Scalepex · 14 hours ago
Healthcare Data Analyst
Scalepex is focused on healthcare data solutions, and they are seeking a Healthcare Data Analyst to monitor and improve healthcare data file exchanges. The role involves collaborating with teams to troubleshoot issues, support EDI workflows, and enhance data processes.
FinanceProfessional ServicesStaffing Agency
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
Qualification
Required
4+ years of experience in system analysis, data analysis, and/or process improvement
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
Preferred
2+ years of experience in the healthcare industry; TPA experience preferred
Associate or Bachelor's degree preferred, but not required
Knowledge or experience with ANSI 5010 transactions (837, 835, 834, 270/271) preferred