Salary
💰 $85,000 - $100,000 per year
Tech Stack
Amazon RedshiftAWSJavaSQLSwift
About the role
- Accountable for configuration, load, and maintenance of data from previous adjudication systems into Judi.
- Provide customers with subject matter expertise in Judi’s capabilities, ensuring successful migration to the adjudication platform, with parity of all logic and initiatives.
- Devise a repeatable process for implementing data in Judi, establishing key milestones, and maintaining up to date project plan.
- Build and maintain trusting relationships with customers through superior customer service, meeting or exceeded service level metrics.
- Perform QA and claims testing to validate that data loads yield appropriate adjudication results.
- Partner with Analytics colleagues to author automated/manual test cases and monitoring processes for configurations and data loads.
- Proactively identify execution risks around build status and defects, partnering with internal Product teams and clients to surface mitigation strategies.
- Contribute to playbooks/templates that scale configurations for future client onboardings.
- Take charge of critical issues or problems to key stakeholders, ensuring swift resolution and communication within service level agreements.
- Certain times of year may require meeting participation, travel, service support or other requirements outside of standard business hours, including weekends.
- Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance.
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 handling adjudication configurations.
- Experience performing complex analyses on large sets of data
- Knowledge of data management, statistics, modeling
- 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