EDI Compliance & Data Integrity Analyst

ICW Group; Carmel Point (CA); On-site; USD 31,000 - 49,000; Full time

Benefits offered by this job

Competitive benefits package

401K retirement plan with companymatch

Paid time off

Paid holidays

Professional development support

Bonus potential

Job summary

ICW Group seeks an EDI/Compliance Analyst to support the EDI program across jurisdictions and lines of business. The role focuses on data quality, reporting efficiency, and regulatory adherence, collaborating with Claims, IT, and auditors.

Ideal candidates bring data analysis skills, MS Office proficiency, and a familiarity with Medicare/Section 111 reporting. This is an on-site California position with competitive salary and benefits.

Qualifications

• High school diploma or GED required; associate degree preferred.
• Familiarity with EDI, Medicare reporting, and regulatory compliance.
• Minimum 2+ years in claims insurance or related field is preferred.
• Strong data analysis, documentation, and communication skills.

Responsibilities

• Supports regulatory reporting, research, and compliance data management.
• Reconciles daily FROI/SROI and analyzes data for accuracy and timeliness.
• Monitors EDI queues, assists in backlog clearance, and supports CMS reporting.
• Collaborates with Claims and IT teams to resolve data discrepancies.
• Assists with trainings and maintains up-to-date EDI documentation.

Skills

Analytical thinking

Attention to detail

Data entry

Documentation

Communication skills

MS Office proficiency

Education

High school diploma or GED

MSPA accreditation (preferred)

Tools

Microsoft Office Suite

Compliance software

EDI tools

Job description

ICW Group seeks an EDI/Compliance Analyst to support the EDI program across jurisdictions and lines of business. The role focuses on data quality, reporting efficiency, and regulatory adherence, collaborating with Claims, IT, and auditors.

Ideal candidates bring data analysis skills, MS Office proficiency, and a familiarity with Medicare/Section 111 reporting. This is an on-site California position with competitive salary and benefits.