Healthcare EDI Implementation Analyst/Specialist
Cobalt Benefits Group LLC
Description
The EDI Implementation Analyst will coordinate and support the full lifecycle of healthcare EDI implementations, from requirements gathering and data mapping through testing, deployment, and post-production stabilization. Reporting to the EDI Director, this role will partner with clients, health plans, vendors, and internal technical and operational teams to translate business requirements into accurate, scalable file solutions. The EDI Implementation Analyst will analyze enrollment and claims data, validate file configurations and results, manage implementation milestones and risks, and serve as a subject-matter resource to promote accurate, timely, and compliant data exchange.
Responsibilities
Lead assigned EDI implementations from intake through post-production stabilization, maintaining requirements, milestones, dependencies, risks, and status updates
Gather and document business, technical, and operational requirements with clients, health plans, vendors, and internal stakeholders
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, clarifying requirements and resolving implementation questions
Create test plans, produce and validate test files, reconcile results, document defects, and confirm that acceptance criteria are met
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 to resolve 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
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
Demonstrated ability to develop test scenarios, validate files, reconcile data, document defects, and perform root-cause analysis
Strong project coordination, organization, and communication skills, including the 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 and the ability to resolve complex implementation and data issues with minimal direction
Benefits
After successfully completing a waiting period, eligible Full-time employees have access to our comprehensive benefits package, including:
Fantastic medical, dental, and vision insurance*
Twice annual employer HSA contributions, covering 50% of the HDHP plan’s annual deductible!
Company provided Basic Life and AD&D
Company paid Short-Term and Long-Term Disability**
Flexible Spending Accounts*
401(k) Retirement Plan with up to a 6% employer-match** WOW! (100% fully vested after 3 years)
10+ paid holidays
Fully Paid half day Summer Fridays
Generous paid vacation and sick time
Annual Paid Volunteer Day
Annual Tuition Reimbursement
Annual Health and Wellness Reimbursement
Lots of fun company events
*60 day waiting period
**90 day waiting period
Who We Are
Cobalt Benefits Group has been named one of the Best Companies to Work for in NH 2026 by NH Business Magazine! As a trusted third-party administrator (TPA) specializing in self-funded benefit plans, Cobalt Benefits Group (CBG) is committed to helping employers find high-quality coverage at a cost they can afford. We administer self-funded insurance benefits through our four lines of business: EBPA, Blue Benefit Administrators of Massachusetts, CBA Blue, and Great Bay Administrators. With over 30 years of experience and a dedicated team of more than 300 employees, we work collaboratively to build customized self-funded health plans, manage claim payments and disputes, and administer other specialized programs such as FSAs, HSAs, COBRA, and retiree billing. Join us as we match employers across our region with the right solutions for their employee benefit needs. To learn more about working at CBG, visit .
Cobalt Benefits Group is an Equal Employment Opportunity employer.
Cobalt Benefits Group participates in E-Verify to confirm the employment eligibility of all new hires.
Vacancy posted 4 days ago
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