Electronic Data Interchange Specialist

1 month ago


philadelphia, United States Top Stack Full time

Our client is looking for an EDI Analyst to join their team. This person will be responsible for supporting benefit eligibility files.


Please note

This is a hybrid office position requiring candidates to work 3 days per week on site.

Visa Sponsorship is not currently available for this position.



Position Description:

  • Provides functional requirements to developers to implement the changes to EDI and proprietary file formats.
  • Reviews and approves technical specifications documents from developers.
  • Conducts thorough UAT of the requested changes.
  • Coordinates with the eligibility benefit partners and developers to resolve problems.
  • Supports new enrollments, changes, terminations, and annual enrollment benefit changes for interface files.
  • Provides Tier 2 support to Plan Operations team for member inquiries regarding enrollment data.
  • Supports ACA year end reporting


Requirements:

  • 8+ years of work experience.
  • 5+ years of experience with benefits administration.
  • Experience with using benefits administration software.
  • Strong QA testing methodology.



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