EDI Enrollment Analyst (834) & Data Automation

Health Plans, Inc.; Westborough (MA); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical, Dental, Vision & Prescription

Fitness Reimbursement

Employee Assistance Program

FSA & HSA

401(k) & Bonuses

Generous PTO & volunteering

Educational Assistance

Job summary

Health Plans, Inc. is seeking an Electronic Enrollment Analyst to design, analyze, implement, support and maintain 834 EDI interfaces and the online enrollment portal. You will implement scalable solutions to prepare for future growth.

The role requires an Associate degree or equivalent and at least 3 years of enrollment/TPA experience with 834 EDI. Strong analytical skills, attention to detail, and proficiency with Microsoft Office are essential.

Qualifications

• Associate degree or equivalent work experience.
• 3+ years of related experience; experience at a TPA preferred.
• Experience with ANSI 834 EDI transaction sets preferred.
• Working knowledge of HIPAA privacy and security rules.
• Strong quantitative and analytic skills; detail-oriented.
• Confidentiality of work materials; highly organized.
• Proficiency with Word, Excel, Outlook, PowerPoint and Teams.
• Ability to communicate effectively and meet deadlines.
• Ability to work independently and in a team.
• Prioritize and multitask efficiently.

Responsibilities

• Develop and maintain programs and processes that manage inbound enrollment data.
• Configure various applications to facilitate consistent and optimal performance related to enrollment activities.
• Serve as a liaison for internal & external technical staff and business areas to set up enrollment data transfer processes in a timely manner.
• Coordinate 834 EDI testing and trading partner implementation initiatives.
• Respond to inquiries regarding 834 EDI technical transfers and online enrollment activities.
• Assess older setups, offering suggestions/automating improvements.
• Assist with analyzing, designing, and developing specifications for enhancements with 834 EDI interfaces.
• Investigate, test and provide feedback on new processes and issues.
• Troubleshoot existing applications.
• Identify opportunities to improve job functions and automation.

Skills

834 EDI

Analytical skills

Communication

Team player

Education

Associate degree or equivalent

3+ years in TPA/related

Tools

Microsoft Office

Job description

Health Plans, Inc. is seeking an Electronic Enrollment Analyst to design, analyze, implement, support and maintain 834 EDI interfaces and the online enrollment portal. You will implement scalable solutions to prepare for future growth.

The role requires an Associate degree or equivalent and at least 3 years of enrollment/TPA experience with 834 EDI. Strong analytical skills, attention to detail, and proficiency with Microsoft Office are essential.