange (EDI ... In-depth understanding of EDI 834 enrollment transactions, including adds, changes, terminations ...

... analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching ... Preferred qualifications include exposure to QNXT (claims and enrollment processing systems), A ...

Strong analytical skills with attention to detail and data accuracy. * Internet access provided by ... 834 enrollments, 837 claims, 835 remittances, 276/277 claim status). * Develop, implement, and ...

Director of EDI

Irvine, CA · Remote

$102K - $145K/yr

Strong skills in troubleshooting, root cause analysis, and implementing effective solutions to EDI ... enrollment), 835 (remittance advice), and 270/271 (eligibility inquiries and responses), among ...

Senior EDI Analyst

Arlington, VA · On-site

$100K - $133K/yr

Serve as primary SME and escalation point for EDI-related production issues and enrollment data discrepancies. * Perform advanced data analysis and validation using SQL to troubleshoot high-volume ...

... EDI enrollment systems. • Works with NCH Physician Group Revenue Cycle leadership to ensure all departmental policies and procedures are up to date and accurate based n payer contractual or ...

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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 Jul 13, 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:
What states have the most Edi Enrollment Analyst jobs? States with the most job openings for Edi Enrollment Analyst jobs include:
What job categories do people searching Edi Enrollment Analyst jobs look for? The top searched job categories for Edi Enrollment Analyst jobs are:
Infographic showing various Edi Enrollment Analyst job openings in the United States as of July 2026, with employment types broken down into 87% Full Time, and 13% 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.
EDI Business Analyst

Contractor

Re-posted 12 days ago


Job description

Company Description

Since 2002, Quantix ProTech has successfully delivered IT resources and solutions to companies while building a solid reputation for integrity and consistent quality.  Quantix ProTech continues to partner with the commercial sector for specialized IT placement and staffing services.  Quantix ProTech was recently featured in US News and World Report and Forbes.  

Job Description

Job Title:   EDI Business Analyst
Location:   Denver, CO
Type:  Contract
Length:  6 months plus
Job Description:  Company located in Denver, CO has an immediate need for an EDI Business Analyst for a contract position.  This position will report to the BA Manager.  Candidate will do mapping and business requirements for EDI projects.  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 (requirements analysis)
2)  EDI (mapping) 
3)  834 (Enrollment eligibility)
Desired:
1) 837 (claims) and 820 (payment)

Qualifications

Required Skills:
1)  Business Analyst (requirements analysis)
2)  EDI (mapping) 
3)  834 (Enrollment eligibility)
Desired:
1) 837 (claims) and 820 (payment)

Additional Information

All your information will be kept confidential according to EEO guidelines. If your interested, send a copy of your resume at henriquez@quantixinc. com or reach me at 303-557-4014.