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Manager Edi 834 Enrollment Jobs (NOW HIRING)

Nutex Health

IT Systems & API Integration Manager

Support healthcare EDI transactions including: * 837 Claims * 835 Remittance * 270/271 Eligibility * 278 Authorization * 834 Enrollment files * Assist with provider roster management, membership ...

MetroPlusHealth

EDI Analyst

Manhattan, NY · On-site

$85K - $95K/yr

... 835, 834, 270, 271, 276, 277, 278) transactions and applications * Implement new and update ... Excellent written and verbal communication skills as well as strong project management and data ...

CYNET SYSTEMS

EDI Data Analyst- Lead

Mason, OH · On-site

$21.30 - $26.30/hr

Ability to manage multiple priorities in a production environment. OIG/GSA/OFAC Exclusion ... Experience with healthcare eligibility, enrollment, benefits, insurance, or similar data.

CYNET SYSTEMS

EDI Data Analyst- Lead

Mason, OH · On-site

$21 - $26/hr

Ability to manage multiple priorities in a production environment. * OIG/GSA/OFAC Exclusion ... ANSI 834. * Electronic Eligibility File Processing. * Troubleshooting. * Problem-Solving.

Beyond SOF

Java Applications Programmer

Baltimore, MD · On-site

Experience with EDI 834 enrollment transactions, including Adds, Changes, Terminations, Cancellations, and error processing. * Experience working with the Project Management Office (PMO) processes ...

E-talentnetwork

Sr. Enrollment Representative

M-F 8-5 The ideal candidate will have experience with 834 EDI, State (CA Client) and CMS files ... Highly desired experience includes the following - Managed Care experience - Medicare and Medicaid ...

Avispa Technology

Senior Enrollment Representative

$40/hr

Manage and analyze enrollment-related data, identifying discrepancies or issues. * Assist with ... Experience with 834 EDI transactions/files is preferred. * Experience working with CMS and ...

New

MetroPlusHealth

EDI Analyst

Manhattan, NY · Remote

$85K - $95K/yr

... 835, 834, 270, 271, 276, 277, 278) transactions and applications * Implement new and update ... Excellent written and verbal communication skills as well as strong project management and data ...

Avani Technology Solutions, Inc.

EDI Analyst

Orange, CA · On-site

... Managed Health Care background preferred. Exposure and understanding of utilization of analytical development concepts and methodologies. Minimum 1-2 years experience with EDI, ANSI X12N 837 & 834 ...

Avispa

Senior Enrollment Representative

$40/hr

Manage and analyze enrollment-related data, identifying discrepancies or issues. * Assist with ... Experience with 834 EDI transactions/files is preferred. * Experience working with CMS and ...

SISCO

Enrollment Processor

Dubuque, IA

As an Enrollment & EDI Processor, you will: * Process enrollments, terminations, and changes ... Strong knowledge of 834 EDI transactions, including loop structures, segments, and implementation ...

Cottingham & Butler

Enrollment Processor

Dubuque, IA · On-site

As an Enrollment & EDI Processor, you will: * Process enrollments, terminations, and changes ... Strong knowledge of 834 EDI transactions, including loop structures, segments, and implementation ...

Zelis

EDI Analyst

Saint Petersburg, FL

Manage multiple priorities, document best practices, ensure HIPAA compliance, and identify process ... 834, and 270/271 is a plus. * Strong understanding of the healthcare claims lifecycle, payment ...

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Manager Edi 834 Enrollment information

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$35.5K

$86.4K

$117K

How much do manager edi 834 enrollment jobs pay per year?

As of Aug 23, 2026, the average yearly pay for manager edi 834 enrollment in the United States is $86,379.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,000.00 and $116,500.00 per year, depending on experience, location, and employer.

What is the difference between Manager Edi 834 Enrollment vs EDI Specialist?

AspectManager Edi 834 EnrollmentEDI Specialist
CredentialsTypically requires knowledge of healthcare EDI standards, certifications like HIPAA, and experience with enrollment processesRequires understanding of EDI transactions, technical skills, and familiarity with healthcare data standards
Work EnvironmentSupervises teams, manages enrollment projects, and collaborates with healthcare providers and payersFocuses on EDI transaction processing, troubleshooting, and system support within healthcare or insurance companies
Employer & IndustryHealthcare insurance companies, third-party administrators, and healthcare providersHealth insurance firms, EDI service providers, and healthcare IT companies

The Manager Edi 834 Enrollment oversees enrollment processes and manages teams, while the EDI Specialist handles technical EDI transaction processing and support. Both roles require healthcare data knowledge but differ in scope and responsibilities.

