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

About brighthush – A Visionary Leader in Health Insurance Enrollment

At brighthush, we are redefining the way individuals and organizations experience health insurance enrollment. By marrying cutting‑edge technology with data‑driven insights, we create solutions that are not only accurate but also intuitive, transparent, and customer‑centric. Our mission is simple: empower our clients to navigate complex regulatory landscapes with confidence while fostering a culture of innovation, collaboration, and continuous improvement within our own teams.

As a rapidly growing player in the health insurance ecosystem, brighthush is committed to delivering world‑class enrollment experiences that simplify lives, reduce administrative burden, and drive measurable business outcomes. If you thrive in a fast‑paced, data‑rich environment and want to make a tangible impact on millions of lives, we invite you to join our dynamic Customer Success family.

Position Overview

We are seeking a seasoned Senior Enrollment & EDI Specialist to lead the charge in ensuring flawless data flow between our internal systems and external partners. In this pivotal role, you will be the linchpin that guarantees enrollment accuracy, drives operational efficiency, and elevates client satisfaction. Your expertise will shape the future of enrollment technology and set new standards for data integrity across the industry.

Key Responsibilities

End‑to‑End Enrollment File Management

• Ingest, validate, and process EDI (834, 837) and CSV feeds: Oversee the entire lifecycle of enrollment, change, and termination files, ensuring they are delivered on time and meet quality thresholds.
• Implement automated validation pipelines: Design and maintain scripts and rules that detect anomalies before they reach downstream systems.
• Coordinate with data owners: Work closely with product, analytics, and engineering teams to refine data schemas and improve ingestion logic.

Discrepancy Investigation & Resolution

• Root‑cause analysis: Diagnose file errors, enrollment inconsistencies, and system glitches, then develop corrective actions and preventive controls.
• Stakeholder communication: Provide clear, actionable updates to internal teams and external partners, ensuring alignment on resolution timelines and impact.
• Continuous improvement: Capture lessons learned and embed them into standard operating procedures.

Audit & Reconciliation

• Conduct rigorous audit cycles: Cross‑check enrollment records against source data, validate compliance with regulatory standards, and document findings.
• Prepare compliance reports: Generate detailed reports for internal audit teams and external regulators, ensuring adherence to HIPAA, ACA, and other relevant frameworks.
• Maintain audit trails: Ensure all changes are traceable and auditable, supporting transparency and accountability.

Tier‑2 EDI Support

• Handle complex EDI queries: Resolve high‑volume, intricate questions from internal teams and external partners, meeting or exceeding service level agreements.
• Document solutions: Contribute to a living knowledge base that empowers the entire organization.
• Mentor junior staff: Share expertise and best practices with new team members.

EDI Setup, Testing & Education

• Collaborate with engineering: Configure new EDI connections, run end‑to‑end tests, and troubleshoot integration issues.
• Develop training materials: Create user guides, quick‑reference sheets, and training sessions for stakeholders.
• Lead onboarding: Facilitate smooth adoption of new processes and tools across partner organizations.

Client Partnership & Advocacy

• Build trust‑based relationships: Serve as the primary point of contact for enrollment matters, ensuring partners feel heard and supported.
• Champion process improvements: Gather client feedback, identify pain points, and advocate for enhancements that elevate the client experience.
• Represent brighthush externally: Attend industry events, webinars, and partner meetings to showcase our commitment to excellence.

Cross‑Functional Collaboration

• Align across departments: Work closely with Operations, Analytics, Product, and IT to resolve enrollment and reconciliation concerns.
• Coordinate projects: Participate in cross‑team initiatives, providing subject‑matter expertise and ensuring deliverables meet quality standards.
• Facilitate communication: Bridge gaps between technical and non‑technical stakeholders.

Process Improvement & Automation

• Analyze trends: Use data to uncover recurring issues, knowledge gaps, and system bottlenecks.
• Implement efficiencies: Propose and execute automation of repetitive tasks, refine data pipelines, and reduce manual effort.
• Measure impact: Track key metrics (error rates, cycle times, SLA adherence) to demonstrate value.

Project Leadership

• Lead initiatives: Drive projects focused on automation, data quality, and stakeholder engagement, delivering measurable impact.
• Report to leadership: Provide regular status updates, risk assessments, and outcome metrics to senior leaders.
• Champion change: Advocate for new tools, processes, and best practices across the organization.

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 will 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.