Healthcare EDI Implementation Analyst/Specialist

Job not on LinkedIn

🔥 1 minute ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $62k - $70.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

👻 Ghost score 0%

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Cobalt Benefits Group, LLC (DBA: Blue Benefit Administrators, CBA Blue & EBPA)

WebsiteLinkedInAll Job Openings

51 - 200 employees

💼 Consulting

⚖️ Legal

🛡️ Insurance

Consulting • Legal • Insurance

Cobalt Benefits Group, LLC (DBA: Blue Benefit Administrators, CBA Blue & EBPA) is a full service Third Party Administrator (TPA) that specializes in the customization, marketing, and operation of self-funded employee benefit plans. With over 30 years of experience and a team of over 195 employees, CBG provides a wide array of products and services including self-funded medical and dental plans, Flexible Spending Accounts, Health Reimbursement Arrangements, and COBRA management. CBG aims to assist employers in building custom benefit plans while managing costs and ensuring compliance with regulations.

📋 Description

• Lead assigned EDI implementations from intake through post-production stabilization • Maintain requirements, milestones, dependencies, risks, and status updates • Gather and document business, technical, and operational requirements • 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 • Create test plans, produce and validate test files, reconcile results, document defects, and confirm acceptance criteria • 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 for 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 • Ability to develop test scenarios, validate files, reconcile data, document defects, and perform root-cause analysis • Strong project coordination, organization, and communication skills • 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 • Ability to resolve complex implementation and data issues with minimal direction • Must meet employment eligibility requirements; Cobalt Benefits Group participates in E-Verify

🏖️ Benefits

• 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 • 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 • Fun company events