Senior Enrollment & EDI Specialist – Customer Success & Data Integrity Lead – Championing Seamless Health Insurance Enrollment at brighthush

Introduction: Join brighthush, the Trailblazer in Health Insurance Enrollment

In a world where health coverage is more critical than ever, brighthush is redefining how individuals and organizations experience enrollment. We blend cutting‑edge technology, data‑driven insights, and a customer‑centric philosophy to deliver enrollment solutions that are not only accurate but also intuitive and transparent. As a leader in the health insurance industry, we empower our clients to navigate complex regulatory landscapes with confidence, while our internal teams thrive on innovation, collaboration, and continuous improvement.

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

End‑to‑End Enrollment File Management

• Oversee ingestion, validation, and processing of EDI (Electronic Data Interchange) and CSV file feeds: Ensure timely and accurate enrollment, changes, and terminations across all channels.
• Maintain data integrity checkpoints: Implement automated validation scripts and manual review processes to catch anomalies before they impact clients.

Discrepancy Investigation & Resolution

• Root cause analysis: Identify the source of file errors and enrollment inconsistencies, develop corrective actions, and implement preventive measures to reduce recurrence.
• Stakeholder communication: Provide clear, actionable updates to internal teams and external partners, ensuring alignment on resolution timelines.

Audit & Reconciliation

• Rigorous audit cycles: Conduct regular audits of enrollment records, cross‑checking against source data to guarantee integrity and compliance with regulatory standards.
• Compliance reporting: Prepare detailed reports for internal audit teams and external regulators, ensuring adherence to HIPAA, ACA, and other relevant frameworks.

Tier‑2 EDI Support

• Complex query resolution: Handle a high volume of intricate EDI questions from internal teams and external partners, delivering solutions that meet service level agreements.
• Knowledge base enrichment: Document solutions and best practices, contributing to a living repository that empowers the entire organization.

EDI Setup, Testing & Education

• Technical collaboration: Work with engineering to configure new EDI connections, run end‑to‑end tests, and troubleshoot integration issues.
• Training & enablement: Create and deliver training materials for stakeholders, ensuring smooth adoption of new processes and tools.

Client Partnership & Advocacy

• Relationship building: Develop strong, trust‑based relationships with external partners, acting as their primary point of contact for enrollment matters.
• Process improvement advocacy: Gather client feedback, identify pain points, and champion enhancements that elevate the client experience.

Cross‑Functional Collaboration

• Alignment across departments: Work closely with Operations, Analytics, Product, and IT to resolve enrollment and reconciliation concerns, ensuring seamless cross‑functional workflows.
• Project coordination: Participate in cross‑team initiatives, providing subject‑matter expertise and ensuring project deliverables meet quality standards.

Process Improvement & Automation

• Trend analysis: Analyze data to uncover recurring issues, knowledge gaps, and system bottlenecks.
• Efficiency initiatives: Propose and implement operational efficiencies, including automation of repetitive tasks and refinement of data pipelines.

Project Leadership

• Lead or support initiatives: Drive projects focused on automation, data quality, and stakeholder engagement, delivering measurable impact on the enrollment ecosystem.
• Stakeholder reporting: Provide regular status updates, risk assessments, and outcome metrics to senior leadership.

Essential Qualifications

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

Preferred Qualifications

• Testing Tools & Validation Frameworks: Experience with EDI testing tools and data validation frameworks.
• Regulatory Knowledge: Knowledge of regulatory requirements related to health insurance enrollment (e.g., HIPAA, ACA).
• Analytics Platforms: Familiarity with data analytics platforms (Power BI, Tableau) for reporting and trend analysis.
• Project Management: Project management experience, including Agile or Scrum methodologies.
• SaaS & Cloud Platforms: 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: Guidance from seasoned leaders in data engineering, product, and customer success.
• Cross‑Training: Programs that broaden your skill set across analytics, project management, and technology.
• High‑Impact Projects: Opportunities to lead initiatives that shape the future of enrollment technology.
• Innovation Labs: Regular knowledge‑sharing sessions, hackathons, and innovation labs to spark creativity.
• Clear Career Pathways: Defined progression 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.