EDI Data Analyst- Lead

Job Overview:

Pay Range: $21.30hr - $26.30hr

Requirement/Must Have:

• Demonstrated experience working with data, file processing, EDI, eligibility, enrollment, or another technical/transactional environment.
• Strong attention to detail and ability to identify data inconsistencies.
• Basic to intermediate Excel skills.
• Ability to troubleshoot issues and follow documented technical processes.
• Ability to work independently while meeting production deadlines and service expectations.
• Strong analytical and problem-solving skills.
• Comfortable working with electronic data files and data-intensive processes.
• Ability to identify, research, and troubleshoot data discrepancies or processing errors.
• Strong organizational and time-management skills.
• Ability to manage multiple priorities in a production environment.
• OIG/GSA/OFAC Exclusion Screenings must be completed prior to placement/start date.
• Completion of mandatory compliance training including General Compliance, HIPAA, Fraud, Waste, and Abuse, Conflict of Interests, and Security Awareness.
• Completion of Model of Care, ODAG, and CA Fair Claims training.

Responsibilities:

• Provide seasonal production support within the Membership Operations team, primarily supporting electronic eligibility file processing.
• Monitor and manage incoming eligibility files.
• Review processing results and exceptions.
• Troubleshoot file and data issues.
• Assist with ensuring eligibility updates are processed accurately and timely.
• Work within established eligibility processes and systems to identify patterns or discrepancies.
• Research issues and follow technical processes.

Nice to Have:

• Previous EDI or electronic file-processing experience.
• Experience with healthcare eligibility, enrollment, benefits, insurance, or similar data.
• Familiarity with eligibility file formats, including ANSI 834.
• Experience working in a high-volume production environment.
• Strong technical aptitude and curiosity when researching problems.

Skills:

• EDI.
• Data Analysis.
• Microsoft Excel.
• ANSI 834.
• Electronic Eligibility File Processing.
• Troubleshooting.
• Problem-Solving.

Qualification And Education:

• Relevant hands-on experience and technical aptitude in a data-processing or EDI role.
• 1-3+ years of experience in a data-processing, EDI, eligibility/enrollment, operations, or similarly technical role.