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US

  • Manage eligibility and accumulator file exchange operations, including SFTP connections, automated workflows, and partner relationships.
  • Troubleshoot claims and accumulator discrepancies by reconciling member-level data against TPA ledgers and adjudication platforms.
  • Lead data operations projects, including AI-assisted tool development, with proactive communication and impact analysis.

SFTP Data Reconciliation Project Management AI Tools Communication

20 jobs similar to Business Analyst, Data Operations

Jobs ranked by similarity.

Global

  • Serve as the primary liaison between Data Operations and business-facing teams for file-related and data issues.
  • Conduct impact analyses to determine scope and severity, partnering with technical team members to validate findings.
  • Maintain a dashboard for tracking open issues and provide proactive status updates to stakeholders.

AffirmedRx improves health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. Our team is committed to making pharmacy benefits easy to understand and accessible, with a culture that values trust, accountability, and innovation.

$120,000–$140,000/yr
US Unlimited PTO

  • Own implementations end-to-end, managing clients from Sales handoff through go-live, including project plans and launch readiness.
  • Manage technical setup including SFTP access, claims file validation, and partner with Engineering on advanced troubleshooting.
  • Lead client communications and coordinate internal partners to drive successful, on-time implementations.

Pivotal Health is a technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. We are a collaborative, low-ego startup building AI-driven solutions to simplify reimbursement workflows.

US Unlimited PTO

  • Lead Data Operations teams to drive operational excellence and improve cross-functional processes.
  • Manage teams responsible for ingesting, processing, and delivering files, setting clear standards and measurements.
  • Collaborate with cross-functional teams to identify business requirements for client implementation and product development.

Personify Health provides a personalized health platform for employers, health plans, and health systems. The company fosters a mission-driven culture where diverse perspectives drive real impact on people's health.

US 4w PTO 12w maternity 12w paternity

  • Triage and resolve data quality issues across 1,200+ payer data feeds.
  • Collaborate with internal teams and payers to ensure end-to-end data integrity.
  • Maintain SOPs and lead cross-functional data initiatives to optimize processes.

Aledade PBC empowers independent primary care practices to thrive in value-based care. Founded in 2014, it is the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.

$78,200–$101,200/yr
Canada

  • Own defined Success Operations programs including customer recovery, cross-sell, and AI-enabled call center operations, setting goals and managing performance.
  • Analyze conversion, retention, revenue, and cost data, turning findings into clear recommendations.
  • Improve operational workflows by documenting processes, coordinating cross-functionally, and implementing automation where applicable.

Thumbtack helps millions of people confidently care for their homes through a one-stop app for repairs, maintenance, and improvements. With a community of 300,000 local service businesses, they combine personalized guidance and AI tools to serve homeowners across the U.S.

US 4w PTO

  • Lead AI-powered support and automation operations in Member Services.
  • Oversee AI agent performance, governance, and continuous improvement.
  • Partner with Product, Engineering, and Operations to scale solutions.

Partner company in healthcare is advancing Member Services through AI-powered support and automation. It values innovation, accountability, and remote flexibility, with a focus on measurable operational outcomes.

$150,000–$170,000/yr
US

  • Lead end-to-end data conversion of healthcare payer data between platforms, acting as subject matter expert for Claims, Enrollment, Provider, and Authorizations.
  • Design and execute phased conversion plans, including mock, parallel, and full-volume runs, while managing client expectations.
  • Mentor junior team members and contribute to reusable conversion assets and knowledge repositories.

HealthEdge provides healthcare technology solutions, including HealthRules Payer and GuidingCare, to modernize healthcare administration. They operate as an established company with a focus on innovation and teamwork, employing a diverse workforce committed to excellence.

Global 8w paternity

  • Own the core cashback process and ensure millions of users get rewarded accurately.
  • Analyse transaction data, build dashboards, and spot silent breakages before they erode trust.
  • Design merchant setups and fix issues using AI, internal tools, and outsourced teams.

Joko is an AI shopping app helping consumers save money with cashback, coupons, and price alerts. Founded in Paris, it's a certified B Corp with 120+ talents across Paris, Barcelona, and New York, scaling globally after reaching profitability.

$85,000–$118,000/yr
US Unlimited PTO

  • Architect end-to-end TPA solutions across eligibility, claims, billing, and benefit administration.
  • Own PBM solution design, manage vendor partnerships, and negotiate data standards and SLAs.
  • Track financial performance, pricing, rebates, and operational health to drive client wins.

Personify Health created the first and only personalized health platform bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together. They serve employers, health plans, and health systems with data-driven solutions that reduce costs and improve health outcomes.

$115,000–$125,000/yr
US 6w PTO

  • Own administration of core operational systems (CRM, ticketing, workflow tools).
  • Build and maintain reporting and dashboards for operational performance.
  • Design workflow automations and bridge Product and Operations needs.

