Healthcare EDI Implementation Analyst/Specialist

Cobalt Benefits Group, LLC (DBA: Blue Benefit Administrators, CBA Blue & EBPA)

. Lead assigned EDI implementations from intake through post-production stabilization .

Posted 10/9/2026full-timeRemote • Texas • United StatesMid-LevelSenior💰 $62,000 - $70,500 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in leading EDI implementations within the healthcare sector, focusing on HIPAA X12 transactions, data reconciliation, and project coordination. Proficient in gathering requirements, developing test plans, and facilitating client testing to ensure successful implementation and operational stability.

Highest-signal resume keywords

EDI Implementation LeadershipHIPAA X12 TransactionsData ReconciliationProject CoordinationRequirements Gathering

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Requirements GatheringData MappingTest Plan DevelopmentRoot-Cause AnalysisFile Layout InterpretationValidation of Test FilesProcessing Rules DocumentationData Quality ImprovementImplementation DocumentationProduction Operations Support

Soft Skills

Strong Communication SkillsProject CoordinationAttention to DetailSelf-StarterOrganizational Skills

Tools & Technologies

SQLETL ConceptsSecure File TransferVisual StudioData-Query Tools

Industry Keywords

Healthcare EDIEnrollment DataClaims DataCompanion GuidesFile Transfer Discrepancies

Tech Stack

Tools & technologies

ETLSQL

About the role

Key responsibilities & impact

Lead assigned EDI implementations from intake through post-production stabilization
Maintain requirements, milestones, dependencies, risks, and status updates
Gather and document business, technical, and operational requirements
Analyze companion guides, file layouts, and source data to define mappings, validations, transformations, and processing rules
Coordinate file configuration and development activities with programming and technical teams
Create test plans, produce and validate test files, reconcile results, document defects, and confirm acceptance criteria
Facilitate client and partner testing, communicate findings, track issue resolution, and obtain implementation approvals
Prepare implementation readiness and go-live documentation
Coordinate production deployment and monitor initial production file cycles
Perform production data reconciliation and root-cause analysis for enrollment, claims, and file-transfer discrepancies
Maintain implementation documentation, mapping specifications, decision logs, standard operating procedures, and handoff materials
Identify opportunities to standardize implementation practices, strengthen controls, and improve data quality and delivery timeliness
Provide implementation guidance and knowledge transfer to enrollment, claims, operations, and support teams
Support team coverage and complete other implementation projects as assigned by management

Requirements

What you’ll need

Three to four years of experience supporting healthcare EDI implementations, integrations, or production operations
Working knowledge of HIPAA X12 transactions, with experience in enrollment and claims data preferred
Experience gathering requirements, interpreting companion guides and file layouts, and documenting mapping and processing rules
Ability to develop test scenarios, validate files, reconcile data, document defects, and perform root-cause analysis
Strong project coordination, organization, and communication skills
Ability to manage multiple implementations and stakeholder priorities
Familiarity with secure file transfer, ETL concepts, SQL or data-query tools, and development environments such as Visual Studio
Self-starter with strong attention to detail
Ability to resolve complex implementation and data issues with minimal direction
Must meet employment eligibility requirements; Cobalt Benefits Group participates in E-Verify

Benefits

Comp & perks

Website LinkedIn All Job Openings 51 - 200 employees 💼 Consulting ⚖️ Legal 🛡️ Insurance Consulting
Legal
Insurance Cobalt Benefits Group, LLC (DBA: Blue Benefit Administrators, CBA Blue & EBPA) is a full service Third Party Administrator (TPA) that specializes in the customization, marketing, and operation of self-funded employee benefit plans. With over 30 years of experience and a team of over 195 employees, CBG provides a wide array of products and services including self-funded medical and dental plans, Flexible Spending Accounts, Health Reimbursement Arrangements, and COBRA management. CBG aims to assist employers in building custom benefit plans while managing costs and ensuring compliance with regulations.