Somesh Sharma
EDI Implementation Consultant
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About
Results-driven EDI Implementation Consultant with over 10.5 years of experience in Healthcare IT, Electronic Data Interchange (EDI), Benefits Administration, Client Implementation, Application Support, and Customer Success. Extensive experience in implementing HIPAA-compliant EDI solutions, configuring ANSI X12 834 files, managing healthcare enrollment processes, and leading end-to-end client onboarding projects. Proven expertise in EDI implementation, Salesforce case management, Benefits Administration, COBRA Administration, healthcare data integration, file transmission protocols, and stakeholder management.
Strong analytical, troubleshooting, and problem-solving capabilities with a proven track record of delivering high-quality implementations while meeting project timelines and Service Level Agreements (SLAs). Recognized for building strong client relationships, driving continuous process improvements, and collaborating effectively with cross-functional business and technical teams.
Experience
Associate Lead – EDI Implementation - Voya Global Services India Pvt. Ltd. - Noida
(2025-06)
- Lead healthcare EDI implementation projects for Benefitplace clients.
- Configure inbound and outbound EDI files based on carrier and client requirements.
- Work on Benefitplace platform and Boomi Integration platform for file configuration and transmission.
- Manage implementation projects through Salesforce.
- Conduct end-to-end EDI testing and production validation.
- Configure ANSI X12 834 and custom EDI files.
- Manage HIPAA-compliant healthcare implementations.
- Work with AS2, FTP and SFTP communication protocols.
- Collaborate with carriers, clients and internal implementation teams.
- Resolve implementation issues and provide production support.
- Prepare implementation documentation and technical specifications.
- Overview knowledge of 850, 855, 856 and 810 file format.
Senior EDI Implementation Representative - Ultimate Kronos Group (UKG) - Noida
(2023-11 - 2025-06)
Managed end-to-end EDI implementations for healthcare clients.
- Managed end-to-end EDI implementations using EverythingBenefits and UKG Ready Benefits.
- Configured EDI enrollment files for healthcare clients.
- Managed implementation cases using Salesforce CRM.
- Conducted EDI testing with insurance carriers.
- Supported Benefits Administration and COBRA implementations.
- Created custom file mappings and Spec Builder configurations.
- Worked with ANSI X12 834 transaction sets.
- Supported production deployments and issue resolution.
- Ensured HIPAA compliance throughout implementation lifecycle.
EDI Configuration Analyst - A3Logics India Pvt. Ltd. - Jaipur
(2022-08 - 2023-11)
- Configured healthcare EDI files for client implementations.
- Developed SQL queries for data validation and analysis.
- Supported healthcare enrollment implementation projects.
- Performed EDI testing and troubleshooting.
- Worked on Salesforce case management.
- Configured Custom Files and Spec Builder.
- Coordinated directly with clients during implementation lifecycle.
- Prepared implementation reports and documentation.
- Supported HIPAA-compliant healthcare solutions.
Customer Service Executive - Alex World Class Product Pvt. Ltd.
(2021-08 - 2022-07)
- Provided technical customer support.
- Managed application dashboards.
- Maintained product listing database.
- Managed product dispatch information.
- Prepared operational MIS reports.
- Maintained turnaround time (TAT) for customer requests.
Senior Insurance Associate - MetLife Global Operations Support Center - Jaipur
(2017-12 - 2021-08)
Managed insurance transactions and client requests with focus on Insurance Operations, HR Content Management, and CBF ACE Testing.
- Managed insurance transactions and client requests.
- Processed Address Changes, Broker Contracts and Policy Updates.
- Maintained SLA compliance.
- Managed client mailboxes.
- Generated operational reports including EOD, MPR and QPR.
- Served as Backup Quality Analyst and Trainer.
- Developed and maintained SharePoint Online content.
- Supported Microsoft 365 platform.
- Created HR web pages for 40+ countries.
- Managed CRM tickets.
- Worked on HTML, CSS and JavaScript.
- Supported Communication Excellence Team (CET) project.
- Performed manual testing and reconciliation.
- Validated employee data using Excel.
- Performed Lookup and comparison testing.
- Generated testing reports.
- Maintained testing documentation.
Process Associate – Mortgage Operations - Genpact India Ltd. | National Australia Bank (NAB) - Jaipur
(2015-08 - 2017-06)
Processed mortgage applications and managed mortgage operations.
- Processed mortgage applications.
- Verified applicant eligibility.
- Calculated customer income and liabilities.
- Evaluated Loan-to-Value (LTV).
- Reviewed property valuation reports.
- Managed mortgage case tracker.
- Resolved customer and broker queries.
- Maintained quality and SLA compliance.
Education
Bachelor of Computer Applications - Computer Applications
