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CNO Financial Group EDI Account Executive in Orlando, Florida

The EDI Account Executive is part of the Data Connections department, supporting all phases of EDI implementations in the Web Benefits Design’s Total Access Exchange enrollment platform. This position will be responsible for troubleshooting and resolving enrollment and EDI errors in 834 and other proprietary transactional formats for insurance exchanges and performing root cause analysis.

This is a client facing role where the EDI account executive is responsible for consulting and advising client on decision for best practices as related to carrier integration, payroll integration and interpretation of appropriate regulations regarding PI data and benefit design. The role has in-depth carrier knowledge and can communicate this information to key stakeholders to help drive decision making.

The EDI Account Executive will also be responsible for discrepancy management in the eligibility reconciliation process and continuous process improvement of the reconciliation process. He/she may be required to provide training on the transactions and on the reconciliation processes to clients and/or newly hired employees.

Key Job Responsibilities and Accountabilities:

  • Participates in all phases of EDI implementations (initiation, build, test, production)

  • Performs testing and thoroughly document progress and issuesMonitors inbound and outbound documents (including TPA agreements)

  • Oversees that file discrepancies are addressed and resolved in a timely manner.

  • Review documented training material for accuracy and assist in end user training and support

  • Consults with the client on how EDI integrations flow.

  • Supports decision on EDI structures. This requires customization of each client set-up based upon the unique needs of the customer.

  • Manages EDI project integration during implementation.Supervises client data and provides updated status and reports during client weekly calls.

  • May perform additional duties as assigned.

Skills, Knowledge, and Abilities:

  • Spreadsheet and data management expert.

  • Knowledge interpreting and analyzing benefit plans and SPD’s.

  • Knowledge working and coding 834 files.

  • Knowledge of the 834 X12 standards.

  • Knowledge in reconciliation of enrollment transactions.

  • Excellent written and oral communication skills – must be able to manage client calls from EDI perspective.

  • These calls may include carriers and vendors as well.

  • Expert in Microsoft Excel.

  • Testing knowledge and project management skills preferred.

Education and Experience:

  • Typically requires a Bachelor’s degree or equivalent.

  • Typically requires a minimum of 2 years of experience in data analysis or administration.

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