Lead EDI Specialist

PrincePerelson and Associates; Salt Lake City (UT); On-site; USD 110,000 - 140,000; Full time

Benefits offered by this job

PTO 22 days

Health insurance

HSA match

401(k) match

Long-term disability

Life insurance

On-site then remote

Job summary

PrincePerelson & Associates is seeking a Lead EDI Specialist to oversee healthcare EDI operations, manage trading partner integrations, and drive improvements in data exchange processes.

The role requires strong healthcare EDI expertise, HIPAA knowledge, and experience with 837, 835, 270/271, and 278 transactions. You will lead onboarding, testing, and ongoing support, collaborate with cross-functional teams, and mentor staff.

Qualifications

• Bachelor’s degree in IT or a related field or equivalent experience.
• Strong experience with healthcare EDI transactions and HIPAA standards.
• Experience with trading partner implementations, vendor management and production support.
• Strong analytical, troubleshooting, communication, and organizational skills.

Responsibilities

• Oversee healthcare EDI processes, transaction monitoring, and production support.
• Serve as a subject matter expert for 837, 835, 270/271, and 278 transactions.
• Manage vendor, clearinghouse, and trading partner relationships.
• Lead partner onboarding, testing, implementation, and ongoing support.
• Troubleshoot transaction failures, integration issues, and data discrepancies.
• Maintain technical documentation, procedures, and EDI standards.
• Identify opportunities to improve automation, data quality, and process efficiency.
• Collaborate with cross-functional teams and provide guidance on EDI best practices.

Skills

Healthcare EDI expertise

Analytical thinking

Communication skills

Organizational skills

Troubleshooting

Vendor management

Education

Bachelor's degree in IT or related field

Tools

EDI platforms

SFTP

APIs

XML/JSON

Linux

Job description

We’re looking for a Lead EDI Specialist to oversee healthcare EDI operations, manage trading partner integrations, and drive improvements in data exchange processes. This role is ideal for someone with strong healthcare EDI expertise who enjoys solving complex issues, managing vendor relationships, and improving operational efficiency.

• ResponsibilitiesOversee healthcare EDI processes, transaction monitoring, and production support.
• Serve as a subject matter expert for 837, 835, 270/271, and 278 transactions.
• Manage vendor, clearinghouse, and trading partner relationships.
• Lead partner onboarding, testing, implementation, and ongoing support.
• Troubleshoot transaction failures, integration issues, and data discrepancies.
• Maintain technical documentation, procedures, and EDI standards.
• Identify opportunities to improve automation, data quality, and process efficiency.
• Collaborate with cross-functional teams and provide guidance on EDI best practices.
• RequirementsBachelor’s degree in IT or a related field, or equivalent experience.
• Strong experience with healthcare EDI transactions and HIPAA standards.
• Experience with trading partner implementations, vendor management, and production support.
• Strong analytical, troubleshooting, communication, and organizational skills.
• Preferred ExperienceHealthcare payer operations.
• SFTP, APIs, XML, JSON, flat files, or EDI integration platforms.
• Linux and 834 enrollment files.
• Claims, eligibility, enrollment, authorization, or payment workflows.
• Benefits & Work Schedule22 days of PTO per year to start, increasing with tenure.
• 8.5 paid holidays annually.
• Employer-paid employee medical, prescription, and dental insurance.
• 401(k) with a 100% employer match on employee contributions up to 6% of eligible regular earnings.
• HSA with a 100% employer match up to $1,500 per plan year for eligible employees enrolled in the medical plan.
• Employer-paid long-term disability and life insurance.
• On-site initially, with the opportunity to work from home three days per week after six months of employment.

Work Schedule: On-site initially, with the opportunity to work from home three days per week after six months of employment.

PrincePerelson & Associates is an Equal Opportunity Employer and complies with all provisions of the EEO and ADA laws. We do not discriminate in our employment practices on the basis of race, color, religion, national origin, sex (including sexual orientation and sexual identity), age, genetic information, parental status, military status, disability, or any non-merit-based factors or other federal, state, or locally protected class. All applicants applying for U.S. job openings must be authorized to work in the United States.