Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Analyst, Data Exchange - Eligibility

$96.8k - $121k

Judi Health

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers Judi Health™ , which offers full-service health benefit management solutions to employers, TPAs, and health plans Judi® , the industry’s leading proprietary Enterprise Health Platform (EHP), consolidating all claim administration-related workflows in one scalable, secure platform Together with our clients, we’re rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit Hybrid 3 days (offices in NYC, Denver, CO and Charlotte, NC area) Position 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 Act as a healthcare data subject matter expert on Eligibility guidelines and Electronic Data Interchange (EDI) protocols Serve as a point 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 all errors related to transferring, loading, and management of eligibility data Proactively monitor system status and eligibility data to quickly identify potential abnormalities that might impact quality and accuracy Ensure that all issues and errors are resolved using designated operating standards and within defined service levels Assist with the validation of eligibility data integrity through regular audits and reconciliation processes Ensure accurate and timely entry of group/plan structure determinations for benefits and enrollment All employees are responsible for adherence to the Judi Health Code of Conduct, including reporting of noncompliance Required Qualifications 1+ years of previous work experience, preferably in PBM, Healthcare, 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 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 Salary Range New York, NY: $96,800 - $121,000 USD Denver, CO: $88,000 - $111,000 USD Charlotte, NC: $80,800 - $101,000 USD 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 #J-18808-Ljbffr

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Analyst, Data Exchange - Eligibility in Charlotte, NC vacancy
  • $96.8k - $121k

     ...meetings with external partners to discuss eligibility requirements and protocols Recommend...  ...coordinate receipt and processing of eligibility data Act as a healthcare data subject matter...  ..., preferably in PBM, Healthcare, Data Exchange, and Eligibility Ability to match key... 
    Suggested
    Work experience placement
    Local area
    Flexible hours

    Capital Rx

    Charlotte, NC
    1 day ago
  • Capital Rx is seeking individuals for a position in Charlotte, NC focused on managing eligibility requirements and data integrity. The ideal candidate will have at least a Bachelor's degree and 1+ years of experience in pharmacy benefit management or healthcare. This role... 
    Suggested

    Capital Rx

    Charlotte, NC
    15 hours ago
  • Capital Rx is seeking a candidate in Charlotte, NC to manage eligibility data and serve as a key point of coordination for issues. The role requires a Bachelor’s degree and at least 1 year of relevant experience in pharmacy benefit management or healthcare. Ideal applicants... 
    Suggested

    Capitalrx

    Charlotte, NC
    3 days ago
  • $80k

     ...Senior Business Analyst For Exchange Traded Fund Services The Apex Group was established in Bermuda in 2003 and is now one of the world's largest fund administration and middle office solutions providers. Our business is unique in its ability to reach globally,... 
    Suggested
    Work at office
    Worldwide

    Apex Group

    Charlotte, NC
    3 days ago
  •  ...Description: The Business Insights Analyst II (Business / Data Analyst) is responsible for delivering...  .../incentive awards (e.g., eligibility for cash and/or equity incentive awards...  ...culture and guide our behavior. In exchange for how our colleagues show up to help... 
    Suggested
    Full time
    Temporary work
    Work experience placement
    Work at office
    Local area
    Work from home
    Flexible hours

    TD

    Charlotte, NC
    4 days ago
  • $30 - $45 per hour

    Eliassen Group is seeking a Testing Analyst II located in Charlotte, NC. The candidate will execute test scenarios for workflow-based...  ...offers a pay rate between $30.00 to $45.00/hr and includes eligibility for benefits like medical, dental, and 401(k). Experience with... 
    Remote job
    Contract work

    Eliassen Group

    Charlotte, NC
    4 days ago
  • $102.3k - $170.5k

    Research Analyst (Quantitative, Data) at LSEG - Charlotte, United States, United States The Junior Research Data Analyst will support FTSE Russell...  .... In addition to our offered base salary, this role is eligible for our Annual Incentive Plan (AIP/”bonus plan”). Target AIP... 
    Part time
    Internship

