Eligibility Data Quality Analyst

MedImpact Healthcare Systems, Inc.; United States; Remote; USD 31,000 - 49,000; Full time

Benefits offered by this job

Medical/Dental/Vision/Wellness

Paid Time Off

Incentive Compensation

401K with Company match

Life and Disability Insurance

Tuition Reimbursement

Employee Referral Bonus

Job summary

MedImpact Healthcare Systems, Inc. is seeking an Eligibility Analyst I to act as a liaison between Account Management and the Eligibility Department.

The role manages daily client eligibility files, performs QA validation, and resolves data exceptions to ensure accurate processing for our healthcare clients. The position supports audits, Sox compliance, and documentation efforts, while collaborating with IT and business teams to drive issue resolution and process improvements.

Qualifications

• BS/BA and 1+ years experience or equivalent combination of education and experience.
• Intermediate to advanced knowledge of Microsoft Office Suite.
• Experience using Pharmscreens, EPSROI, COB File Manager required following training.
• Data analysis experience preferred and healthcare eligibility experience a plus.

Responsibilities

• Quality assurance validation of eligibility file loads to verify data integrity and processing requirements.
• Analyze and remediate eligibility record exceptions to resolve discrepancies.
• Coordinate with Account Management to validate file requirements and ensure timely ingestion.
• Provide day-to-day operational support for Account Management as SME for eligibility.
• Drive system enhancements for error handling, re-processing, and automated monitoring.

Skills

Data analysis

Eligibility experience

Communication skills

Education

BS/BA

1+ years experience

Tools

Pharmscreens

EPSROI

COB File Manager

Microsoft Office Suite

Job description

MedImpact Healthcare Systems, Inc. is seeking an Eligibility Analyst I to act as a liaison between Account Management and the Eligibility Department.

The role manages daily client eligibility files, performs QA validation, and resolves data exceptions to ensure accurate processing for our healthcare clients. The position supports audits, Sox compliance, and documentation efforts, while collaborating with IT and business teams to drive issue resolution and process improvements.