Sr. Director of Electronic Data Interchange

Job Description

Job Description

Description:

JOB SUMMARY

The Sr. Director of Electronic Data Interchange (EDI) provides executive leadership, strategic direction, and operational oversight for all organizational EDI systems, data workflows, trading partner relationships, and compliance functions. This role is responsible for designing and governing enterprise-wide EDI infrastructure, ensuring data integrity, optimizing transactional efficiency, and advancing digital interoperability across systems, vendors, and business functions.

The Sr. Director serves as the primary architect and strategic decision-maker for EDI initiatives, overseeing teams engaged in data mapping, transaction monitoring, integration development, and issue resolution. This role partners with executive leadership, IT, revenue cycle, clinical systems, compliance, and external partners to ensure stable, secure, and scalable EDI operations aligned with organizational goals. 

MINIMUM & PREFERRED QUALIFICATIONS

Education/Training

Minimum: Bachelor’s degree in Information Technology, Computer Science, Information Systems, Business Systems, Engineering, or related discipline.

Preferred: Master’s degree in Information Systems, Technology Management, Business Administration, or a related field.

Experience

Minimum: Ten years of professional experience working with EDI systems, integrations, or electronic transaction workflows. Five plus years in a leadership or management role overseeing technical, operational, or integration teams. Extensive experience with X12, HIPAA transactions, data mapping, secure file transmission, and EDI translator tools. Demonstrated expertise in designing, implementing, and supporting enterprise EDI solutions and integration strategies.

Preferred: Experience in healthcare, insurance, supply chain, or industries with extensive EDI utilization. Experience with Targeted Rate Increase (TRI) programs, including implementation, reporting, data validation, regulatory compliance, and coordination of EDI or electronic data exchange requirements related to state or payer reimbursement initiatives.   

Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration of this position.

Certification(s)  

Preferred: Certifications related to EDI, integration technologies, project management, or enterprise systems (e.g. CompTIA, Microsoft, PMI-PMP, HL7/FHIR, or platform-specific credentials).

  Skills, Knowledge & Abilities  

• Advanced knowledge of EDI standards, transaction sets, data structures, and integration architecture.

• Expertise with mapping tools, translators, communication protocols (SFTP/FTP/AS2), and middleware platforms.

• Exceptional analytical and troubleshooting ability, especially with large-scale or high-complexity issues.

• Strong leadership, communication, and relationship-building abilities across technical and non-technical teams.

• Ability to manage multiple enterprise initiatives, competing priorities, and high-stakes deadlines.

• High attention to detail, data accuracy, and process integrity.

• Ability to design and implement policy frameworks, SOPs, governance structures, and performance standards.

• Demonstrated ability to drive organizational adoption of technology and process improvements.

PHYSICAL, MENTAL & ENVIRONMENTAL REQUIREMENTS

The physical, mental, and environmental demands described here are representative of those required to successfully perform the essential functions of this job. The role is primarily computer-based and requires sustained concentration for detailed technical work. It demands strong mental agility for complex problem-solving and strategic oversight. The position may involve occasional movement within office settings and periodic travel to other organizational or partner locations. Work is performed in a fast-paced environment with shifting priorities and multiple deadlines. The role requires sound judgment, and consistent accuracy when handling sensitive or high-impact information.

PAY RANGE

$160,000 - $180,000 / annually