    Victrays

    Charlotte, NC
    2 days ago
  • Sr Data Management Analyst - SAP, data migration tools Join to apply for the Sr Data Management Analyst - SAP, data migration tools role at Honeywell...  ...dedicated experts in their fields, Honeywell employees are eligible for a comprehensive benefits package. This package includes... 
    16 hours
    Full time
    Temporary work
    Work from home
    Flexible hours

    Honeywell

    Charlotte, NC
    15 hours ago
  • $135k - $230k

    Role Summary The VP, Senior Business Data Analyst - Cloud Data Migration will join the Data & Analytics Engineering (D&A) organization and...  ...Salary range: $135,000.00 - $230,000.00 annually, eligible for an annual bonus based on individual and company performance... 
    Work experience placement

    3M HEALTHCARE

    Charlotte, NC
    2 days ago
  • $143.91k - $169.3k

     ...core product analytics, market data frameworks, and rate modeling...  ...role of Senior Quantitative Analyst. Successful candidates will...  ...optionality products) FX derivatives Exchange-traded futures and options...  ...an Internet-based employment eligibility verification system operated... 
    Temporary work
    Local area

    Us Bank

    Charlotte, NC
    1 day ago
  •  ...Business Analyst /Data Analyst Location: Charlotte, NC Position Type: Contract Rate: DOE $/hr. on w2 only No Visa sponsorship available for this Job (US Citizen, Green Card,GC-EAD) Job Description Strong Documentation Skills: Gathering requirements and... 
    Contract work
    Visa sponsorship

    Georgia IT Inc

    Charlotte, NC
    3 days ago
  •  ...DEMAND.com is searching for a Marketing Analyst to join their team remotely. The role emphasizes analytical skills and attention to detail, assisting the sales team by analyzing data, identifying market trends, and suggesting campaign strategies. The ideal candidate possesses... 
    Remote work

    Demand

    Charlotte, NC
    2 days ago
  • $105.4k - $124k

     ...Join to apply for the Marketing Analytics Analyst role at U.S. Bank Get AI-powered advice...  ....S. Bank is seeking a highly skilled and data-savvy Marketing Analyst to join the Marketing...  ...business partners. This position is not eligible for visa sponsorship. Basic... 
    Temporary work
    Work experience placement
    Local area
    3 days per week

    U.S. Bank

    Charlotte, NC
    2 days ago
  •  ...Senior Marketing Analyst CPI Security, a leader in security, smart home, and business...  ...marketing analytics strategies that support data-driven marketing, performance marketing,...  ...plan with competitive company match ~ Eligible for free monitored security system after... 
    Full time
    Temporary work
    Work at office
    Work from home

    CPI Security

    Charlotte, NC
    3 days ago
  • $48 - $55 per hour

     ...Health Information Management (HIM) Senior Analyst will bring experience managing...  ...protocols. Ensure compliance with HIPAA, data governance, and organizational security policies...  ...affiliated Accenture business may not be eligible for consideration. Job candidates will... 
    Hourly pay
    Live in
    Work at office
    Local area
    Flexible hours

    Accenture

    Charlotte, NC
    4 days ago
  •  ...operational support initiatives. Perform data analysis to validate requirements,...  ...1‑3+ years of experience in a Business Analyst, Data Analyst, or hybrid Business/Data Analyst...  ...modified in the future. This job is not eligible for bonuses, incentives or commissions.... 
    Hourly pay
    Contract work

    Kforce Inc

    Charlotte, NC
    2 days ago
  •  ...the way we help customers to manage risk. Join us as a Business Data Analyst to play your part in that transformation. It’s an opportunity...  ...range for this position is 85,000-110,000 and the position is eligible for a bonus in accordance with the terms of the applicable... 
    Work at office

    American International Group

    Charlotte, NC
    3 days ago
  • $75k - $85k

     ...customers using our proven solutions. We’re looking for a Data Analyst to support the implementation of Bluesight SaaS products for...  ...pay range for this position is $75,000 - $85,000 and includes eligibility for an annual discretionary bonus in addition to base salary.... 
    Local area
    Remote work

