EDI Specialist

Rocky Mountain Reserve•Provo, UT

2d•$65,000 - $85,000•Remote

About The Position

We are a growing third party benefits administrator dedicated to helping companies manage their employee health benefits. In this role, you will be the primary technical lead for our data exchange ecosystem, ensuring that enrollment and contribution data for FSA, HSA, HRA, and COBRA plans flow seamlessly between employers, carriers, and our administration platform. As part of a small, collaborative team, this role requires versatility and ownership across a broad range of responsibilities from high-level partner onboarding to detailed troubleshooting of daily data file transmissions.

Requirements

Bachelor’s degree in Information Technology, Computer Science, or a related field.
3+ years in EDI, specifically within healthcare or benefits administration
Knowledge of health benefits (HSA, FSA, HRA, COBRA) and the life events that trigger data changes.
A self-starter comfortable in a small-business environment where you own the process from start to finish.
Strong mastery of ANSI X12 standards, specifically 834 (Enrollment) and ideally 820 (Premium Payments).
Hands-on experience with EDI translation tools and SQL for data validation.

Responsibilities

Configure, validate, and monitor EDI 834 (Enrollment and Maintenance) transactions to ensure accurate processing of new hires, qualifying life events, and terminations across all benefit plans.
Lead the technical implementation and onboarding of new employer groups and insurance carriers, establishing secure data exchange connections via SFTP, AS2, or other approved protocols.
Ensure all data exchanges meet strict HIPAA security standards to protect Protected Health Information (PHI).
Develop, test, and maintain EDI maps and transformation rules to translate incoming employer and payroll data into standardized system formats, ensuring data integrity and consistency.
Proactively identify and resolve file rejections or data mismatches before they impact employee access to their health funds.
Collaborate closely with Account Management, Claims, and Operations teams to support a high-quality client experience and ensure accurate, timely data flow across systems.