Data Exchange Analyst, Medical, Dental & Vision

Capital Rx

Data Exchange Analyst focusing on efficient healthcare data exchanges and error resolution. Collaborating with partners to ensure data integrity and compliance.

Posted 5/12/2026full-timeRemote • Colorado, New York • 🇺🇸 United StatesJuniorMid-Level💰 $85,000 - $100,000 per yearWebsite

Tech Stack

Tools & technologies

SQL

About the role

Key responsibilities & impact

The Data Exchange Analyst is a crucial member of our Data Operations team, responsible for ensuring the accurate, efficient, and secure exchange of healthcare data between Capital Rx – JUDI Health and its various partners, including employers, providers, and other TPAs.
This role focuses on the technical aspects of data integration, file transformation, error resolution, and ongoing monitoring of data feeds for medical, dental, and vision claims.
Develop and implement data validation rules and processes to ensure the accuracy, completeness, and consistency of exchanged data.
Proactively monitor system status and Data Exchange management data to quickly identify potential abnormalities that might impact quality and accuracy.
Analyze data trends to identify potential issues or areas for improvement.

Requirements

What you’ll need

Bachelor's degree in Computer Science, Information Systems, Healthcare Informatics, or a related field. Equivalent work experience may be considered
Knowledge of healthcare claim adjudication processes for medical, dental, and vision
Strong knowledge and familiarity with EDI SNIP validations and one of the most widely used tools in the healthcare industry (e.g., EDIFECS)
2+ years of experience in data analysis, data integration, or EDI (Electronic Data Interchange) specifically within the healthcare industry
Strong understanding of healthcare EDI transactions (e.g., 834 Enrollment, 837 Professional/Institutional/Dental Claims, 835 Remittance Advice)
Excellent analytical, problem-solving, and critical thinking skills
Familiarity with various file transfer protocols (FTP, SFTP, FTPS)
Understanding of HIPAA compliance and other relevant healthcare regulations
Strong attention to detail and a commitment to data accuracy
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.

Benefits

Comp & perks

Health insurance
401(k) matching
Paid time off
Flexible work arrangements
Professional development opportunities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

data analysisdata integrationEDISQLExcelJSONfile transformationdata validationerror resolutiondata monitoring

Soft Skills

analytical skillsproblem-solvingcritical thinkingattention to detailcommunication skillsself-motivatedteam collaborationability to handle multiple prioritiesrelationship developmentcommitment to data accuracy