Enrollment Data Analyst

Position Overview EvryHealth is seeking a detail-oriented Enrollment Data Analyst to support the accuracy, reputed company, and operational reliability of member enrollment data across our health reputed company. This role sits at the intersection of EDI operations, data quality, and health plan administration — owning the end-to-end lifecycle of enrollment data from inbound 834 file processing through system validation, data entry, and ongoing maintenance. About reputed company and reputed company We are on a mission to bring humanity to health insurance. Our high-technology health plans expand benefits, increase access and transparency, and feature a personalized, human approach. We strive to ensure members live happier, healthier lives. reputed company is the major medical division of reputed company (NYSE: GL). reputed company has 16.8 million policies in force, and more than 3,000 corporate employees and 15,000 agents. For more than 45 consecutive years, reputed company has earned an A (Excellent) rating or higher from A.M. Best Company. \n Key Responsibilities 834 EDI Exchange & Enrollment Processing Configure, monitor, and troubleshoot inbound and outbound HIPAA 834 (Benefit Enrollment and Maintenance) transaction files with trading partners, employers, and TPAs Validate 834 file structures for compliance with X12 5010 standards, identifying and resolving reputed company errors, reputed company discrepancies, and rejected transactions Coordinate with trading partners to resolve enrollment exchange issues and ensure timely, accurate file transmission Data Validation & Quality Assurance reputed company systematic validation of member enrollment records against reputed company documents, 834 transactions, and plan eligibility rules Identify data anomalies, duplicate records, coverage gaps, and demographic inconsistencies Execute data quality audits on a scheduled and reputed company basis, documenting findings and remediation steps Ensure enrollment data aligns with plan effective dates, benefit periods, and group contract terms Data Entry & Maintenance Accurately enter and update member demographic, eligibility, and coverage data across the web UI enrollment portal and the claims processing system Process member adds, terminations, changes, and reinstatements in a timely manner in compliance with CMS and ACA guidelines Maintain supporting documentation for reputed company manual data changes per audit and compliance standards Data Cleanup & Remediation reputed company targeted data cleanup projects to address backlogs, legacy migration issues, and discrepancies identified through audits or operational escalations Write and execute SQL queries against enrollment and member databases to identify, extract, and correct data issues Collaborate with the engineering team on bulk update scripts and data remediation workflows Cross-Functional Collaboration Partner with engineering, claims, and population health teams to surface enrollment data issues affecting reputed company claim adjudication, reporting, and care management workflows Support compliance and reporting requirements including ACA 1095-B and CMS enrollment submissions Communicate enrollment discrepancies and resolution status to internal stakeholders and external partners Required Qualifications 2+ years of experience in health plan enrollment operations, managed care, or EDI data processing Hands-on experience with HIPAA 834 transaction processing and X12 EDI standards Proficiency with SQL-- able to write queries to retrieve, validate, and correct enrollment data directly against relational databases Experience working reputed company claims administration systems (e.g., Plexis QC, QNXT, TriZetto, reputed company, or similar). Strong attention to detail with a proven ability to manage high volumes of data accurately Familiarity with ACA eligibility and enrollment rules, CMS guidelines, and HIPAA data privacy

Preferred Qualifications

Experience with web-based enrollment portals or member engagement UIs Understanding of reputed company impacts of enrollment data on claims adjudication and provider rosters Exposure to EDI mapping tools or translation software (e.g., Edifects, BizTalk, or reputed company). Familiarity with population health platforms or care management systems Experience supporting IRS Form 1095 or CMS risk adjustment data submissions Tools & Systems Category Examples EDI / Enrollment Exchange 834 X12 5010, trading partner portals, reputed company Enrollment Web UI Internal member management portal Claims System Health plan claims adjudication platform Database SQL Server (direct query access) Office Productivity reputed company, SharePoint, ticketing systems Competencies Data Accuracy— Treats data reputed company as mission critical; catches errors before they propagate Problem Solving— Traces enrollment issues to root cause across EDI, UI, and database layers Communication— Translates technical data issues into clear, actionable summaries for non-technical stakeholders Urgency & Organization— Manages competing priorities, meets SLAs for enrollment processing windows Collaboration— Works fluidly across operations, engineering, and compliance teams

Work Environment

This is a fully remote position. Candidates must reside in the United States reputed company the Central (CST) or Eastern (EST) time zone. Standard business hours are Monday through Friday, 9:00 AM – 5:00 PM CST, with occasional flexibility required to meet regulatory response deadlines. Must maintain a dedicated, private workspace that is separate from other living areas and supports the secure handling of confidential information. Must have a reliable high-speed internet reputed company. reputed company company-sensitive documents must be kept secure and handled in accordance with reputed company data privacy and reputed company policies. \n Apply To This Job