Healthcare Data Analyst: DataOps & EDI Specialist

Scalepex; United States; Remote; USD 55,000 - 85,000; Full time

Job summary

Scalepex is seeking a Data Analyst to monitor, manage, and improve healthcare data file exchanges across clients, vendors, and internal systems. You will work within a DataOps team ensuring accurate, reliable data pipelines delivered on time.

You’ll troubleshoot issues with engineering and operations, analyze enrollment and claims data, and help improve data processes to support client satisfaction and business outcomes.

Qualifications

• 1+ years of experience in system analysis, data analysis, and/or process improvement.
• 1+ years of experience in the healthcare industry; TPA experience preferred.
• Associate or Bachelor’s degree preferred, but not required.
• Strong analytical, critical thinking, and problem-solving skills.
• Intermediate to advanced proficiency in Microsoft Office (Excel, Outlook, Word).
• Familiarity with flat file data structures such as CSV or pipe-delimited files.
• Experience using data analysis tools such as Excel, SQL, Tableau, Power BI, or similar tools.
• Proven ability to analyze data, review requirements, and deliver insights that support business decisions.
• Strong collaboration and communication skills across technical and non-technical teams.
• Knowledge or experience with ANSI 5010 transactions (837, 835, 834, 270/271) preferred.

Responsibilities

• Maintain understanding of data and task workflows across operational departments.
• Communicate status of ongoing tasks and issues to end users, team leads, and DataOps leadership.
• Analyze and troubleshoot insurance claims, eligibility, and import/export file mappings.
• Identify and resolve issues related to enrollment in EDI files, partnering with engineering.
• Coordinate ongoing EDI testing, implementations, and upgrades.
• Troubleshoot and report operational errors, including file movement and SFTP issues.
• Compare data files and reports against documented requirements to ensure data quality.
• Support continuous improvement of data workflows, documentation, and processes.
• Perform additional duties as assigned by Team Lead or DataOps Manager.

Skills

Data analysis

SQL

Tableau

Power BI

Excel

Communication

Education

Associate or Bachelor’s degree preferred

Tools

CSV

Pipe-delimited files

Job description

Scalepex is seeking a Data Analyst to monitor, manage, and improve healthcare data file exchanges across clients, vendors, and internal systems. You will work within a DataOps team ensuring accurate, reliable data pipelines delivered on time.

You’ll troubleshoot issues with engineering and operations, analyze enrollment and claims data, and help improve data processes to support client satisfaction and business outcomes.