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Edi Enrollment Analyst Jobs (NOW HIRING)

Apex Systems

EDI Analyst

Pleasanton, CA · On-site

Validate and troubleshoot enrollment data feeds, including 834 transactions. * Analyze transaction ... Multi-transaction EDI experience is preferred. * Familiarity with API payloads (JSON/XML) is a plus.

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 ...

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 ...

Cambia Health Solutions, Inc.

Software Development Engineer II - III (EDI Enrollment) Hybrid role (3 days/week in office) at our ... Able to analyze, diagnose, and resolve simple programming problems and system coordination issues.

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 * ...

Quantix

EDI Business Analyst

Denver, CO · On-site

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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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 Sep 11, 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 September 2026, with employment types broken down into 88% Full Time, 8% Part Time, and 4% Contract. Highlights an 58% Physical, 1% Hybrid, and 41% Remote job distribution, with an average salary of $85,086 per year, or $40.9 per hour.

EDI Analyst

Pleasanton, CA • On-site

Apex Systems
IT Services • 1 - 5K employees
Learn more about Apex Systemsexternal

Other

Medical, Dental, Vision, Life, Retirement

This job post has expired today. Applications are no longer accepted.

Job description

Job#: 3049338
Job Description:
Apex Systems is hiring an EDI Analyst for a large Healthcare client.
Location: Fully remote anywhere in the United States.
18 months contract with potential to extend.
Role Overview
The EDI Analyst supports the channel partner integration ecosystem by building, testing, and maintaining connection points with external partners such as brokers, TPAs, payroll vendors, and benefits administration platforms. This role requires EDI troubleshooting skills, cross-functional coordination, and hands-on experience with enrollment transactions.
Key Responsibilities
  • Support onboarding and maintenance of channel partner integrations (EDI, API, XML).
  • Validate and troubleshoot enrollment data feeds, including 834 transactions.
  • Analyze transaction discrepancies, demographic mismatches, and rejected records.
  • Coordinate issue resolution with internal teams and external partners.
  • Monitor recurring transmission failures and escalate defects as needed.
  • Document workflows, connection requirements, and partner-specific configurations.
  • Participate in integration testing and connection validation for new partners.
Required Qualifications
Experience: 2-4+ years of healthcare EDI experience, with 834 transaction experience required. Experience supporting external partners or clients in a payer, TPA, or benefits administration environment is necessary.
Technical Skills: Candidates must have the ability to read and interpret X12 transaction files, including loops, segments, and benefit codes. Strong analytical skills with Excel (VLOOKUP/XLOOKUP, pivot tables) are required.
Preferred Qualifications
  • Multi-transaction EDI experience is preferred.
  • Familiarity with API payloads (JSON/XML) is a plus.
  • Excellent communication and documentation skills.

Everforth Apex is a world-class IT services company that serves thousands of clients across the globe. When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRateds Best of Staffing in Talent Satisfaction in the United States and Great Place to Work in the United Kingdom and Mexico.
Everforth Apex uses a virtual recruiter as part of the application process. Click for more details. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Everforth Apex and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at
Everforth Apex Benefits Overview: Everforth Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our 'Welcome Packet' as well, which an Everforth Apex team member can provide.
Everforth Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Everforth Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.
If you require an accommodation under the Americans with Disabilities Act to participate in an interview with a virtual recruiter or to use our website for a search or application, please contact our Benefits Department at or . Please note that this contact information is strictly to be used for medical ADA accommodations and that no other inquiries will be answered.
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