EDI Administrator

Summary

The EDI Administrator supports Electronic Data Interchange compliance and reporting across multiple jurisdictions and lines of business. Primary responsibilities include collecting and analyzing claims, financial, and operational data; monitoring regulatory updates; reconciling FROI/SROI diaries and Medicare Section 111 reporting; identifying and resolving data discrepancies; and managing daily inbound/outbound EDI data flows. The role partners with Claims, Compliance, IT, and regulatory agencies to ensure data quality, timeliness, and compliance with federal and state requirements, while identifying process improvements and supporting training initiatives.