What is your mission? 

You will provide the best service to our partner brands by performing these tasks:

• Identify and report process issues and improvement opportunities related to EDI workflows
• Develop and maintain EDI process documentation, including reports, metrics, and improvement plans
• Monitor EDI file processing to ensure quality, accuracy, and compliance, troubleshooting and resolving transaction issues
• Track and update data required for successful file transmission
• Support internal and external teams by responding to inquiries related to EDI transactions
• Work directly with vendors and carriers to support new or changed inbound and outbound EDI file requirements from initiation through implementation
• Maintain monthly quality standards and ensure consistent adherence to performance targets
• Assist the EDI team with process questions and escalated issues
• Lead or support team improvement initiatives and Knowledge Base maintenance
• Participate in meetings and cross‑functional discussions as required
• Stay current on industry standards and regulations related to United States healthcare and EDI
• Support a positive and collaborative work environment through professional conduct and teamwork
• Perform special tasks and assignments as needed to support operations
  

Who are we looking for?

• Bachelor’s degree in any field, or an equivalent combination of education and relevant experience
• 5+ years of professional experience in quality assurance roles
• 5+ years of hands‑on experience working with EDI formats, including mapping and onboarding of new files
• 1–2 years of experience using SQL for data validation or analysis
• 3+ years of experience supporting United States health insurance, third‑party administrator, or healthcare customer service environments, considered an advantage
• Working knowledge of HIPAA EDI protocols and healthcare transaction standards
• Minimum of 4 years of experience in a BPO or call center environment
• Strong proficiency in Microsoft Office applications, including Word, Excel, Teams, and Outlook
• Excellent planning and organizational skills with the ability to manage multiple tasks to completion
• Detail‑oriented and analytical mindset focused on continuous improvement and problem‑solving
• Strong written and verbal English communication skills with professional presentation
• Ability to collaborate effectively across teams while also working independently
• Ability to maintain confidentiality when handling sensitive and regulated data