Data Exchange Analyst - Accumulations

Capital Rx; Denver (CO); Hybrid; USD 88,800 - 111,000; Full time

Job summary

Judi Health in Denver, CO is seeking a data integration specialist to support accumulation data exchanges and ensure data integrity across partner systems. The role focuses on accuracy of accumulated data and coordinating resolution of issues with internal teams and external partners.

The ideal candidate has a Bachelor's degree and 1+ years in PBM, healthcare, or data exchange, with strong SQL, Excel and JSON skills, plus effective communication and problem-solving abilities.

Qualifications

• Bachelor's degree in a related field.
• 1+ years of experience in PBM, Healthcare, Data Exchange, and Integrated Accumulations.
• Ability to map PBM concepts and data fields across systems to ensure data transfer accuracy.
• Strong analytical skills to identify root causes of complex business problems.
• Proficiency in SQL, Excel, JSON, and related data skills.
• Excellent communication and stakeholder management.
• Detail-oriented with ability to handle multiple priorities.

Responsibilities

• Develop integrated member accumulations data exchange feeds and ensure accuracy of integrated accumulations.
• Coordinate accumulation issue identification and resolution with internal teams and external partners.
• Identify and triage accumulation issues and support resolution of errors in data transfer and management.
• Monitor system status and accumulation data to identify abnormalities affecting quality.
• Ensure issues are resolved within operating standards and service levels.
• Assist with validation of accumulation data integrity through audits and reconciliations.
• Participate in projects with accumulation impacts including vendor changes, client migrations, and add-on requests.
• Adhere to the Judi Health Code of Conduct including reporting of noncompliance.

Skills

SQL

Excel

JSON

Data analysis

Communication

Problem solving

Team collaboration

Education

Bachelor's degree

Job description

About Judi Health

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including:

• Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,
• Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and
• Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform.

Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit www.judi.health.

Location: Hybrid 3 days (offices in NYC, Denver, CO and Charlotte, NC area)

Position 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
• Serving 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 monitoring system status and accumulation management data to quickly identify potential abnormalities that might impact quality and accuracy
• Ensuring 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.

Required Qualifications

• 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

New York, NY Salary Range $96,800 — $121,000 USD

Denver, CO Salary Range $88,800 — $111,000 USD

Charlotte, NC Salary Range $80,800 — $101,000 USD

All employees are responsible for adherence to the Judi Health Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.

We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found athttps://www.judi.health/legal/privacy-policy.