Healthcare Eligibility Analyst I – Data & QA

MedImpact Healthcare Systems; San Diego (CA); On-site; USD 31,000 - 49,000; Full time

Job summary

MedImpact Healthcare Systems, Inc. seeks an Eligibility Analyst I in San Diego, CA to serve as a liaison between Account Management and the Eligibility Department.

You will perform quality assurance validation, verify file-load accuracy, and monitor processing to ensure timely and compliant eligibility data. Qualifications include a BS/BA and 1+ years of experience, plus strong data analysis skills and proficiency with Microsoft Office and healthcare software such as Pharmscreens, EPSROI, and

Qualifications

• BS/BA and 1+ years' experience or equivalent combination of education and experience.
• Data analysis experience preferred and healthcare eligibility experience a plus.

Responsibilities

• Perform quality assurance validation of eligibility file loads to verify data integrity and adherence to processing requirements.
• Remediate eligibility record exceptions to resolve data discrepancies and support accurate downstream processing.
• Coordinate with Account Management to validate file requirements and ensure timely eligibility file ingestion.
• Provide day-to-day operational production support for Account Management and act as SME for strategic partners.
• Drive improvements for error log handling, re-processing of failed member records, and automated file monitoring and alerts.

Skills

Data analysis

Communication

Problem solving

Attention to detail

Education

BS/BA in related field

Tools

Pharmscreens

EPSROI

COB File Manager

Microsoft Office

Job description

MedImpact Healthcare Systems, Inc. seeks an Eligibility Analyst I in San Diego, CA to serve as a liaison between Account Management and the Eligibility Department.

You will perform quality assurance validation, verify file-load accuracy, and monitor processing to ensure timely and compliant eligibility data. Qualifications include a BS/BA and 1+ years of experience, plus strong data analysis skills and proficiency with Microsoft Office and healthcare software such as Pharmscreens, EPSROI, and