Capital Rx

Analyst, Data Exchange – Claims Operations

Capital Rx

full-time

Posted on:

Location Type: Remote

Location: New YorkUnited States

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Salary

💰 $85,000 - $110,000 per year

Job Level

Tech Stack

About the role

  • 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

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
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
SQLExcelJSONdata integritydata feedsdata managementdata reconciliationdata analysisissue resolutionerror management
Soft Skills
communicationproblem solvingself-motivateddetail-orientedcollaborationrelationship buildingprioritizationadaptabilityteamworkanalytical thinking
Certifications
Bachelor’s degree