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.
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
Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans. They are rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve.
Lead the onboarding, validation, and documentation of new partner data sources and integrations.
Translate business and partner requirements into clear, actionable technical specifications.
Evolve data ingestion frameworks to support faster and more accurate onboarding of new partners.
Forbes Advisor's mission is to help readers turn their aspirations into reality by providing trusted advice and guidance for informed decisions. The team has decades of experience across Content, SEO, Business Intelligence, Finance, HR, Marketing, Production, Technology and Sales.
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.
Document processes to ingest contact and company data from all sources.
Recommend simplification of processes and workflows for efficient scaling.
Translate complex challenges into practical solutions, breaking large projects into phases that deliver incremental value.
QIMA helps clients make products consumers can trust by developing compliance solutions for testing, inspection and certification (TIC) that enable supply chain agility, sustainability and product innovation. They have 6,000+ dedicated Qimates worldwide and are known for their culture of relentless client care and commitment to intuitive solutions.
First line of defense on data quality and accuracy issues with existing payer data ingestion feeds.
Provide operational support needed to ensure continuity of data exchange between Aledade and payer partners.
Assist in data analysis requests to support net new integrations and investigate investments for new data-based projects.
Aledade empowers independent primary care practices. They are the largest network of independent primary care in the country, helping practices deliver better care and thrive in value-based care.
Deliver actionable business intelligence and strategic insights.
Clean, standardize, and document stakeholder-facing dashboards in Looker.
Deliver ad hoc strategic analyses with clear financial or strategic recommendations.
Launch Potato is a digital media company connecting consumers with brands through data-driven content. They are headquartered in South Florida with a remote-first team spanning over 15 countries, and they have a high-growth, high-performance culture.
Verify the accurate input, integrity, and consistency of data.
Ensure that data processing and production meet established quality standards.
Collaborate with internal teams to resolve data or system issues.
NIQ is the world’s leading consumer intelligence company, delivering the most complete understanding of consumer buying behavior. In 2023, NIQ combined with GfK, bringing together the two industry leaders and operates in 100+ markets, covering more than 90% of the world’s population.
Lead end-to-end integration of medication data feeds from national and regional payers.
Serve as primary technical and business contact for payer partners.
Act as escalation point and mentor for Integration Services Engineers.
DrFirst empowers providers and patients to achieve better health through intelligent medication management. They improve healthcare workflows and help patients start and stay on therapy with end-to-end solutions. This is a successful Healthcare IT company experiencing significant growth, with a dynamic and flexible workplace.
Audits FEP claims, customer service inquiries, member and group enrollment activities in accordance with Plan Incentive Program (PIP) guidelines.
Supports IA and SIU with assistance as needed.
Utilizes the internal SharePoint Audit tool to communicate findings and follow up assuring corrective action is taken and documented.
Capital Blue Cross is committed to going the extra mile for their team and community. It's why their employees consistently vote them one of the “Best Places to Work in PA.”