EDI Compliance Specialist

Location: Metairie, LA

Schedule: Monday–Friday, 8:00 AM–4:30 PM

Work Arrangement: Hybrid (3 days in office/week after training)

Salary Range: $40,000-$45,000

At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile.    

Reasons you should consider a career with CCMSI:

• Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm.
• Career development: CCMSI offers robust internships and internal training programs for advancement within our organization.
• Benefits: Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP.
• Work Environment: We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads.

The EDI Compliance Specialist position is responsible for assisting in working with individual states and IT Consultant to develop state specific Electronic Data Interchange (EDI) protocols, and the maintenance of all protocols as required.

1. Communication with states and development of specification for state EDI reporting.
2. Coordination with IT and Operations to develop internal EDI processes for each state.
3. Coordination with IT and Operations to insure processes are validated daily and error notifications are cleared within state required guidelines.
4. Development of Monthly EDI status report.
5. Insure proper training of any personnel involved with EDI processes or submissions.
6. Supervision of any data entry positions/processes for EDI.
7. Maintenance of all state EDI specification documents and processes to required state guideline.
8. Performs other duties as assigned.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Good communication and interpersonal skills. 
2. Ability to coordinate and prioritize. 
3. Ability to participate in a team environment in a rapidly changing environment. 
4. Flexibility, initiative and ability to work with minimal direct supervision required.
5. Individual must be detail oriented and a self-starter with strong organizational abilities. 
6. Reliable, predictable attendance within client service hours for the performance of this position.
7. Responsive to internal and external client needs.
8. Ability to clearly communicate verbally and/or in writing both internally and externally.
9. Ability to get along with others.

Education and/or Experience                                                           College graduate preferred

Computer Skills                                                                            

Must have excellent computer skills – Database, Excel, Word, PowerPoint. 

Certificates, Licenses, Registrations

None required.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Work requires the ability to sit or stand up to 7.5 or more hours at a time.
• Work requires the ability to stoop, bend, reach and grab with arms and hands, manual dexterity,
• Work requires sufficient auditory and visual acuity to interact with others 

CORE VALUES & PRINCIPLES

Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.

Compensation & Compliance

The posted salary reflects CCMSI’s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.

CCMSI offers a comprehensive benefits package, which will be reviewed during the hiring process. Please contact our hiring team with any questions about compensation or benefits.

Visa Sponsorship:

CCMSI does not provide visa sponsorship for this position.

ADA Accommodations:

CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team.

Equal Opportunity Employer:

CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment.

#CCMSICareers #CCMSIMetairie #EmployeeOwned #ESOP #GreatPlaceToWorkCertified #EDISpecialist #HybridWork  #InsuranceCareers #NowHiring #InsuranceJobs #IND123 #LI-Hybrid