Data Exchange Analyst - PBM & Claims Operations

Judi Health, LLC

New York (NY)

Hybrid

USD 97,000 - 121,000

Full time

13 days ago

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Job summary

Judi Health, LLC is seeking a Data Exchange Analyst to ensure data feeds support pharmacy benefit services. You will execute and monitor outbound eligibility, claims, formulary, and network reporting, while assisting with client data integrations and historical loads.

The role requires PBM data knowledge, strong analytical skills, and the ability to communicate across technical and non-technical teams in a hybrid work environment.

Qualifications

  • 1+ years of experience in PBM, healthcare data operations, or IT integration roles.
  • Strong understanding of PBM data (eligibility, claims, accumulators, formulary, network).
  • Proficiency in SQL and Excel; strong analytical and communication skills.

Responsibilities

  • Develop, validate, and maintain outbound data feeds (claims, formulary, network, eligibility).
  • Assist in setting up and testing data connectivity for new/existing clients.
  • Support manual claims processing activities and historical data loads.

Skills

PBM data
SQL
Excel
Data analysis
Communication

Education

Bachelor's degree

Tools

SQL
Excel

Job description

Judi Health, LLC is seeking a Data Exchange Analyst to ensure data feeds support pharmacy benefit services. You will execute and monitor outbound eligibility, claims, formulary, and network reporting, while assisting with client data integrations and historical loads.

The role requires PBM data knowledge, strong analytical skills, and the ability to communicate across technical and non-technical teams in a hybrid work environment.

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