Data Exchange Analyst - Accumulations

Judi HealthDenver, CO
$80,800 - $121,000Hybrid

About The Position

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans. Judi Rx delivers full-service pharmacy benefit management (PBM) solutions, Judi Health™ offers full-service health benefit management solutions, and Judi® is the industry’s leading proprietary Enterprise Health Platform (EHP) that consolidates all claim administration-related workflows. The company aims to rebuild trust in healthcare in the U.S. and deploy the infrastructure for the care people deserve.

Requirements

  • Bachelor’s degree
  • 1+ years of previous work experience, preferably in PBM, Healthcare, Data Exchange, and Integrated Accumulations
  • 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

Responsibilities

  • Work with data exchange partners and internal teams to develop integrated member accumulations data exchange feeds and ensure the accuracy of integrated accumulations at Capital Rx
  • Serve as a point of coordination for member accumulation issue identification and issue resolution with internal teams and external integration partners
  • Identify and triage accumulation issues and support the resolution of all errors related to transferring, loading, and management of integrated accumulation data
  • Proactively monitor system status and accumulation management data to quickly identify potential abnormalities that might impact quality and accuracy
  • Ensure that all issues and errors are resolved using designated operating standards and within defined service levels
  • Assist with the validation of accumulation data integrity through regular audits and reconciliation processes
  • Participate in projects with accumulation impacts including vendor changes, client migrations, and client add-on requests
  • Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance.
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