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Edi Enrollment Analyst Jobs (NOW HIRING)

Western Growers

EDI Developer

Irvine, CA · On-site

$70K - $92K/yr

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 ...

Mass General Brigham

Senior EDI Developer

Somerville, MA · On-site

... 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 ...

Western Growers

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 ...

Diverse Lynx

EDI Developer

Santa Clara, CA · Remote

$100K - $130K/yr

... analysis, redesign, map rebuilding, testing, and implementation. • Perform full ITXA ... 834 (Enrollment), and 837 (Claims). • Support additional transaction sets such as 270/271 ...

Madaket Health

Product Manager (Remote)

Cambridge, MA · Remote

Solid understanding of EDI healthcare transactions and payer enrollment processes. Experience ... analytics) to improve product outcomes or streamline healthcare workflows. Ability to evaluate AI ...

Dawson

Enrollment Specialist

Columbus, OH · Hybrid

$25/hr

Enrollment Specialist Health Insurance $25.00/hr Monday-Friday, 8:00am-5:00pm Columbus, Ohio ... EDI support (preferred but not required) * 2+ years of experience in an operations or analytics ...

NCH

Managed Care Contracting Analyst

Naples, FL · On-site

... 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 ...

Vaco LLC

Product Manager

Novi, MI · Hybrid

Responsibilities Own product vision, strategy, and roadmap across provider data, EDI & payer enrollment. Conduct market research, competitive analysis, and customer discovery; identify opportunities ...

Patientco

Enrollment Intern

Louisville, KY · On-site

$14.50 - $19.25/hr

Track, follow up and process EDI Enrollment agreements. * Communicate efficiently and ... Perform in-depth research and analysis as needed * Adhere to deadlines, assigned metrics, & SLAs

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All JobsEdi Enrollment Analyst Jobs

Edi Enrollment Analyst information

See salary details

$38.5K

$85.1K

$135K

How much do edi enrollment analyst jobs pay per year?

As of Jun 9, 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.
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:
Edi Enrollment Analyst jobs near you
Infographic showing various Edi Enrollment Analyst job openings in the United States as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $85,086 per year, or $40.9 per hour.
EDI Developer

