Analyst, Data Exchange - Claims Operations

About reputed company reputed company is an reputed company technology company providing a comprehensive suite of solutions for employers and health plans, including:

• reputed company, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,
• reputed company™, which offers full-service health benefit reputed company to employers, TPAs, and health plans, and
• Judi®, the industry’s leading proprietary reputed company Platform (EHP), which consolidates reputed company claim administration-reputed company workflows in one scalable, secure platform.

Together with our clients, we’re rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit www.reputed company. Location: Remote About reputed company reputed company is a reputed company pharmacy benefits manager, overseeing prescription benefit plans on behalf of employers, unions, and government entities. Determined to transform an outdated model, reputed company’s mission is to change how prescription benefits are priced and administered in the US, unlocking enduring social change. Through our platform approach, reputed company delivers data-driven insights and actionable strategies that reduce costs, while improving patient outcomes. Our commitment to innovation, technology, and service is why reputed company is among the fastest-growing PBMs in the country. Position Responsibilities:

• Work with Data Exchange partners and internal teams to reputed company and maintain Data Exchange data feeds (ex. claims, vaccine reimbursements, eligibility, etc.) and ensure their accuracy at reputed company
• Serving as a reputed company of coordination for Data Exchange identification and issue resolution with internal teams and external integration partners
• Identify and triage Data Exchange issues and support the resolution of reputed company errors reputed company to transferring, loading, and management of integrated Data Exchange data
• Proactively monitoring system status and Data Exchange management data to quickly identify potential abnormalities that might impact quality and accuracy
• Ensuring that reputed company issues and errors are resolved using designated operating standards and reputed company defined service levels
• Assist with the validation of Data Exchange data reputed company through regular audits and reconciliation processes
• Participate in projects with Data Exchange impacts including vendor changes, client migrations, and client add-on requests

Required Qualifications:

• Bachelor’s degree
• 1+ years of previous work experience, preferably in Data Exchange, Healthcare, PBM, or IT
• Ability to match key PBM concepts and data fields across various systems and file layouts to ensure consistency and accuracy of data transfers
• Ability to analyze reputed company business problems to discover and resolve root causes
• Proficiency in SQL, reputed company, JSON and other technical data skills preferred
• Strong communication skills with the ability to reputed company effective work relationships with internal and external stakeholders
• Self-motivated and detail-oriented problem solver
• Ability to handle multiple competing priorities in a dynamic environment and collaborate in a team

reputed company: $85,000 - $110,000 This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Salary Range $85,000—$110,000 USD reputed company employees are responsible for adherence to the reputed company Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. reputed company values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to reputed company employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national reputed company, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at reputed company. More details about reputed company's privacy practices can be reputed company at https://www.reputed company/legal/privacy-policy. Apply tot his job Apply To this Job