Data Exchange Analyst - Accumulations

Judi Health

$96K — $121K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree required
  • 1+ years of experience in Pharmacy Benefit Management (PBM), Healthcare, or Data Exchange
  • Proficient in matching PBM concepts and data fields across systems
  • Strong analytical skills to resolve complex business problems
  • Technical proficiency in SQL, Excel, and JSON preferred
  • Excellent communication skills for effective stakeholder collaboration
  • Self-motivated and detail-oriented with strong problem-solving abilities
  • Ability to manage multiple priorities in a fast-paced environment

Responsibilities

  • Develop integrated member accumulation data exchange feeds with internal teams and partners
  • Coordinate issue identification and resolution for accumulation discrepancies
  • Identify and triage accumulation issues to support data management
  • Proactively monitor system status to detect abnormalities in data quality
  • Resolve issues according to operating standards and within service levels
  • Validate accumulation data integrity through audits and reconciliations
  • Participate in projects influencing accumulation, like vendor changes and client migrations

Benefits

  • Hybrid work model with 3 days in-office
  • Flexible job responsibilities to meet organizational needs
  • Emphasis on adherence to company Code of Conduct
  • Opportunity to work with data exchange partners and various teams
  • Participation in impactful projects within the company
Full Job Description
Location: Hybrid 3 days (offices in NYC, Denver, CO and Charlotte, NC area)

Position Responsibilities:
  • Work with data exchange partners and internal teams to develop integrated member accumulations data exchange feeds and ensure the accuracy of integrated accumulations at Capital Rx
  • Serving as a point of coordination for member accumulation issue identification and issue resolution with internal teams and external integration partners
  • Identify and triage accumulation issues and support the resolution of all errors related to transferring, loading, and management of integrated accumulation data
  • Proactively monitoring system status and accumulation 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 accumulation data integrity through regular audits and reconciliation processes
  • Participate in projects with accumulation impacts including vendor changes, client migrations, and client add-on requests
  • Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance.

Required Qualifications:
  • Bachelor's degree
  • 1+ years of previous work experience, preferably in PBM, Healthcare, Data Exchange, and Integrated Accumulations
  • 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


New York, NY Salary Range

$96,800-$121,000 USD

Denver, CO Salary Range

$88,800-$111,000 USD

Charlotte, NC Salary Range

$80,800-$101,000 USD

All employees are responsible for adherence to the Judi Health 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.

Similar Jobs

More Jobs at Judi Health

More Healthcare Jobs

Find similar Data Exchange Analyst - Accumulations jobs: