
Analyst, Data Exchange – Claims Operations
Capital Rx
full-time
Posted on:
Location Type: Remote
Location: New York • United 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