EDI Coordinator

Job Description:

Overview

Now is the time to join us!

We’re Personify Health. We’re the first and only personalized health platform company to bring health, wellbeing, and navigation solutions together. Helping businesses optimize investments in their members while empowering people to meaningfully engage with their health. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we’re shaping a healthier, more engaged future.

Responsibilities

Who are you?

We’re looking for a detail-oriented and solutions-driven Technical Operations Specialist to join our team! In this role, you’ll be at the center of our data operations—monitoring electronic data flows, managing file processing, and ensuring the seamless movement of information across systems. You'll work closely with cross-functional teams to troubleshoot technical issues, support EDI file integrity, and help translate business requirements into actionable outcomes. If you thrive in a collaborative environment, enjoy solving complex problems, and have a strong grasp of data workflows and systems, we’d love to hear from you.

In this role you will wear many hats, but your knowledge will be essential in the following:

• Maintain an understanding of the workflows between operational departments
• Collaborate with cross-functional teams to identify, validate, and clarify business requirements, ensuring a comprehensive understanding of needs and expectations so that changes or new clients are implemented seamlessly
• Communicate status of ongoing tasks on a regular basis to end users and the Manager of Technical Operations
• Analyze the mapping of insurance claims, import/export files, and eligibility files for troubleshooting any operational inquiry
• Identify technical issues that may arise from improper enrollment or enrollment changes on electronic data interchange (EDI) files and coordinate with engineering partners to resolve issues
• Coordinates ongoing EDI testing, implementations, and upgrades
• Ensure that business requirements are translated into actionable solutions that align with organizational goals, leveraging expertise to bridge the gap between needs and implementable solutions
• Other Duties as assigned the Manager of Technical Operations or Senior Technical Operations Specialist

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Qualifications

What you bring to the Personify Health team:

In order to represent the best of what we have to offer you come to us with a multitude of positive attributes including:

• 2+ years of experience with system analysis, data analysis, and/or process improvement

• 1+ years of experience in the Healthcare Industry

• An associate or bachelor’s degree is preferred, but not required

You also take pride in offering the following Core Skills, Competencies, and Characteristics:

• Knowledge of the Healthcare & TPA Industry preferred
• Excellent critical thinking skills
• Strong analytical and problem-solving skills
• Intermediate to Advanced knowledge of Microsoft Office Suite, i.e Excel, Outlook, Word, etc
• Experience in using various data analysis tools, such as Excel, SQL, Tableau, Power BI, or other relevant software
• Demonstrated track record of successfully analyzing data, gathering requirements, and providing valuable insights and solutions to support business decision-making.
• Ability to work collaboratively, facilitate discussions, and negotiate requirements among various teams
• Knowledge/Experience with ANSI 5010 transactions like 837, 835, 834, 270/271 preferred

No candidate will meet every single desired qualification. If your experience looks a little different from what we’ve identified and you think you can bring value to the role, we’d love to learn more about you!

Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice.

In compliance with all states and cities that require transparency of pay, the base compensation for this position ranges from $22 to $28 per hour. Note that compensation may vary based on location, skills, and experience. This position is eligible for health, dental, vision, mental health and other benefits.

We strive to cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive. Personify Health is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for all stakeholders: employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing.

#WeAreHiring #PersonifyHealth

Beware of Hiring Scams: Personify Health will never ask for payment or sensitive personal information such as social security numbers during the hiring process. All official communication will come from a verified company email address. If you receive suspicious requests or communications, please report them to talent@personifyhealth.com. All of our legitimate openings can be found on the Personify Health Career Site.