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Job Description

Monitor and improve data exchange operations for TPA clients, vendors, and internal systems while supporting EDI testing and pipeline quality.

Responsibilities

  • Maintain understanding of workflows across operational departments involved in data exchange
  • Provide regular updates on ongoing task status to end users and to the Team Lead or DataOps Manager
  • Analyze mappings for insurance claims, import/export files, and eligibility files to troubleshoot operational inquiries
  • Detect potential technical issues related to improper enrollment or enrollment changes in EDI files
  • Coordinate with engineering partners to resolve EDI-related issues
  • Coordinate ongoing EDI testing, implementations, and upgrades
  • Troubleshoot and report operational error messages
  • Troubleshoot and report file movement errors, including SFTP connection issues
  • Compare reports and data files against documented business requirements to ensure data quality and identify gaps
  • Perform other duties as assigned by the Team Lead or DataOps Manager

Requirements

  • 4+ years of experience with system analysis, data analysis, and/or process improvement
  • 2+ years of experience in the Healthcare Industry
  • Associate or bachelor’s degree preferred; not required
  • Knowledge of the Healthcare & TPA Industry preferred
  • Excellent critical thinking and strong analytical and problem-solving skills
  • Intermediate to Advanced knowledge of Microsoft Office Suite (Excel, Outlook, Word, etc.)
  • Familiarity with flat file data structures such as CSV or pipe-delimited formats
  • Experience using data analysis tools such as Excel, SQL, Tableau, Power BI, or other relevant software
  • Demonstrated track record of analyzing data, reviewing requirements, and delivering insights that support business decisions
  • Ability to collaborate with teams, facilitate discussions, and negotiate requirements
  • Knowledge and/or experience with ANSI 5010 transactions (837, 835, 834, 270/271) preferred

Technology

  • Microsoft Office Suite (Excel, Outlook, Word)
  • Excel
  • SQL
  • Tableau
  • Power BI
  • CSV
  • Pipe-delimited data
  • EDI
  • SFTP
  • ANSI 5010 transactions (837, 835, 834, 270/271)

Benefits

  • Competitive base salary and benefits effective day one
  • Comprehensive medical and dental through Personify Health’s own health solutions
  • Unlimited PTO
  • Mental health support, retirement planning, and financial protection
  • Professional development with clear career progression and learning budgets
  • Mission-driven culture where diverse perspectives drive real impact on people’s health
  • Full benefits package starting day one

Physical Requirements

  • Remain in a stationary position 50% of the time
  • Occasionally move inside the office to access office machinery, filing cabinets, and meeting facilities
  • Constantly operate a computer and other office productivity machinery (copy machine, computer printer, calculator, etc.)
  • Frequently position self to maintain files in file cabinets
  • Frequently move boxes or equipment weighing up to 25 pounds
  • Communicate information and ideas so others understand, with ability to exchange accurate information
  • Observe details at close range

Compensation

  • Base salary range: $60,000 to $70,000 per year, depending on location, skills, and experience

Location: Tempe, AZ (onsite)

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