Healthcare DataOps & EDI Analyst

Scalepex; Texas; On-site; USD 65,000 - 90,000; 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 within a DataOps framework. You will collaborate with engineering and operational stakeholders to troubleshoot issues and optimize data workflows.

The role emphasizes analytical rigor, attention to detail, and the ability to translate data insights into actionable improvements for client satisfaction and business outcomes.

Qualifications

• 4+ years of experience in system analysis, data analysis, and/or process improvement.
• 2+ years of experience in the healthcare industry; TPA experience preferred.
• 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.

Responsibilities

• Maintain a strong understanding of data and task workflows across operational departments.
• Communicate the 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 and enrollment changes within EDI files, partnering with engineering teams as needed.
• Coordinate ongoing EDI testing, implementations, and upgrades.
• Troubleshoot and report operational errors, including file movement and SFTP connection issues.
• Compare data files and reports against documented business requirements to ensure data quality and identify gaps.
• Support continuous improvement of data workflows, documentation, and operational processes.
• Perform additional duties as assigned by the Team Lead or DataOps Manager.

Skills

Data analysis

SQL

Excel

Power BI/Tableau

Attention to detail

Communication

Education

Associate or Bachelor’s degree (preferred)

Tools

Excel

SQL

Tableau/Power BI

Job description

Scalepex is seeking a Data Analyst to monitor, manage, and improve healthcare data file exchanges across clients, vendors, and internal systems within a DataOps framework. You will collaborate with engineering and operational stakeholders to troubleshoot issues and optimize data workflows.

The role emphasizes analytical rigor, attention to detail, and the ability to translate data insights into actionable improvements for client satisfaction and business outcomes.