Data Analyst, Data Operations TPA

Personify Health•Tempe, AZ

3d•$60,000 - $70,000•Onsite

About The Position

As a Data Analyst on our TPA Data Operations team, you help monitor and manage data file exchanges with our clients, vendors and internal systems. You understand task workflows and data workflows and communicate effectively with teammates and other departments to quickly resolve issues. You will be part of a team that works to create and maintain data pipelines that are high quality & timely. You have an operationally driven internal cadence with a focus on client satisfaction. Your technical attention is precise, and you also understand how it fits in the bigger picture. You constantly strive to improve your work as well as your team.

Requirements

4+ years of experience with system analysis, data analysis, and/or process improvement
2+ years of experience in the Healthcare Industry
Knowledge of the Healthcare & TPA Industry preferred
Excellent critical thinking skills
Strong analytical and problem-solving skills
Intermediate to Advanced knowledge of Microsoft Office Suite, i.e Excel, Outlook, Word, etc
Familiarity with flat file data structures like CSV or pipe-delimited.
Experience in using various data analysis tools, such as Excel, SQL, Tableau, Power BI, or other relevant software
Demonstrated track record of successfully analyzing data, reviewing requirements, and providing valuable insights and solutions to support business decision-making.
Ability to work collaboratively, facilitate discussions, and negotiate requirements among various teams
Knowledge/Experience with ANSI 5010 transactions like 837, 835, 834, 270/271 preferred

Responsibilities

Maintain an understanding of the workflows between operational departments
Communicate status of ongoing tasks on a regular basis to end users and the Team Lead or DataOps Manager
Analyze the mapping of insurance claims, import/export files, and eligibility files for troubleshooting any operational inquiry
Identify technical issues that may arise from improper enrollment or enrollment changes on electronic data interchange (EDI) files and coordinate with engineering partners to resolve issues
Coordinates ongoing EDI testing, implementations, and upgrades
Troubleshoot and report any operational error messages
Troubleshoot and report file movement errors including SFTP connections
Analyze and compare reports or data files against documented business requirements to ensure quality and identify any gaps
Other Duties as assigned the Team Lead or DataOps Manager