EDI Data Analyst- Lead

Job Description

Job Description

Job Overview:

Pay Range: $21.30hr - $26.30hr

Requirement/Must Have:

• Demonstrated experience working with data, file processing, EDI, eligibility, enrollment, or another technical/transactional environment.
• Strong attention to detail and ability to identify data inconsistencies.
• Basic to intermediate Excel skills.
• Ability to troubleshoot issues and follow documented technical processes.
• Ability to work independently while meeting production deadlines and service expectations.
• Strong analytical and problem-solving skills.
• Comfortable working with electronic data files and data-intensive processes.
• Ability to identify, research, and troubleshoot data discrepancies or processing errors.
• Strong organizational and time-management skills.
• Ability to manage multiple priorities in a production environment.
• OIG/GSA/OFAC Exclusion Screenings must be completed prior to placement/start date.
• Completion of mandatory compliance training including General Compliance, HIPAA, Fraud, Waste, and Abuse, Conflict of Interests, and Security Awareness.
• Completion of Model of Care, ODAG, and CA Fair Claims training.

Responsibilities:

• Provide seasonal production support within the Membership Operations team, primarily supporting electronic eligibility file processing.
• Monitor and manage incoming eligibility files.
• Review processing results and exceptions.
• Troubleshoot file and data issues.
• Assist with ensuring eligibility updates are processed accurately and timely.
• Work within established eligibility processes and systems to identify patterns or discrepancies.
• Research issues and follow technical processes.

Nice to Have:

• Previous EDI or electronic file-processing experience.
• Experience with healthcare eligibility, enrollment, benefits, insurance, or similar data.
• Familiarity with eligibility file formats, including ANSI 834.
• Experience working in a high-volume production environment.
• Strong technical aptitude and curiosity when researching problems.

Skills:

• EDI.
• Data Analysis.
• Microsoft Excel.
• ANSI 834.
• Electronic Eligibility File Processing.
• Troubleshooting.
• Problem-Solving.

Qualification And Education:

• Relevant hands-on experience and technical aptitude in a data-processing or EDI role.
• 1-3+ years of experience in a data-processing, EDI, eligibility/enrollment, operations, or similarly technical role.

Benefits:

Our Benefits Include:

• Medical, Dental, and Vision Insurance
• 401(k) Retirement Plan
• Health Savings Account (HSA)
• Disability Insurance (Short-Term and Long-Term)
• Life and AD&D Insurance
• Paid Sick Leave (where required by applicable state or local law)
• Supplemental Insurance Plans
• Identity Theft Protection
• Pet Insurance
• Employee Wellness Programs
• Employee Assistance Program (EAP)
• Career Growth and Professional Development Opportunities

Disclaimer : Benefits eligibility, accrual rates, and usage limits may vary based on employment status, length of service, and work location. Paid Sick Leave is provided in strict accordance with applicable state and municipal mandates. Cynet Systems Inc. reserves the right to modify, amend, or terminate any benefit plans at any time in accordance with applicable laws.

About Cynet Systems

Founded in 2010 and headquartered in the Washington, DC metro area, Cynet Systems Inc. is a leading technology staffing and workforce solutions company serving Fortune 500 companies, government agencies, and enterprise organizations across the United States and Canada. We deliver agile, scalable talent solutions across IT, engineering, life sciences, clinical, and professional staffing, powered by a high-performing recruitment engine operating across North America and Asia.

As a nationally and locally certified Minority Business Enterprise (MBE), Cynet Systems is committed to helping organizations build high-performing teams while empowering professionals to grow rewarding careers. Our organization is certified to ISO 9001, ISO 14001, ISO 27001, and SOC 2 Type II standards, reflecting our commitment to quality, security, operational excellence, and customer success.