Capital Rx · 5 hours ago
Analyst, Data Exchange - Claims Operations
United States
Full-time
Remote
Entry Level
$85K/yr - $110K/yr
1+ years expJudi Health is an enterprise health technology company providing a suite of solutions for employers and health plans. The Analyst, Data Exchange - Claims Operations role involves developing and maintaining Data Exchange data feeds, coordinating issue resolution with partners, and ensuring data integrity through audits and reconciliations.
Hospital & Health Care
Responsibilities
Work with Data Exchange partners and internal teams to develop and maintain Data Exchange data feeds (ex. claims, vaccine reimbursements, eligibility, etc.) and ensure their accuracy at Capital Rx
Serving as a point of coordination for Data Exchange identification and issue resolution with internal teams and external integration partners
Identify and triage Data Exchange issues and support the resolution of all errors related to transferring, loading, and management of integrated Data Exchange data
Proactively monitoring system status and Data Exchange management data to quickly identify potential abnormalities that might impact quality and accuracy
Ensuring that all issues and errors are resolved using designated operating standards and within defined service levels
Assist with the validation of Data Exchange data integrity through regular audits and reconciliation processes
Participate in projects with Data Exchange impacts including vendor changes, client migrations, and client add-on requests
Qualification
Required
Bachelor's degree
1+ years of previous work experience, preferably in Data Exchange, Healthcare, PBM, or IT
Ability to match key PBM concepts and data fields across various systems and file layouts to ensure consistency and accuracy of data transfers
Ability to analyze complex business problems to discover and resolve root causes
Proficiency in SQL, Excel, JSON and other technical data skills preferred
Strong communication skills with the ability to develop effective work relationships with internal and external stakeholders
Self-motivated and detail-oriented problem solver
Ability to handle multiple competing priorities in a dynamic environment and collaborate in a team
Preferred
Proficiency in SQL, Excel, JSON and other technical data skills preferred
Company
Capital Rx
Capital Rx is now Judi Health! Navigate to our new page here: https://www.linkedin.com/company/judi-health
501-1000 employees
H1B Sponsorship
Capital Rx has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (3)
2024 (2)
2023 (1)
2022 (1)
2021 (5)
Funding
Current Stage
Late StageLeadership Team
A. J. Loiacono
CEO
Ryan Kelly
CTO
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