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What cities are hiring for Manager Edi 834 Enrollment jobs?

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Manager Edi 834 Enrollment jobs near you
Infographic showing various Manager Edi 834 Enrollment job openings in the United States as of August 2026, with employment types broken down into 88% Full Time, 11% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $86,379 per year, or $41.5 per hour.

IT Systems & API Integration Manager

Nutex Health

Remote

Full-time

Posted 18 days ago

Job description

IT Systems & API Integration Manager

The purpose of the IT Systems & API Integration Specialist is to support and optimize the organization's healthcare technology infrastructure, system integrations, and data exchange processes to ensure efficient operations across the IPA/MSO environment. This position is responsible for maintaining and enhancing QuickCap and related healthcare systems, developing API integrations, improving data accuracy and automation, and supporting operational departments including claims, eligibility, contracting, credentialing, quality, and population health. The role helps ensure timely and secure exchange of healthcare data while supporting organizational growth, compliance, and operational efficiency within managed care and value-based healthcare programs.

JOB TYPE & WORK LOCATION

  • On-site - Alhambra, California
  • Full-time


ESSENTIAL DUTIES & RESPONSIBILITIES

  • Manage and support QuickCap system operations, maintenance, and troubleshooting
  • Develop, maintain, and monitor API integrations between internal systems, health plans, clearinghouses, and vendors
  • Support healthcare EDI transactions including:
    • 837 Claims
    • 835 Remittance
    • 270/271 Eligibility
    • 278 Authorization
    • 834 Enrollment files
  • Assist with provider roster management, membership files, capitation reports, and claims data imports/exports
  • Coordinate system integrations with health plans, MSOs, EMRs/EHRs, laboratories, and third-party vendors
  • Work with operations, claims, contracting, credentialing, and quality departments to improve workflows and automation
  • Troubleshoot system issues related to eligibility, authorizations, claims, encounters, and provider data
  • Create reports, dashboards, and automated data processes using SQL, Excel, or reporting tools
  • Monitor data integrity and ensure HIPAA compliance and data security standards are maintained
  • Support system upgrades, testing, implementation, and user training
  • Document technical processes, workflows, APIs, and integration specifications
  • Collaborate with vendors and internal leadership on IT initiatives and operational improvements
  • Assist with population health, RAF/HCC, quality measure, and care gap data integrations when needed

REQUIRED QUALIFICATIONS

  • Minimum 3-4 years of IT experience within:
    • IPA
    • MSO
    • Managed Care
    • Health Plan
    • Medical Group environment
  • Hands-on experience with QuickCap strongly preferred
  • Experience working with APIs, system integrations, and healthcare data exchange
  • Understanding of healthcare EDI formats and managed care operations
  • Knowledge of claims processing, eligibility, provider data, and capitation workflows
  • Experience with SQL queries, database management, and reporting tools
  • Familiarity with HIPAA compliance and healthcare data security standards
  • Strong analytical, troubleshooting, and problem-solving skills
  • Excellent communication and project coordination abilities
  • Ability to manage multiple projects and deadlines in a fast-paced healthcare environment

PREFERRED SKILLS/EXPERIENCE

  • Experience with:
    • HL7/FHIR integrations
    • API platforms
    • Clearinghouse integrations
    • Population health systems
    • Cozeva or healthcare analytics platforms
    • Microsoft SQL Server
    • Power BI or Tableau
  • Understanding of Medicare Advantage and Medi-Cal managed care operations
  • Experience supporting delegated healthcare environments

EDUCATION

  • Bachelor's degree in Information Technology, Computer Science, Healthcare Informatics, or related field preferred

PREFERRED CERTIFICATIONS

  • CompTIA A+, Network+, or Security+ certification preferred.
  • Microsoft SQL, Azure, or related database certification preferred.
  • Healthcare Information and Management Systems Society (HIMSS) preferred certification.
  • Relevant API, interoperability, or healthcare IT certifications preferred.

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