Enrollment Data Analyst - Evry Health

Position Overview

EvryHealth is seeking a detail-oriented Enrollment Data Analyst to support the accuracy, integrity, and operational reliability of member enrollment data across our health plan systems. This role sits at the intersection of EDI operations, data quality, and health plan administration — owning the end-to-end lifecycle of enrollment data from inbound 834 file processing through system validation, data entry, and ongoing maintenance.

About Evry Health and Globe Life

We are on a mission to bring humanity to health insurance. Our high-technology health plans expand benefits, increase access and transparency, and feature a personalized, human approach. We strive to ensure members live happier, healthier lives.

Evry Health is the major medical division of Globe Life (NYSE: GL). Globe Life has 16.8 million policies in force, and more than 3,000 corporate employees and 15,000 agents. For more than 45 consecutive years, Globe Life has earned an A (Excellent) rating or higher from A.M. Best Company.

Key Responsibilities

834 EDI Exchange & Enrollment Processing

• Configure, monitor, and troubleshoot inbound and outbound HIPAA 834 (Benefit Enrollment and Maintenance) transaction files with trading partners, employers, and TPAs
• Validate 834 file structures for compliance with X12 5010 standards, identifying and resolving segment errors, loop discrepancies, and rejected transactions
• Coordinate with trading partners to resolve enrollment exchange issues and ensure timely, accurate file transmission

Data Validation & Quality Assurance

• Perform systematic validation of member enrollment records against source documents, 834 transactions, and plan eligibility rules
• Identify data anomalies, duplicate records, coverage gaps, and demographic inconsistencies
• Execute data quality audits on a scheduled and ad-hoc basis, documenting findings and remediation steps
• Ensure enrollment data aligns with plan effective dates, benefit periods, and group contract terms

Data Entry & Maintenance

• Accurately enter and update member demographic, eligibility, and coverage data across the web UI enrollment portal and the claims processing system
• Process member adds, terminations, changes, and reinstatements in a timely manner in compliance with CMS and ACA guidelines
• Maintain supporting documentation for all manual data changes per audit and compliance standards

Data Cleanup & Remediation

• Lead targeted data cleanup projects to address backlogs, legacy migration issues, and discrepancies identified through audits or operational escalations
• Write and execute SQL queries against enrollment and member databases to identify, extract, and correct data issues
• Collaborate with