Data Exchange Analyst, Claims Ops - Hybrid

Judi Health, LLC

Charlotte (NC)

Hybrid

USD 81,000 - 101,000

Full time

13 days ago

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Job summary

Judi Health in Charlotte, NC is seeking a Data Exchange Analyst to ensure the accuracy and reliability of data feeds that support our pharmacy benefits services. You will execute and monitor outbound feeds for claims, formulary, eligibility, and network data, while assisting with client connectivity and manual claims processing.

You will collaborate with Client Operations, Implementation, Product, and Development to support onboarding, migrations, and data-related client requests, identify

Qualifications

  • Bachelor’s degree required.
  • 1+ years of experience in PBM, healthcare data operations, or IT integration roles.
  • Strong understanding of PBM data (eligibility, claims, accumulators, formulary, network) and file layouts.
  • Strong analytical and root‑cause problem-solving skills.
  • Proficiency in SQL, Excel, and other data manipulation tools preferred.
  • Strong communication skills with the ability to collaborate across technical and business teams.
  • Detail‑oriented, self‑motivated, and able to manage multiple priorities in a fast‑paced environment.
  • Experience working with data feeds, EDI, or system integrations strongly preferred.

Responsibilities

  • Data Feed & Integration Support: Develop, validate, and maintain outbound data feeds to ensure accuracy and alignment with JUDI Rx standards.
  • Issue Identification & Operational Quality: Monitor issues and resolve data transfer problems per procedures and SLAs.
  • Cross‑Functional Collaboration: Work with Client Operations, Implementation, Product, and Development on onboarding and client requests.
  • Process Improvement & Documentation: Propose automation and document SOPs and guidelines.
  • Compliance & Regulatory Awareness: Maintain HIPAA compliance and data governance practices.

Skills

PBM data knowledge
Data integration
Analytics

Education

Bachelor’s degree

Tools

SQL
Excel

Job description

Judi Health in Charlotte, NC is seeking a Data Exchange Analyst to ensure the accuracy and reliability of data feeds that support our pharmacy benefits services. You will execute and monitor outbound feeds for claims, formulary, eligibility, and network data, while assisting with client connectivity and manual claims processing.

You will collaborate with Client Operations, Implementation, Product, and Development to support onboarding, migrations, and data-related client requests, identify

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