EDI Lead

Job Description 

We are looking for an EDI Lead with strong experience in COBRA and Employee Benefits integrations to lead a team of 15 members. The role focuses on managing eligibility, enrollment, and COBRA data integrations between internal systems, carriers, and vendors while providing technical and people leadership. 

Key Job Responsibilities 

• Own end-to-end EDI and file integrations (EDI 834, flat files, XML, CSV, APIs). • Manage COBRA and Employee Benefits integrations (Medical, Dental, Vision, Life, FSA, HSA). 

• Lead and mentor a team of EDI analysts and developers. 

• Ensure accurate, secure, and timely data exchange with carriers and vendors. 

• Troubleshoot integration issues and manage escalations. 

• Partner with Product, QA, Client Services, and Operations teams. 

• Support new client implementations and carrier onboarding. • Maintain documentation and ensure HIPAA compliance. • Other duties as assigned. 

Required Skills 

• Bachelor’s degree in Computer Science, Information Technology, or a related field. 

• 10–12 years in EDI / Data Integrations. 

• Strong domain experience in Employee Benefits and COBRA (mandatory). 

• Experience working in TPA or Benefits Administration environment. 

• Proven people management experience (8–15 team members). 

• Strong knowledge of EDI 834 and flat file integrations. 

• Experience with ETL/integration tools (Boomi, MuleSoft, SSIS or similar). 

• Strong SQL and data troubleshooting skills. • Experience using Salesforce CRM and Microsoft Dynamics CRM. 

• Excellent written and verbal communication skills. • Strong stakeholder and client-facing abilities. • Proven leadership and team management skills. 

Preferred Skills 

• Experience with HRIS systems (Workday, ADP, Dayforce, Paylocity). 

• Knowledge of HIPAA, SOC2, and compliance standards. 

• Agile or project management experience.