EDI Specialist

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Rocky Mountain Reserve

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2009

⚕️ Healthcare Insurance

💳 Fintech

🤝 B2B

Healthcare Insurance • Fintech • B2B

Rocky Mountain Reserve is a benefits administration company that offers a range of services including Flexible Spending Accounts (FSA), Health Savings Accounts (HSA), Health Reimbursement Arrangements (HRA), and COBRA administration. With over 71 years of combined experience in relationship management, the company prioritizes customer satisfaction and has successfully administered over 207,000 plans. Rocky Mountain Reserve aims to provide employers and participants with efficient support and resources to maximize their benefits.

📋 Description

• Configure, validate, and monitor EDI 834 (Enrollment and Maintenance) transactions to ensure accurate processing of new hires, qualifying life events, and terminations across all benefit plans. • Lead the technical implementation and onboarding of new employer groups and insurance carriers, establishing secure data exchange connections via SFTP, AS2, or other approved protocols. • Ensure all data exchanges meet strict HIPAA security standards to protect Protected Health Information (PHI). • Develop, test, and maintain EDI maps and transformation rules to translate incoming employer and payroll data into standardized system formats, ensuring data integrity and consistency. • Proactively identify and resolve file rejections or data mismatches before they impact employee access to their health funds. • Collaborate closely with Account Management, Claims, and Operations teams to support a high-quality client experience and ensure accurate, timely data flow across systems.

🎯 Requirements

• Bachelor’s degree in Information Technology, Computer Science, or a related field. • 3+ years in EDI, specifically within healthcare or benefits administration • Knowledge of health benefits (HSA, FSA, HRA, COBRA) and the life events that trigger data changes. • A self-starter comfortable in a small-business environment where you own the process from start to finish. • Strong mastery of ANSI X12 standards, specifically 834 (Enrollment) and ideally 820 (Premium Payments). • Hands-on experience with EDI translation tools and SQL for data validation.

🏖️ Benefits

• Health/Dental/Vision Coverage • 401k with employer match • Generous PTO & Paid Holidays • A Monday-Friday Schedule (No nights or weekends) • Opportunity for growth and development