Partner Data & QA Analyst

KPH HEALTHCARE SERVICES, INC; Village of East Syracuse (NY); Vor Ort; USD 90.000 - 110.000; Vollzeit

Jobbeschreibung

Scope of Responsibilities

This role is responsible for supporting the maintenance, enhancement, and implementation of high-performing, reliable business solutions. The position requires a strong understanding of PBM methodologies, concepts, and processes, as well as the ability to assist with and complete Quality Assurance (QA) activities to ensure accuracy, functionality, and compliance with business requirements. Additionally, this role will help maintain and improve ProAct’s internal and client-facing data systems, contributing to operational efficiency and continuous improvement initiatives.

Job Summary

The Business Analyst will facilitate, maintain and troubleshoot partner connections to ensure a stable and secure transmission of data between ProAct and its partners. This position is also responsible for working closely with business stakeholders, clients, and technical teams to gather requirements, analyze data, document business needs, and deliver effective solutions. Additionally, this role will assist with and complete Quality Assurance (QA) activities to ensure solutions meet business requirements, function as intended, and maintain the highest standards of quality. The Business Analyst will also support the maintenance and enhancement of ProAct's internal and client-facing data systems, contributing to ongoing operational excellence and customer satisfaction.

Job Duties

• Responsible for working with new and existing partners in the implementation and administration of ProAct’s core tools and business processes which includes working with a variety of TPA (Third Party Administrators), electronic transmissions of eligibility files, medical/Rx files and reporting requirements.
• Work with TPA and clients to define/maintain/troubleshoot file feeds and layouts based on specific partner needs.
• Investigate discrepancies that may arise between a partner’s records and ProAct’s.
• Preform ad-hoc investigations and report the results to internal and external partners.
• Work with the Data-Ops team to ensure partner reporting needs are met.
• Troubleshoot and analyze data issues within raw data feeds and reports.
• Assist in the implementation of new/updated business processes to improve efficiency.
• Help with test scenarios/files, test execution and test results validation.
• Explain requirements and processes to internal/external technical and business partners in a variety of ways (use cases, logical diagrams, flow charts)
• Validate data accuracy, integrity, and consistency across internal and client-facing systems.
• Ability to identify data quality issues and define/implement corrective solutions.
• Identify opportunities and recommend changes that will help ensure optimal performance in our database and systems environment.
• Responsible for completing all mandatory and regulatory training programs
• Perform other duties as assigned