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Edi Enrollment Analyst Jobs (NOW HIRING)

Valid8 Financial, Inc.

EDI Analyst

Plano, TX · On-site

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

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 ...

Parkland Health

EDI Interoperability Analyst Responsible for the design, implementation, maintenance, and ... Collaborates with analytics, claims, enrollment, and provider teams to support business operations ...

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 ...

Core Clinical Partners

EDI Specialist

Lafayette, LA · On-site

Administer and maintain payor enrollments for Electronic Remittance Advice (ERA) and Electronic ... Analyze claim exceptions, rejections, and electronic edit trends to identify root causes and ...

Core Clinical Partners

EDI Specialist

Lafayette, LA · On-site

Administer and maintain payor enrollments for Electronic Remittance Advice (ERA) and Electronic ... Analyze claim exceptions, rejections, and electronic edit trends to identify root causes and ...

Spinnaker Search

EDI Specialist - 834

Wayne, PA · Remote

Use SQL to analyze enrollment and eligibility data, reconcile transactions, validate results ... Coordinate full-cycle EDI testing, including QA, regression, integration, and user acceptance ...

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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.

Software Development Engineer II - III (EDI Enrollment)

Salt Lake City, UT • On-site

Cambia Health Solutions
Health Care and Social Assistance • 1 - 5K employees
Learn more about Cambia Health Solutionsexternal

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 10 days ago

Cambia Health Solutions rating

8.4

Company rating: 8.4 out of 10

Based on 32 frontline employees who took The Breakroom Quiz

Job description

Software Development Engineer II - III (EDI Enrollment)
Hybrid role (3 days/week in office) at our Burlington, Renton, Spokane, Vancouver, Portland, Medford, Salt Lake City, Boise, Lewiston, or Fargo offices.
Candidates must reside within commutable distance of that location or be willing to relocate.
Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.
Who We Are Looking For:
Every day, Cambia's dedicated team of Software Development Engineers are living our mission to make health care easier and lives better. As a member of the Software Development Engineering team, our Software Development Engineers participate in a cross-team environment for the delivery and maintenance of application systems. They are responsible for programming, debugging, building, deploying, testing, and documentation of applications in development and production environments, as well as database design and system testing and documentation. This position provides technical, interpersonal, and administrative skills in performing day-to-day work - all in service of making our members' health journeys easier.
Do you thrive as a part of a collaborative, caring team? Then this role may be the perfect fit.
What You Bring to Cambia:
Qualifications:
The Software Development Engineer II would have a Bachelor's degree in Computer Science, Mathematics, Business Administration, Engineering, or a related field and at least 3 years relevant experience in a multi-platform environment.
The Software Development Engineer III would have a Bachelor's degree in Computer Science, Mathematics, Business Administration, Engineering, or a related field and at least 5 years relevant experience in a multi-platform environment
Skills and Attributes:
  • Communicates clearly in a timely manner in both verbal and written communication.
  • Comfortable working in a remote and/or distributed team environment, and proficient in asynchronous communication tools such as Microsoft Teams or Slack.
  • Able to work well with business customers, as well as engineering and technical partners.
  • Able to take direction, in analyzing and solving program and system issues.
  • Familiar with core technologies and methodologies used by the team.
  • Able to analyze, diagnose, and resolve simple programming problems and system coordination issues.
  • Able to work with minimum direction.
  • Able to plan and manage their own work.
  • Communicate effectively with peers.
  • Familiar with Test Driven Development (TDD) and Behavior Driven Development (BDD) including unit and behavior test creation.
  • Follows corporate and departmental coding standards and guidelines.
  • Able to learn continuous integration and continuous deployment (CI/CD) practices.
  • Able to learn containerization technologies and orchestration tools.
  • Able to learn RESTful and/or GraphQL API (Application Programming Interface) design and best practices.
  • Applies software security best practices.
  • Familiarity with defensive programming, OWASP top 10 to mitigate injection vulnerabilities, cross-site scripting (XSS), server side request forgery (SSRF). Familiar with authentication principles, security hygiene and data stewardship.
  • Depending on business area, demonstrated experience of building Data pipelines: Data Exchange, Cleansing, Validation, Standardization, Search and Ranking based on Data Science.
  • Ability to collaborate openly with all partners/audiences while solving technical problems.
  • Ability to lead groups of business customers and external technology partners.
  • Ability to establish clarity from uncertainty and break down complex, open-ended problems.
  • Excellent communication skills and the ability to collaborate effectively with technical and non-technical stakeholders.
  • Anticipates problems and defines creative alternatives proactively.
  • Deep experience with multiple technologies.

