Data Exchange Analyst - Claim Ops (TPA)

requirements related to healthcare data exchange Reporting & Analysis: Generate reports on data exchange performance, error rates, and key metrics Analyze data trends to identify potential issues or areas for improvement Analyze data trends to identify potential issues or areas for improvement Participate in projects with Data Exchange impacts including vendor changes, client migrations, and client add-on requests Required

Qualifications: Bachelor's degree in Computer Science, Information Systems, Healthcare Informatics, or a related field. Equivalent work experience may be considered Knowledge of healthcare claim adjudication processes for medical, dental, and vision Strong knowledge and familiarity with EDI SNIP validations and one of the most widely used tools in the healthcare industry (e.g., EDIFECS) 2+ years of experience in data analysis, data integration, or EDI (Electronic Data Interchange) specifically within the healthcare industry Strong understanding of healthcare EDI transactions (e.g., 834 Enrollment, 837 Professional/Institutional/Dental Claims, 835 Remittance Advice) Excellent analytical, problem-solving, and critical thinking skills Familiarity with various file transfer protocols (FTP, SFTP, FTPS) Understanding of HIPAA compliance and other relevant healthcare regulations Strong attention to detail and a commitment to data accuracy 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 This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and

responsibilities as needed to best meet organizational goals. New York, NY Salary Range $96,800 — $121,000 USD Denver, CO Salary Range $88,800 — $111,000 USD Charlotte, NC Salary Range $80,800 — $101,000 USD All employees are responsible for adherence to the Judi Health Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and

responsibilities as needed to best meet organizational goals. We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at https://www.judi.health/legal/privacy-policy .

A meeting lands on your calendar

If they’re a yes, I book the chat. You show up — that’s the whole job-hunt.