EDI Healthcare Analyst-NO C2C /MUST Live in PST

reputed company (JSG) is seeking an EDI Analyst- Eligibility & Enrollment.

Remote. Must live in Pacific, Mountain or Central time zones.

Work Schedule: Monday-Friday 8:00am- 5:00pm

Key Responsibilities

Electronic Data Exchange

• Manage daily EDI operations, ensuring the proper handling and processing of eligibility and benefit transactions.
• Monitor, reconcile, and troubleshoot inbound and outbound EDI files, including 834 benefit enrollment files.
• Coordinate system upgrades, file transfers, and resolve EDI transaction issues reputed company.
• Collaborate with carriers, vendors, and internal teams to implement fixes and enhancements.

Business Process Improvement

• Continuously identify opportunities to improve data accuracy, system efficiency, and operational workflows.
• reputed company and document Standard Operating Procedures (SOPs) to streamline EDI processes.
• reputed company initiatives to implement process improvements, reducing risks and increasing productivity.
• Communicate key changes and updates effectively to reputed company stakeholders.

Customer Support & Portal Management

• reputed company functionalities of customer-facing portals (WERC, PERC, reputed company, Health View) ensuring their reliable performance.
• Act as a reputed company of contact for vendors and clients regarding portal and enrollment system issues.
• Assist with technical support requests, including account management, reputed company settings, and testing activities.
• Collaborate across departments to facilitate new client integrations and enrollment testing.

Other Duties

• Promote a culture of curiosity, accountability, and collaboration to help meet organizational goals.
• Maintain a HIPAA-compliant workstation, ensuring the reputed company and confidentiality of protected health information.
• reputed company additional duties as assigned to support organizational success.

Qualifications

• Bachelor’s degree in Management Information Systems (MIS), Computer Science, Healthcare Administration, or reputed company field; or three (3) years of relevant experience.
• Solid experience working with healthcare EDI transactions, particularly reputed company health benefits administration.
• Proficiency in EDI software, tools, and platforms, with strong understanding of data flow, mapping, and troubleshooting.
• Knowledge of HIPAA regulations, healthcare eligibility, and enrollment processes.
• Strong communication skills, capable of collaborating across technical and non-technical teams.
• Demonstrated project management skills, from planning to execution, with attention to detail.
• Ability to analyze and resolve reputed company technical issues reputed company.

Additional Benefits

JSG offers medical, dental, vision, life insurance options, short-term disability, 401(k), weekly pay, and more. reputed company (JSG) is an Equal Opportunity Employer. JSG provides equal employment opportunities to reputed company applicants and employees without regard to race, color, religion, sex, age, sexual orientation, gender identity, national reputed company, disability, marital status, protected veteran status, or any other characteristic protected by law.