Rocky Mountain Reserve logo
Rocky Mountain Reserve

Rocky Mountain Reserve is a premier provider and administrator of employer-sponsored reimbursement benefit plans.

EDI Specialist

GeneralGeneralFull TimeRemoteSeniorTeam 11-50Since 2009H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

53 days ago

Salary

$65K - $85K / year

Seniority

Senior

Bachelor Degree3 yrs expEnglishSQL

Job Description

EDI Specialist

Rocky Mountain Reserve

• 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.

Job 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

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