Senior Enrollment & EDI Specialist – Customer Success & Data Integrity Lead at brighthush

Introduction: Join brighthush, a Trailblazer in Health Insurance Enrollment

At brighthush, we’re redefining how health insurance enrollment is managed, delivered, and optimized. Our mission is to empower individuals and organizations with seamless, accurate, and transparent enrollment experiences. As a leading provider in the health insurance industry, we harness cutting‑edge technology, data analytics, and a customer‑centric culture to streamline the entire enrollment lifecycle—from initial setup to ongoing reconciliation.

We’re looking for a dedicated, detail‑oriented professional to join our dynamic Customer Success team as a Senior Enrollment & EDI Specialist. In this role, you’ll be the linchpin that ensures our enrollment data flows flawlessly between internal systems and external partners, driving accuracy, efficiency, and satisfaction for both our clients and our internal stakeholders.

Key Responsibilities

• Manage End‑to‑End Enrollment File Feeds: Oversee the ingestion, validation, and processing of EDI (Electronic Data Interchange) and CSV file feeds, ensuring timely and accurate enrollment, changes, and terminations.
• Investigate and Resolve Discrepancies: Identify root causes of file errors and enrollment inconsistencies, develop corrective actions, and implement preventive measures to reduce recurrence.
• Audit and Reconcile Enrollment Data: Conduct rigorous audits of enrollment records, cross‑checking against source data to guarantee integrity and compliance with regulatory standards.
• Provide Tier‑2 Support for EDI Queries: Handle a high volume of complex EDI questions from internal teams and external partners, delivering solutions that meet service level agreements.
• Lead EDI Setup, Testing, and Education: Collaborate with technical teams to configure new EDI connections, run end‑to‑end tests, and create training materials for stakeholders.
• Partner with External Clients: Build strong relationships with external partners, troubleshoot enrollment issues, and advocate for process improvements that enhance the client experience.
• Cross‑Functional Collaboration: Work closely with Operations, Analytics, Product, and IT to resolve enrollment and reconciliation concerns, ensuring alignment across departments.
• Identify Process Improvement Opportunities: Analyze trends, knowledge gaps, and system bottlenecks to propose and implement operational efficiencies.
• Project Leadership: Lead or support initiatives focused on automation, data quality, and stakeholder engagement, driving measurable impact on the enrollment ecosystem.

Essential Qualifications

• Minimum of 4 years of customer service experience, demonstrated through work, training, military service, or education.
• At least 2 years of hands‑on EDI support experience, with a strong grasp of EDI standards (e.g., 834, 837).
• Minimum 2 years of experience in operations, analytics, or a related role, showcasing analytical rigor and process orientation.
• Proficiency with CSV and 834 file formats, including data mapping, validation, and troubleshooting.
• Experience in health insurance EDI, including enrollment, changes, and terminations.
• Strong background in data reconciliation, auditing, and meticulous data entry.
• Direct experience working with external clients or business partners, managing expectations and delivering solutions.
• Exceptional analytical, troubleshooting, and problem‑solving skills.
• High attention to detail, organizational excellence, and the ability to juggle multiple complex priorities in a fast‑paced environment.
• Excellent written and verbal communication skills, capable of translating technical details into clear, actionable insights.
• Self‑motivated and collaborative, thriving both independently and as part of a cross‑functional team.

Preferred Qualifications

• Experience with EDI testing tools and data validation frameworks.
• Knowledge of regulatory requirements related to health insurance enrollment (e.g., HIPAA, ACA).
• Familiarity with data analytics platforms (e.g., Power BI, Tableau) for reporting and trend analysis.
• Project management experience, including Agile or Scrum methodologies.
• Prior exposure to a SaaS or cloud‑based enrollment platform.

Skills & Competencies

• Technical Proficiency: EDI standards (834, 837), CSV handling, data mapping, SQL basics.
• Analytical Thinking: Ability to dissect complex data sets, identify patterns, and recommend actionable solutions.
• Communication: Clear, concise, and persuasive communication with both technical and non‑technical audiences.
• Customer‑Centric Mindset: Passion for delivering exceptional service and building lasting client relationships.
• Adaptability: Comfortable navigating change, learning new tools, and adjusting priorities on the fly.
• Collaboration: Proven track record of working effectively across departments and with external partners.
• Continuous Improvement: Proactive in identifying inefficiencies and championing process enhancements.

Career Growth & Learning Opportunities

At brighthush, we believe in nurturing talent and fostering continuous growth. As a Senior Enrollment & EDI Specialist, you’ll have access to:

• Mentorship from seasoned leaders in data engineering, product, and customer success.
• Cross‑training programs that broaden your skill set across analytics, project management, and technology.
• Opportunities to lead high‑impact projects that shape the future of enrollment technology.
• Regular knowledge‑sharing sessions, hackathons, and innovation labs.
• Clear career pathways into roles such as Data Integration Lead, Customer Success Manager, or Product Owner.

Work Environment & Company Culture

brighthush thrives on a culture of transparency, collaboration, and innovation. We offer:

• Hybrid Flexibility: Choose a work arrangement that fits your lifestyle—office, hybrid, or remote—while staying connected with your team.
• Diversity & Inclusion: A welcoming environment where diverse perspectives are celebrated and every voice is heard.
• Employee Well‑Being: Comprehensive wellness programs, mental health resources, and a supportive work‑life balance.
• Community Impact: Initiatives that give back to local communities, encouraging employees to volunteer and make a difference.
• Innovation Hub: Access to the latest tools, technologies, and data platforms that empower you to solve complex problems.

Compensation & Benefits

We offer a competitive total compensation package that reflects your experience, expertise, and the value you bring to brighthush:

• Base Salary: $20.34 – $36.35 per hour (hourly) or $42,307 – $75,608 per year (annual) depending on location and role classification.
• Bonus & Incentives: Non‑sales positions may qualify for a performance‑based bonus program; sales roles may receive additional incentives.
• Paid Time Off (PTO): Generous PTO accrual, including vacation, personal days, and short‑term illness leave.
• Retirement Plan: 401(k) with company match to help secure your future.
• Health & Wellness: Comprehensive medical, dental, and vision coverage, along with wellness stipends.
• Professional Development: Reimbursement for certifications, conferences, and training courses.
• Employee Assistance Program (EAP): Confidential counseling and support services.
• Technology Stipend: Remote employees receive a stipend for home office setup.

Why brighthush?

At brighthush, you’ll join a forward‑thinking team that values innovation, integrity, and impact. We’re committed to:

• Delivering world‑class enrollment solutions that simplify the lives of our clients.
• Fostering a culture where curiosity, collaboration, and continuous improvement are the norm.
• Investing in our people through mentorship, learning, and clear career pathways.
• Championing diversity, equity, and inclusion at every level of the organization.

Ready to Make a Difference?

If you’re passionate about data integrity, customer success, and driving operational excellence, we want to hear from you. Bring your expertise in EDI, analytics, and stakeholder collaboration to brighthush and help shape the future of health insurance enrollment.

Apply today and become a pivotal part of a team that’s redefining the industry—one accurate enrollment at a time.

Application Process

Submit your resume and cover letter through our careers portal. Our hiring team will review your application promptly, and qualified candidates will be invited to discuss how your skills align with brighthush’s mission and values.

Equal Opportunity Employer

brighthush is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Posting Window

Applications will be accepted for 3 full days following the original posting date. We encourage early applications to secure your place in our hiring process.