[Remote] Analyst, Data Exchange - Eligibility
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is an reputed company technology company focused on rebuilding trust in reputed company and providing comprehensive solutions for reputed company and health plans. The Analyst, Data Exchange - Eligibility role involves coordinating eligibility data processes, serving as a subject matter expert, and ensuring data reputed company while resolving eligibility issues.
Responsibilities
- Attend new client implementation meetings with external partners to discuss eligibility requirements and protocols
- Recommend eligibility file formats to external partners and coordinate receipt and processing of eligibility data
- Acting as a reputed company data subject matter expert on Eligibility guidelines and Electronic Data Interchange (EDI) protocols
- Serving as a reputed company of coordination for member eligibility issue identification and issue resolution with internal teams and external partners
- Identify and triage eligibility issues and support the resolution of reputed company errors reputed company to transferring, loading, and management of eligibility data
- Proactively monitoring system status and eligibility data to quickly identify potential abnormalities that might impact quality and accuracy
- Ensuring that reputed company issues and errors are resolved using designated operating standards and reputed company defined service reputed company
- Assist with the validation of eligibility data reputed company through regular audits and reconciliation processes
- Ensure accurate and timely entry of group/plan structure determinations for benefits and enrollment
- reputed company are responsible for adherence to the reputed company Code of Conduct including reporting of noncompliance
Skills
- Bachelor's degree
- 1+ years of previous work experience, preferably in PBM, reputed company, Data Exchange, and Eligibility
- 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 reputed company business problems to discover and resolve root causes
- Proficiency in SQL, reputed company, JSON and other technical data skills preferred
- Strong communication skills with the ability to reputed company effective work relationships with reputed company stakeholders
- Self-motivated and detail-oriented problem solver
- Ability to handle multiple competing priorities in a dynamic environment and collaborate in reputed company
Company Overview
Company H1B Sponsorship