PrincePerelson and Associates

Lead EDI Specialist
Salt Lake City, UT
We’re looking for a Lead EDI Specialist to oversee healthcare EDI operations, manage trading partner integrations, and drive improvements in data exchange processes. This role is ideal for someone with strong healthcare EDI expertise who enjoys solving complex issues, managing vendor relationships, and improving operational efficiency.
<ul>
<li>Responsibilities
Oversee healthcare EDI processes, transaction monitoring, and production support.
</li>
<li>Serve as a subject matter expert for 837, 835, 270/271, and 278 transactions.
</li>
<li>Manage vendor, clearinghouse, and trading partner relationships.
</li>
<li>Lead partner onboarding, testing, implementation, and ongoing support.
</li>
<li>Troubleshoot transaction failures, integration issues, and data discrepancies.
</li>
<li>Maintain technical documentation, procedures, and EDI standards.
</li>
<li>Identify opportunities to improve automation, data quality, and process efficiency.
</li>
<li>Collaborate with cross-functional teams and provide guidance on EDI best practices.
</li>
<li>Requirements
Bachelor’s degree in IT or a related field, or equivalent experience.
</li>
<li>Strong experience with healthcare EDI transactions and HIPAA standards.
</li>
<li>Experience with trading partner implementations, vendor management, and production support.
</li>
<li>Strong analytical, troubleshooting, communication, and organizational skills.
</li>
<li>Preferred Experience
Healthcare payer operations.
</li>
<li>SFTP, APIs, XML, JSON, flat files, or EDI integration platforms.
</li>
<li>Linux and 834 enrollment files.
</li>
<li>Claims, eligibility, enrollment, authorization, or payment workflows.
</li>
<li>Benefits &amp; Work Schedule
22 days of PTO per year to start, increasing with tenure.
</li>
<li>8.5 paid holidays annually.
</li>
<li>Employer-paid employee medical, prescription, and dental insurance.
</li>
<li>401(k) with a 100% employer match on employee contributions up to 6% of eligible regular earnings.
</li>
<li>HSA with a 100% employer match up to $1,500 per plan year for eligible employees enrolled in the medical plan.
</li>
<li>Employer-paid long-term disability and life insurance.
</li>
<li>On-site initially, with the opportunity to work from home three days per week after six months of employment.
</li>
</ul>
Work Schedule:
On-site initially, with the opportunity to work from home three days per week after six months of employment.
PrincePerelson &amp; Associates is an Equal Opportunity Employer and complies with all provisions of the EEO and ADA laws. We do not discriminate in our employment practices on the basis of race, color, religion, national origin, sex (including sexual orientation and sexual identity), age, genetic information, parental status, military status, disability, or any non-merit-based factors or other federal, state, or locally protected class. All applicants applying for U.S. job openings must be authorized to work in the United States.

Lead EDI Specialist

Lead EDI Specialist

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