Analyst - Alegues File Integration

About the role

The purpose of this job is to perform carrier integration activities that support the successful transmission and maintenance of eligibility and enrolment data with external carrier partners. The role is responsible for managing 834 EDI and non-834 carrier files, resolving file-related issues, and ensuring accurate and timely delivery of carrier data.

What you'll do

• Monitor and manage daily inbound and outbound carrier eligibility file processing, including 834 EDI files and carrier-specific non-834 file formats
• Analyze and resolve carrier file discrepancies, rejects, transmission failures, and enrollment exceptions to ensure data accuracy and successful processing
• Perform validation and quality assurance checks on carrier files to identify and correct eligibility, demographic, and coverage data issues prior to transmission
• Investigate and troubleshoot file-related issues raised by carriers, clients, and internal teams, coordinating resolution with appropriate stakeholders
• Support implementation and maintenance of carrier file mappings, business rules, and file specifications for new and existing carrier integrations

What you need

• 3.5–7 yrs of experience
• Reconciliation
• Any graduate