Data Exchange Analyst

🕒 April 15

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Capital Rx

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2017

⚕️ Healthcare Insurance

💳 Fintech

🤖 Artificial Intelligence

Healthcare Insurance • Fintech • Artificial Intelligence

Capital Rx is the fastest growing healthtech company in America, dedicated to transforming the prescription pricing and patient care landscape. Founded in 2017, it offers innovative pharmacy benefit management (PBM) services, including customizable pharmacy benefits for large employers and an AI-powered care navigation platform. Capital Rx focuses on delivering cost-effective solutions and operational efficiencies to clients while ensuring transparency and quality care for patients.

📋 Description

• Accountable for configuration, load, and maintenance of data from previous adjudication systems into Judi. • Provide customers with subject matter expertise in Judi’s capabilities, ensuring successful migration to the adjudication platform, with parity of all logic and initiatives. • Devise a repeatable process for implementing data in Judi, establishing key milestones, and maintaining up to date project plan. • Build and maintain trusting relationships with customers through superior customer service, meeting or exceeded service level metrics. • Perform QA and claims testing to validate that data loads yield appropriate adjudication results. • Partner with Analytics colleagues to author automated/manual test cases and monitoring processes for configurations and data loads. • Proactively identify execution risks around build status and defects, partnering with internal Product teams and clients to surface mitigation strategies. • Contribute to playbooks/templates that scale configurations for future client onboardings. • Take charge of critical issues or problems to key stakeholders, ensuring swift resolution and communication within service level agreements. • Certain times of year may require meeting participation, travel, service support or other requirements outside of standard business hours, including weekends. • Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance.

🎯 Requirements

• 1+ years of experience in an Analyst role, Software Engineering role or related work experience • 1+ year of PBM or Health Plan operations experience handling adjudication configurations. • Experience performing complex analyses on large sets of data • Knowledge of data management, statistics, modeling • Experience working with structured and unstructured data • Proficient in SQL, JSON, Java, R, Excel, and other data visualization tools • Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables. • Exceptional project / time management, prioritization, and organizational skills to ensure customer satisfaction. • Ability to shift between competing priorities and meet organizational goals. • Excellent verbal, written, interpersonal and presentation skills. • Ability to work effectively with virtual teams. • Ability to travel 5-10%.