Source Job

  • 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 healthcare data subject matter expert on Eligibility guidelines and Electronic Data Interchange (EDI) protocols

SQL Excel JSON PBM EDI

4 jobs similar to New Analyst, Data Exchange - Eligibility

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US

  • Work with Data Exchange partners and internal teams to maintain Data Exchange data feeds.
  • Serve as a point of coordination for Data Exchange identification and issue resolution.
  • Proactively monitor system status to quickly identify potential abnormalities.

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans. They offer full-service health benefit management solutions to employers, TPAs, and health plans.

US

  • Develop and maintain a deep understanding of our RCM/Clearinghouse capabilities to effectively respond to incoming customer inquiries.
  • Resolve common support ticket inquiries in a timely manner, such as clearinghouse rejections and ERA/EDI Application Help
  • Improve and advocate for customer experience by identifying opportunities to enhance our enrollment process and provided EDI/ERA support

Prompt Therapy Solutions is revolutionizing healthcare by delivering automated software to rehab therapy businesses and patients. As the fastest growing company in the physical therapy EMR space, they are looking to bring on people to help contribute to the continued growth.

$80,000–$90,000/yr
US

  • Collect, clean, process, and analyze potential and current clients’ pharmaceutical data using SQL, R, Python, and MS Excel.
  • Thoroughly understand internal and external data fields, identify patterns of data irregularities, and improve data quality and intake.
  • Assist in the writing and maintenance of the Underwriting infrastructure code in SQL, R, and Python.

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans. The company aims to rebuild trust in healthcare in the U.S. and deploy the infrastructure we need for the care we deserve; they have a startup energy with a focus on delivery.

US 3w PTO

  • Own data reconciliation and reporting workflows.
  • Gather, validate, and prepare data from multiple sources.
  • Identify missing or inconsistent fields and partner with Operations to resolve issues.

Zócalo Health is the first tech-driven provider built specifically for Latinos, by Latinos, developing a new approach to care designed around shared and lived experiences. Founded in 2021, they are backed by leading healthcare and social impact investors.