EDI Process Improvement Specialist

Job Summary

A company is looking for an EDI & Process Improvement Specialist to manage data quality and compliance in EDI processes.

Key Responsibilities

• Maintain high data quality standards and ensure compliance with state-specific EDI requirements
• Identify and rectify discrepancies in datasets, and document findings and resolutions
• Collaborate with internal teams and vendors to monitor and implement necessary system changes

Required Qualifications

• Bachelor's degree in business, project management, or a related field, or equivalent experience
• Five years of experience in claims adjusting or related fields, with three years focused on state EDI requirements
• Knowledge of state-specific reporting requirements and EDI implementation guides
• Strong understanding of workers' compensation claims processes
• Experience with data management tools and compliance workflows