Data Exchange Analyst (Medical, Dental & Vision) - Remote

Overview

The Data Exchange Analyst is a crucial member of our Data Operations team, responsible for ensuring the accurate, efficient, and secure exchange of healthcare data between Capital Rx – JUDI Health and its various partners, including employers, providers, and other TPAs. This role focuses on the technical aspects of data integration, file transformation, error resolution, and ongoing monitoring of data feeds for medical, dental, and vision claims. The ideal candidate will possess a strong understanding of healthcare data formats, excellent analytical skills, and a commitment to data integrity and compliance.

In Short

• Design, develop, and maintain data mappings and transformations for healthcare data files.
• Collaborate with internal teams and external partners to define data requirements.
• Onboard, test, and certify new connections and transaction sets.
• Develop and implement data validation rules and processes.
• Proactively identify and resolve data discrepancies and errors.
• Monitor system status and Data Exchange management data.
• Provide technical support and troubleshooting for data exchange issues.
• Identify opportunities to optimize and automate data exchange processes.
• Generate reports on data exchange performance and key metrics.
• Stay current with industry best practices and regulatory requirements.

Requirements

• Bachelor's degree in Computer Science, Information Systems, or related field.
• Knowledge of healthcare claim adjudication processes.
• 2+ years of experience in data analysis or EDI in the healthcare industry.
• Strong understanding of healthcare EDI transactions.
• Excellent analytical, problem-solving, and critical thinking skills.
• Familiarity with file transfer protocols (FTP, SFTP, FTPS).
• Understanding of HIPAA compliance and healthcare regulations.
• Strong attention to detail and commitment to data accuracy.
• Proficiency in SQL, Excel, JSON, and other technical data skills.
• Strong communication skills and ability to develop effective work relationships.

Benefits

• Flexible position with opportunities for growth.
• Diverse workplace that values inclusion and equality.
• Competitive salary and benefits package.
• Work with cutting-edge technology in healthcare.
• Supportive team environment.