EDI Specialist

Key Responsibilities

• 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.
• Partner Onboarding & Integration: 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.
• Cross-Functional Collaboration: Collaborate closely with Account Management, Claims, and Operations teams to support a high-quality client experience and ensure accurate, timely data flow across systems.

Key Qualifications

• 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.

About Us

We are a growing third party benefits administrator dedicated to helping companies manage their employee health benefits. At Rocky Mountain Reserve, we provide employee benefits to other companies as a service, focusing on enabling employees to save money for needed healthcare costs through Flexible Spending Accounts (FSA), Health Savings Accounts (HSA), and COBRA. Our mission is to make the world of health benefits easier to understand and simpler to navigate. We pride ourselves on our customer service team, which plays a crucial role in our success and growth. As we continue to expand, we are seeking a dynamic and experienced Customer Service Manager to join our team and contribute to our mission of delivering exceptional customer service.

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
• The chance to be a part of a growing company that values customer service

Schedule

A Monday-Friday Schedule (No nights or weekends)