Capital Rx

Affordable Pharmacy Benefits, Powered by Modern Infrastructure.

Analyst, Data Exchange – Claims Operations

OperationsOperationsFull TimeRemoteTeam 501-1,000Since 2017H1B No SponsorCompany SiteLinkedIn

Location

New York

Posted

42 days ago

Salary

$85K - $110K / year

Bachelor Degree1 yr expEnglishSQL

Job Description

• Work with Data Exchange partners and internal teams to develop and maintain Data Exchange data feeds (ex. claims, vaccine reimbursements, eligibility, etc.) and ensure their accuracy at Capital Rx • Serving as a point 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 all errors related 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 all issues and errors are resolved using designated operating standards and within defined service levels • Assist with the validation of Data Exchange data integrity through regular audits and reconciliation processes • Participate in projects with Data Exchange impacts including vendor changes, client migrations, and client add-on requests

Job Requirements

  • 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 complex business problems to discover and resolve root causes
  • Proficiency in SQL, Excel, JSON and other technical data skills preferred
  • Strong communication skills with the ability to develop 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

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