    GrabJobs

    Charlotte, NC
    5 days ago
  • $105k - $125k

     ...Senior Data Analyst page is loaded## Senior Data Analystremote type: Hybridlocations: Charlotte, NCtime type: Full timeposted on: Posted...  ...experience, and actual work location. This position will also be eligible for additional variable incentive compensation and competitive... 
    Work at office
    Flexible hours

    AssetMark

    Charlotte, NC
    2 days ago
  • $65.2k - $81.5k

    Capital Rx is seeking a Business Analyst with strong analytical skills and experience to join their Product team in Charlotte, NC. The role involves collaborating with various stakeholders to improve product delivery and user experience, particularly in healthcare technology... 

    Capital Rx

    Charlotte, NC
    3 days ago
  •  ...# Job Description Quantitative Analyst Contract: Charlotte, North Carolina...  ...development without quantitative finance. Data science backgrounds lacking derivatives...  ...this position, subject to applicable eligibility requirements: medical insurance, dental... 
    Hourly pay
    Contract work
    Temporary work
    Immediate start

    Collabera Technologies

    Charlotte, NC
    3 days ago
  •  ...governance of HR reports, design dashboards, and drive ad hoc analytics to support leadership decisions. You will partner with HR Business Partners to identify technical solutions, implement scalable data processes, and develop performance measures. #J-18808-Ljbffr Jobtailor

    Jobtailor

    Charlotte, NC
    1 day ago
  • $107.12k - $160.68k

    The Program Management Ld Analyst is a strategic professional who stays abreast of developments...  ...Forward Strategy: Develop and champion a data-driven, AI-forward strategy to optimize...  ..., Citi’s offerings may also include, for eligible employees, discretionary and formulaic... 
    Full time

    Citigroup Inc.

    Charlotte, NC
    2 days ago
  • Driven Brands Inc. is seeking a Business Analyst in Workforce Analytics to support our Auto Glass Now (AGN) brand. The role reports to the...  ..., build Excel‑based files and forecasting models, validate data and communicate results to diverse audiences. A quantitative degree... 

    Driven Brands Inc.

    Charlotte, NC
    4 days ago
  • Intuit is seeking a Lending Operations Analyst to join the Consumer Money team. This role involves managing lending servicing operations, supporting collections, and troubleshooting operational issues to enhance the member experience. The ideal candidate will have 3+ years... 

    Intuit

    Charlotte, NC
    2 days ago
  • ATX Venture Partners is seeking a Lending Operations Analyst in Charlotte, North Carolina. In this role, you will manage day-to-day lending servicing operations, ensuring operational efficiency, resolving member inquiries, and providing support for collections operations... 

    ATX Venture Partners

    Charlotte, NC
    1 day ago
  •  ...Downtown Boulder Partnership is seeking a Junior Data Analyst in Charlotte, NC. Ideal candidates are recent graduates in Computer Science or related fields. This role offers the opportunity to develop skills in Java, Python, and data visualization. We encourage applications... 

    Downtown Boulder Partnership

    Charlotte, NC
    1 day ago
  • $65k - $70k

     ...consulting firm is seeking a professional for a hybrid role in Charlotte, NC, to collaborate with business and tech teams to resolve data issues efficiently. The role involves tracking issues, ensuring timely resolutions, and managing stakeholder communication. Ideal... 

    PTR Global

    Charlotte, NC
    1 day ago
  • $65.2k - $81.5k

    Capital Rx, based in Charlotte, NC, is seeking a Business Analyst to support their Product Management team. This role involves collaborating with various teams to ensure the timely delivery of product roadmaps and automating operational tasks. Ideal candidates have strong... 

    Capital Rx

    Charlotte, NC
    15 hours ago
  • $137.61k - $168.19k

     ...including your own. We're actively seeking a talented Sr Data Management Analyst to join our team in Newport Beach, CA. The Sr Data Management...  ...Reimbursement Account that can be used on yourself or your eligible dependents. Generous paid time off options including Paid... 

    Pacific Life

    Charlotte, NC
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Analyst, Data Exchange - Eligibility. Be the first to apply!