Analyst, Data Exchange, SaaS
Capital Rx
Amazon RedshiftAWSJavaSQLSwift
Data Analyst, Network Pricing
Capital Rx
full-time
Posted on:
Origin: • 🇺🇸 United States • New York
Visit company websiteSalary
💰 $80,000 - $100,000 per year
Job Level
Junior
Tech Stack
Amazon RedshiftAWSJavaSQLSwift
About the role
- Accountable for accurate translation of network data and reporting requirements of Capital Rx’s Software as a Service (SaaS) customers for migration and ongoing use of JUDI.
- Support all network analytics needs of internal team members and customers.
- Assist with intake and conversion of files necessary for parallel Network Validation data review.
- Develop Network testing automation and maintain data reporting repositories related to network setup.
- Support Network and Provider Agreement data reporting, claims analysis, or other network pricing related reporting.
- Perform QA and claims testing to validate that network data loads yield appropriate adjudication results.
- Support testing for new JUDI functionality to ensure enhancements function as expected and accurately process claims transactions.
- Reconcile adjudication output variances with network subject matter experts and maintain data lineage for network configuration data.
- Provide customer-facing subject matter expertise support on JUDI’s network reporting capabilities.
- Contribute to playbooks/templates that scale network configurations for future client onboardings.
- Take charge of critical issues, ensuring swift resolution and communication within service level agreements.
- Partner with Analytics colleagues to author automated/manual test cases and monitoring processes for drug coverage configurations and data loads.
- Monitor performance metrics (load times, claims accuracy discrepancies) and recommend optimizations.
- May require meeting participation, travel, or service support outside standard business hours at certain times of year.
Requirements
- 1+ years of experience in an Analyst role, Software Engineering role or related work experience
- 1+ year of PBM or Health Plan operations experience with pharmacy claims data and reimbursement methodologies.
- Experience performing complex analyses on large sets of data
- Experience working with structured and unstructured data
- Proficient in SQL, JSON, Java, R, Excel, and other data visualization tools
- Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables.
- Exceptional project / time management, prioritization, and organizational skills to ensure customer satisfaction.
- Ability to shift between competing priorities and meet organizational goals.
- Excellent verbal, written, interpersonal and presentation skills.
- Ability to work effectively with virtual teams.
- Ability to travel 5-10%.
- Bachelor's Degree preferred, or equivalent combination of education, training, and experience.
- Experience working with AWS Redshift
- Pharmacy Benefit Management analytics preferred
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