Data Exchange Analyst, PBM Claims Ops

Judi Health, LLC; New York (NY); Hybrid; USD 97,000 - 121,000; Full time

Job summary

Judi Health, LLC in New York, NY seeks a Data Exchange Analyst to ensure accurate feeds for eligibility, claims, formulary and network data supporting JUDI Rx services. You will work cross‑functionally to optimize data exchange and reliability, interfacing with operations, product, and development teams.

The role emphasizes PBM data knowledge, SQL/Excel proficiency, and problem solving in a fast‑paced healthcare tech environment with hybrid work three days onsite.

Qualifications

• 1+ years of experience in PBM, healthcare data operations, or IT integration roles.
• Strong understanding of PBM data (eligibility, claims, accumulators, formulary, network).
• Strong analytical and root‑cause problem solving skills.
• Proficiency in SQL, Excel, and other data manipulation tools preferred.
• Strong communication and cross‑functional collaboration skills.

Responsibilities

• Develop, validate, and maintain outbound data feeds (claims, formulary, network, eligibility).
• Assist in setting up data connectivity for new/existing clients.
• Support manual claims processing and error resolution as directed.
• Execute and support historical data loads and related data prep tasks.
• Identify, troubleshoot, and resolve data transfer issues with internal/external partners.
• Monitor dashboards and data movement for anomalies and timeliness.
• Collaborate with Client Operations, Implementation, Product, and Development teams.
• Create process documentation and support training for new team members.

Skills

PBM data knowledge

Healthcare data operations

IT integration

Strong analytical

Communication

Tools

SQL

Excel

Job description

Judi Health, LLC in New York, NY seeks a Data Exchange Analyst to ensure accurate feeds for eligibility, claims, formulary and network data supporting JUDI Rx services. You will work cross‑functionally to optimize data exchange and reliability, interfacing with operations, product, and development teams.

The role emphasizes PBM data knowledge, SQL/Excel proficiency, and problem solving in a fast‑paced healthcare tech environment with hybrid work three days onsite.