EDI Benefits Analyst
About The Position
Start a new career as an EDI Benefits Analyst with Procare HR! At Procare HR, we're on a mission to transform workforce outcomes for care providers through our industry-focused HR services model. We offer comprehensive HR services, including payroll processing, benefits administration, workers compensation management, and general HR support. Our core values drive our culture, emphasizing positivity, curiosity, accountability, gratitude, and growth. As the EDI Benefits Analyst, you will serve as the primary owner and auditor of client benefit eligibility and enrollment data transmitted via Electronic Data Interchange (EDI) file feeds. This role is responsible for analyzing, validating, and reconciling data originating from the HRIS system—including employee census data, benefit elections, plan mapping, rate changes, open enrollment data and payroll data—to ensure accurate and timely transmission to benefit carriers and vendors.
Requirements
- Associate or bachelor’s degree in human resources, information systems, data analytics, or a related field, preferred.
- Minimum of 5 years of experience supporting benefits eligibility, enrollment, or billing through EDI file feeds in an analytical, audit, or systems-focused role.
- Minimum of 5 years of experience with benefit technology platforms, including HRIS (Human Resources Information Systems), UKG Ready preferred.
- Familiarity with benefits enrollment processes, eligibility determination, benefits rules, and compliance requirements.
- Proficient in Microsoft Office Suite with expert proficiency in Excel.
Nice To Haves
- Previous experience in PEO, HR Shared Services, and/or HRIS consulting (Preferred).
Responsibilities
- Serve as the primary owner and auditor of client benefit eligibility and enrollment data transmitted via Electronic Data Interchange (EDI) file feeds.
- Analyzing, validating, and reconciling data originating from the HRIS system—including employee census data, benefit elections, plan mapping, rate changes, open enrollment data and payroll data—to ensure accurate and timely transmission to benefit carriers and vendors.
Benefits
- Health insurance with company paid premium for employee only coverage
- FSA and HSA options available
- Company paid dental insurance for employee only coverage
- Company paid life insurance
- Company paid short- and long-term disability insurance
- A 401K plan with company match and safe harbor contribution
- Paid Time Off
- Additional ancillary benefits including Vision, Critical Illness, Voluntary Life/AD&D, and Accident
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