Scan.com is building America's national imaging network, connecting patients, providers, and payers to faster, better-value diagnostic imaging. They've raised over $200M in funding, reached profitability, and are growing 100% year on year.

US Unlimited PTO

  • Own end-to-end configuration of customer integrations, partnering with customer IT teams.
  • Manage SFTP-based data imports/exports and validate incoming data accuracy.
  • Lead integration projects, troubleshoot issues, and build scalable documentation.

EdSights builds AI-powered student engagement software for higher education, analyzing real-time student conversations. Backed by $80M and serving 300+ colleges, it's a fast-scaling EdTech startup with a collaborative, no-ego culture.

$2,500–$3,500/mo
Global

  • Own day-to-day technical and operational needs across campaigns, partners, and workflows.
  • Manage partner onboarding, campaign configurations, creative approvals, and troubleshooting.
  • Identify process improvements and leverage AI tools to streamline operations in a fast-paced startup.

Property Leads is a performance marketing company connecting homeowners with real estate investors, expanding into home services and other consumer verticals. It is a lean, fast-moving startup that values ownership, resourcefulness, and results without unnecessary bureaucracy.

US

  • Build and deploy health informatics features for the VA's Office of Clinical Informatics under the OIP contract.
  • Support interoperability, clinical terminology, EHR optimization, patient safety, data analytics, and training.
  • Work within SAFe Agile Release Trains alongside VA business owners, clinicians, and technical teams.

Aptive and Artemis Arc support federal health programs, including the VA's Office of Clinical Informatics. They are building a candidate pool of 100 openings for informatics roles, with a focus on Agile delivery and collaboration with clinicians.

$80,000–$93,000/yr
US Unlimited PTO

  • Partner with Customer Success to deliver measurable 340B outcomes for a portfolio of clients.
  • Lead implementations, manage timelines, and ensure consistent execution across client workflows.
  • Analyze data to surface trends, optimize referral capture, and drive client performance.

NuvemRx helps community health providers simplify pharmacy operations with software, intelligence, and expert support. It is a fast-growing, mission-driven company that values ownership, collaboration, integrity, and service.

US 12w maternity 12w paternity

  • Lead operational testing and experiments for Care & Case Management and navigation teams, including AI calling and intake pilots.
  • Manage cross-functional projects, own daily and weekly business readouts, and drive Population Health margin initiatives.
  • Conduct deep-dive operational assessments, leverage AI productivity tools, and partner with product teams to improve outcomes.

Included Health is a healthcare company delivering integrated virtual care and navigation, with a mission to raise the standard of healthcare for everyone. It fosters a remote-first culture and is an equal opportunity employer.

$144,000–$191,000/yr
US 4w PTO

  • Lead the operational performance and continuous improvement of deployed AI support experiences and automation workflows.
  • Build and scale the Automated Operations capability, including governance, standards, and team development.
  • Partner with cross-functional teams to deliver measurable business outcomes and improve member and team member experiences.

HealthEquity empowers healthcare consumers by providing health savings accounts and related financial solutions. We are a mission-driven organization that values innovation, inclusion, and the personal growth of our team members.

US

  • Support analysis, maintenance, and optimization of pharmacy and client networks through detailed data analysis and system updates.
  • Conduct research on claims, pricing, and reimbursement discrepancies, and develop operational audit tools.
  • Assist with network contract implementation, policy development, and building collaborative relationships with internal departments.

PDMI provides pharmacy data processing and flexible, scalable solutions for private label PBMs, health plans, and hospital systems. The company has been voted Best Employer in Ohio for six consecutive years and offers a collaborative, fully remote work environment.

$80,000–$100,000/yr
US Unlimited PTO

  • Own the weekly fee-refund cycle, matching remit amounts and escalating discrepancies to Finance.
  • Field refund inquiries from Client Success and track missing or delayed refunds.
  • Maintain Payor Compliance SOPs and flag systemic payment issues to engineering.

Pivotal Health is a technology platform that helps healthcare providers get paid fairly in a complex reimbursement landscape. It is a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers.

US 4w PTO

  • Lead AI-driven workflow automation to reduce manual fraud operations effort.
  • Deliver investigative insights and proactive detection through data analysis.
  • Build operational dashboards to track KPIs and replace manual reporting.

Koalafi provides flexible lease-to-own financing for non-prime consumers through retailers. With over 200 teammates, they foster a culture of innovation, trust, and ownership.

US Unlimited PTO

  • Own end-to-end go-to-market operations for field teams, managing legal and pricing eligibility for strategic initiatives.
  • Build and maintain tools and playbooks, including an AI contract dashboard, to enable field execution.
  • Analyze adoption and performance data to identify risks and turn cross-functional inputs into actionable processes.

Affirm provides a clear, predictable way for consumers to pay over time, with no hidden fees or surprises. It is a remote-first fintech company that values transparency, care, and flexibility in its culture.