EDI Developer

Western Growers

Irvine, CA • On-site

$70K - $92K/yr

Other

Posted 22 days ago

Job description

Western Growers Healtha part of Western Growers Family of Companiesprovides employer-sponsored health benefit plans to meet the needs of those working for the agriculture industry. The unmatched benefit options provided by Western Growers Health stem from the core mission of Western Growers Association (est. 1926) to support the business interests of employers in the agriculture industry.
Our mission at Western Growers Health is to deliver value to employers by offering robust health plans that meet the needs of a diverse workforce. By working at Western Growers Health, you will join a dedicated team of employees who care about offering quality health benefits and excellent customer service to plan participants. If you want to start making a difference working in the health care industry, then apply to Western Growers Health today!
Compensation: $ $70,978.23 - $92,271.29with a rich benefits package that includes profit-sharing.
JOB DESCRIPTION SUMMARY
The EDI Developer is responsible for designing, developing, and maintaining electronic data interchange (EDI) solutions that support the seamless exchange of data between the TPA's internal systems (claims, benefits, customer service) and its external partners. The incumbent will use strong programming skills, deep knowledge of data mapping, and experience with EDI integration platforms such as PilotFish to create and maintain systems. The developer will also be involved in ongoing upgrades, patches, and system enhancements related to EDI technology while ensuring compliance with healthcare industry standards and regulations.
Qualifications
  • Bachelor's Degree, preferably in a related field such as computer science, or information technology, along with at least 3 years of experience in EDI development or integration engineering roles, is preferred.
  • Proven experience with EDI standards (e.g., ANSI X12) and healthcare transaction sets (837, 834, 835, etc.), highly desired.
  • Hands-on experience with the PilotFish integration platform or similar ETL tools.
  • Proficient in programming languages such as Java, C++, XML, and XSLT.
  • Strong understanding of communication protocols used for EDI (SFTP, AS2, HTTPS).
  • Experience with database technologies (SQL Server, MySQL) and data warehousing concepts.
  • Solid knowledge of data mapping, transformation logic, and integration patterns.
  • Experience with system monitoring, error handling, and performance optimization for EDI processing.
  • Familiarity with HIPAA compliance and healthcare data security standards.
  • Ability to work independently on technical development projects while collaborating with cross-functional teams.
  • Excellent troubleshooting and problem-solving abilities.
  • Strong analytical skills with attention to detail and data accuracy.
  • Internet access provided by a cable or fiber provider with 40 MB download and 10 MB upload speeds.
  • Home router with wired Ethernet (wireless connections and hotspots are not permitted).
  • A designated room for your office or steps taken to protect company information (e.g., facing computer towards wall, etc.)
  • A functioning smoke detector, fire extinguisher, and first aid kit on site.
Duties And Responsibilities
EDI Development
  • Design, develop and test EDI maps, workflows and transformations for healthcare transactions (e.g., 834 enrollments, 837 claims, 835 remittances, 276/277 claim status).
  • Develop, implement, and maintain EDI integration solutions to support various transaction sets.
  • Create custom EDI translation maps and business rules to handle partner-specific requirements and data variations.
  • Monitor scheduled EDI jobs and proactively resolve errors, ensuring SLAs with trading partners are met.
  • Collaborate with internal teams (claims, finance, eligibility) to integrate data with healthcare systems.
  • Build and optimize interfaces between internal systems and external trading partners.
  • Write scripts, configure protocols (e.g., SFTP, AS2), and ensure secure and reliable data transmission.
  • Develop automated validation routines to ensure data quality and completeness before transmission.
  • Integrate EDI platforms with other enterprise systems, to ensure smooth data flow.
Partner Communication
  • Collaborate with EDI Analysts, business stakeholders and external trading partners to translate requirements into technical solutions.
  • Communicate technical concepts effectively to non-technical stakeholders.
  • Assist new trading partners with onboarding, testing and validation of transaction sets.
  • Support and troubleshoot issues related to data mappings, transformations, and delivery failures.
  • Participate in cross-functional meetings to discuss system requirements and project timelines.
Data Integrity and Documentation
  • Validate inbound and outbound EDI data for accuracy, completeness and HIPAA compliance.
  • Implement automated monitoring and alerting solutions for data integrity and error detection.
  • Conduct system upgrades, patches, and performance tuning of EDI infrastructure.
  • Maintain comprehensive technical documentation for EDI processes and interfaces, trading partner profiles, connection parameters, and transaction specifications.
  • Perform unit testing and complex debugging to ensure accuracy and reliability of EDI transactions.
  • Troubleshoot issues, manage existing integrations, and support the ongoing operation of the EDI environment.
Other
  • Utilize all capabilities to satisfy one mission- to enhance the competitiveness and profitability of our members. Do everything possible to help members succeed by being curious and striving to understand what others are trying to achieve, planning, and executing work helpfully and collaboratively. Be willing to adjust efforts to ensure that work and attitude are helpful to others, be self-accountable, create a positive impact, and be diligent in delivering results.
  • Maintain internet speed of 40 MB download and 10 MB upload and router with wired Ethernet.
  • Maintain a HIPAA compliant workstation and utilize appropriate security techniques to ensure HIPAA required protection of all confidential/protected client data.
  • Maintain and service safety equipment (e.g., smoke detector, fire extinguisher, first aid kit).
  • All other duties as assigned.
Physical Demands/Work Environment
The physical demands and work environment described here represent those that an employee must meet to successfully perform this job's essential functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to communicate with others. The employee frequently is required to move around the office. The employee is often required to use tools, objects, and controls. This noise level in the work environment is usually moderate.
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