Healthcare EDI Implementation Analyst/Specialist

Cobalt Benefits Group LLC; Nashville (TN); Presencial; USD 65.000 - 90.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Fantastic medical, dental, and vision

Twice annual employer HSA contributed

Company provided Basic Life and AD&D

Company paid Short-Term and Long-Term

Flexible Spending Accounts

401(k) Retirement Plan with employer-m

10+ paid holidays

Fully Paid half day Summer Fridays

Generous paid vacation and sick time

Annual Paid Volunteer Day

Annual Tuition Reimbursement

Annual Health and Wellness Reimb

Descripción de la vacante

Cobalt Benefits Group in Nashville, TN is seeking an EDI Implementation Analyst to lead the full lifecycle of healthcare EDI implementations, from requirements gathering through post-production stabilization.

This role partners with clients, health plans, vendors, and internal teams to translate business needs into accurate, scalable file solutions and to ensure timely, compliant data exchange.

Formación

• 3–4 years of experience supporting healthcare EDI implementations or related operations.
• Working knowledge of HIPAA X12 transactions; enrollment and claims data preferred.
• Experience gathering requirements, interpreting companion guides, and documenting mappings.
• Proven ability to develop test scenarios, validate files, reconcile data, and analyze root causes.
• Strong project coordination, organization, and communication across multiple stakeholders.
• Familiarity with secure file transfer, ETL concepts, SQL or data-query tools, and Visual Studio.
• Self-starter with attention to detail and proactive problem solving.

Responsabilidades

• Lead EDI implementations from intake through post-production stabilization.
• Gather and document business, technical, and operational requirements with clients and stakeholders.
• Analyze companion guides, file layouts, and source data to define mappings and rules.
• Coordinate file configurations with programming and technical teams.
• Create test plans, validate test files, reconcile results, and log defects.
• Facilitate client testing, track issues, and obtain implementation approvals.
• Prepare go-live documentation and coordinate production deployment.
• Perform data reconciliation and root-cause analysis on enrollment and claims data.
• Maintain mapping specs, SOPs, and handoff materials.
• Identify opportunities to standardize practices and improve data quality.

Conocimientos

Project coordination

Communication

Requirements gathering

Attention to detail

Organization

Herramientas

Visual Studio

SQL

ETL concepts

Secure file transfer

Descripción del empleo

Description

The EDI Implementation Analyst will coordinate and support the full lifecycle of healthcare EDI implementations, from requirements gathering and data mapping through testing, deployment, and post-production stabilization. Reporting to the EDI Director, this role will partner with clients, health plans, vendors, and internal technical and operational teams to translate business requirements into accurate, scalable file solutions. The EDI Implementation Analyst will analyze enrollment and claims data, validate file configurations and results, manage implementation milestones and risks, and serve as a subject-matter resource to promote accurate, timely, and compliant data exchange.

Responsibilities

• Lead assigned EDI implementations from intake through post-production stabilization, maintaining requirements, milestones, dependencies, risks, and status updates
• Gather and document business, technical, and operational requirements with clients, health plans, vendors, and internal stakeholders
• Analyze companion guides, file layouts, and source data to define mappings, validations, transformations, and processing rules
• Coordinate file configuration and development activities with programming and technical teams, clarifying requirements and resolving implementation questions
• Create test plans, produce and validate test files, reconcile results, document defects, and confirm that acceptance criteria are met
• Facilitate client and partner testing, communicate findings, track issue resolution, and obtain implementation approvals
• Prepare implementation readiness and go-live documentation, coordinate production deployment, and monitor initial production file cycles
• Perform production data reconciliation and root-cause analysis to resolve enrollment, claims, and file-transfer discrepancies
• Maintain implementation documentation, mapping specifications, decision logs, standard operating procedures, and handoff materials
• Identify opportunities to standardize implementation practices, strengthen controls, and improve data quality and delivery timeliness
• Provide implementation guidance and knowledge transfer to enrollment, claims, operations, and support teams
• Support team coverage and complete other implementation projects as assigned by management

Requirements

• Three to four years of experience supporting healthcare EDI implementations, integrations, or production operations
• Working knowledge of HIPAA X12 transactions, with experience in enrollment and claims data preferred
• Experience gathering requirements, interpreting companion guides and file layouts, and documenting mapping and processing rules
• Demonstrated ability to develop test scenarios, validate files, reconcile data, document defects, and perform root-cause analysis
• Strong project coordination, organization, and communication skills, including the ability to manage multiple implementations and stakeholder priorities
• Familiarity with secure file transfer, ETL concepts, SQL or data-query tools, and development environments such as Visual Studio
• Self-starter with strong attention to detail and the ability to resolve complex implementation and data issues with minimal direction

Benefits

After successfully completing a waiting period, eligible Full-time employees have access to our comprehensive benefits package, including:

• Fantastic medical, dental, and vision insurance*
• Twice annual employer HSA contributions, covering 50% of the HDHP plan’s annual deductible!
• Company provided Basic Life and AD&D
• Company paid Short-Term and Long-Term Disability**
• Flexible Spending Accounts*
• 401(k) Retirement Plan with up to a 6% employer-match** WOW! (100% fully vested after 3 years)
• 10+ paid holidays
• Fully Paid half day Summer Fridays
• Generous paid vacation and sick time
• Annual Paid Volunteer Day
• Annual Tuition Reimbursement
• Annual Health and Wellness Reimbursement
• Lots of fun company events

*60 day waiting period

**90 day waiting period

Who We Are

Cobalt Benefits Group has been named one of the Best Companies to Work for in NH 2026 by NH Business Magazine! As a trusted third-party administrator (TPA) specializing in self-funded benefit plans, Cobalt Benefits Group (CBG) is committed to helping employers find high-quality coverage at a cost they can afford. We administer self-funded insurance benefits through our four lines of business: EBPA, Blue Benefit Administrators of Massachusetts, CBA Blue, and Great Bay Administrators. With over 30 years of experience and a dedicated team of more than 300 employees, we work collaboratively to build customized self-funded health plans, manage claim payments and disputes, and administer other specialized programs such as FSAs, HSAs, COBRA, and retiree billing. Join us as we match employers across our region with the right solutions for their employee benefit needs. To learn more about working at CBG, visit https://www.cobaltbenefitsgroup.com/careers/.

Cobalt Benefits Group is an Equal Employment Opportunity employer.

Cobalt Benefits Group participates in E-Verify to confirm the employment eligibility of all new hires.