Preferred Skills:
  • Java
  • Python
  • Tomcat
  • Jenkins
  • Web Services
  • XML
  • SQL/Data Warehouse integrations

Good to have:
  • Experience with Facets platform
  • Edifecs
  • EDI
  • Test Automation

What You Will Do at Cambia:
  • Develops and/or directs the creation of efficient and maintainable program code.
  • Belongs and contributes to multiple Communities of Practice and may hold more than one Team Champion role.
  • Develops efficient and effective program and system solutions in solving highly complex business problems.
  • Develops highly complex programs and systems in support of business processes and objectives.
  • Understands, directs, and participates in deliverables required by approved Software Development Lifecycles.
  • Expected to contribute to process improvement.
  • Determines and/or directs system design and prepares work estimates for development or changes for multiple work efforts.
  • Prepares and/or directs the creation of program, system, operational and System documentation.
  • Seeks to improve policies and procedures.
  • Develops efficient and effective program and system solutions in solving complex business problems.
  • Contributes to Communities of Practice and may be identified to play a Team Champion role.
  • Provides consulting support for IT (Information Technology) and Business partners by researching, identifying, and resolving complex technical problems.
  • Meets established deadlines while maintaining a high level of quality. Negotiates changes to delivery dates.
  • Develops complex programs and systems in support of business processes and objectives.
  • Develops Cambia technology learning courses to capture and share knowledge.
  • Prepares and/or directs the creation of system unit test plans, test criteria, and test data.
  • Prepares and/or directs the creation of program, system, operational and System documentation.
  • Performs and/or directs testing and documents the results.

Pay ranges vary based on the candidate's work location. The expected hiring range depends on skills, experience, education, and training; relevant licensure / certifications; and performance history.
Software Development Engineer II:
  • Oregon, Washington, Utah, and Idaho: The expected hiring range is $87K - $109K, the full salary range is $87K - $142K, and the bonus target is 15%.
  • North Dakota: The expected hiring range is $81K - $106K, and the full salary range is $81K - $133K.

Software Development Engineer III:
  • Oregon, Washington, Utah, and Idaho: The expected hiring range is $104,000 - $131,000, the full salary range is $104,000 - $171,000, and the bonus target is 15%.
  • North Dakota: North Dakota: The expected hiring range is $90,000 - $119,000, and the full salary range is $90,000 - $149,000.

About Cambia
Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.
Why Join the Cambia Team?
At Cambia, you can:
  • Work alongside diverse teams building cutting-edge solutions to transform health care.
  • Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
  • Grow your career with a company committed to helping you succeed.
  • Give back to your community by participating in Cambia-supported outreach programs.
  • Connect with colleagues who share similar interests and backgrounds through our employee resource groups.

We believe a career at Cambia is more than just a paycheck - and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.
In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:
  • Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
  • Annual employer contribution to a health savings account.
  • Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
  • Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
  • Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
  • Award-winning wellness programs that reward you for participation.
  • Employee Assistance Fund for those in need.
  • Commute and parking benefits.

Learn more about our benefits.
We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.
As part of our security requirements, new hires will need access to a personal mobile device to set up Multi-Factor Authentication (MFA) upon joining the company. MFA is an important layer of protection for accessing Cambia systems and is required for all employees.
We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.
If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.

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