Analyst, Data Exchange (Medtech)

TL;DR

Analyst, Data Exchange (Medtech): Configuration, loading, and maintenance of accumulator, claims, and override data in Enterprise Health Platform with an accent on migrating data from previous adjudication systems and ensuring parity of logic. Focus on devising repeatable implementation processes, performing QA and claims testing, and partnering with analytics for monitoring configurations.

Location: Remote (For Non-Local) or Hybrid (Local to NYC area). Ability to travel 5-10%.

Salary: $76,800 - $121,000 USD

Company

Enterprise health technology company providing pharmacy benefit management (PBM) solutions, health benefit management, and a proprietary Enterprise Health Platform for claims administration.

What you will do

• Configure, load, and maintain data from previous adjudication systems into Judi platform.
• Provide subject matter expertise to customers for successful migration and parity of logic.
• Devise repeatable processes for data implementation, establish milestones, and maintain project plans.
• Perform QA and claims testing to validate data loads and adjudication results.
• Partner with Analytics to author test cases and monitoring processes.
• Identify risks, contribute to playbooks for scaling configurations, and resolve critical issues within SLAs.

Requirements

• 1+ years in Analyst, Software Engineering, or related role
• 1+ year PBM or Health Plan operations experience with adjudication configurations
• Experience with complex analyses on large datasets, data management, statistics, modeling.
• Work with structured/unstructured data; proficient in SQL, JSON, Java, R, Excel, data visualization tools.
• Track record leading cross-functional initiatives, project/time management, prioritization skills.
• Excellent verbal, written, interpersonal, presentation skills; work with virtual teams.

Nice to have

• Bachelor's Degree or equivalent.
• Experience with AWS Redshift.

Culture & Benefits

• Diverse workplace celebrating employee diversity.
• Equal employment opportunities without discrimination.
• Flexible position allowing reassignment of duties to meet goals.
• Adherence to Code of Conduct.