Director of EDI
Western GrowersIrvine, California, United States
Posted September 24, 2025
102058 - 145033 USD
Full Time
About the Company
Western Growers is dedicated to supporting America's farmers by advocating for favorable policies, advancing agricultural technology, and providing essential insurance and health services. Founded in 1926, the organization offers a comprehensive suite of solutions including commercial and health insurance, loss control, food safety, and retirement services, while also serving as a key voice in lobbying efforts to protect farmers' interests.
Job Description
Western Growers Health is seeking a Director of Electronic Data Interchange (EDI) to oversee and manage all EDI transactions between Pinnacle TPA, its clients, and vendors. This role ensures the seamless, accurate, and timely exchange of data using the ANSI X12 EDI standard within the healthcare environment.
Requirements
- BA/BS degree in Information Technology, Computer Science, or a related field
- Eight to ten years of experience managing EDI operations within a healthcare setting
- Hands-on experience with the EDI interface platforms such as Pilotfish or similar integration tools
- Strong knowledge of healthcare-related EDI transaction sets (837, 834, 835, 270, 271, etc.)
- Comprehensive expertise in data mapping, EDI standards, and transaction troubleshooting
- Strong understanding of HIPAA regulations and how they apply to EDI data exchanges
- Advanced knowledge of healthcare processes, including eligibility verification, claims processing, and payment transactions
- Proven ability to document processes, procedures, and workflows in a clear and detailed manner
- Experience in process improvement and optimizing transaction workflows
- Strong leadership and project management skills, with the ability to manage cross-functional teams and external vendor relationships
Benefits
- Profit-sharing
