Business Analyst, Data Operations

AffirmedRx, a Public Benefit Corporation

. Administer SFTP connections, folder structures, credentials, and user access in Couchdrop .

Posted 10/16/2026full-timeRemote • Kentucky • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing SFTP environments and automating file workflows while ensuring compliance with HIPAA regulations. Proven ability to lead data operations projects, troubleshoot discrepancies, and communicate effectively with both technical and non-technical stakeholders.

Highest-signal resume keywords

SFTP ManagementPharmacy Claims AdjudicationData Operations Project ManagementAI Tools DevelopmentHIPAA Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

File Workflow AutomationEligibility File LayoutsAccumulator ReconciliationData Issue TroubleshootingProject Scope DefinitionFile Transfer AutomationData AnalysisDashboard DevelopmentClaims ResearchTechnical Documentation

Soft Skills

Excellent CommunicationHighly OrganizedDetail-OrientedProactive CommunicationAnalytical Thinking

Tools & Technologies

CouchdropExcelPower BISmartsheetJira

Certifications & Qualifications

PMP Certification

Industry Keywords

Healthcare AdministrationPharmacy Benefits ManagementProtected Health InformationTPA PartnershipsData Operations

Tech Stack

Tools & technologies

PMP

About the role

Key responsibilities & impact

Administer SFTP connections, folder structures, credentials, and user access in Couchdrop
Monitor daily eligibility and accumulator file receipt and delivery
Coordinate new SFTP setups and changes for client onboarding and TPA implementations
Maintain partner connection, file schedule, and file-handling inventories
Design, build, and maintain automated file workflows, monitoring, and alerting
Test and document automations, including failure handling and recovery
Reconcile member claims against TPA and medical carrier accumulator ledgers
Troubleshoot claim-level reversals, adjustments, file-cycle timing, and plan-year discrepancies
Partner with Data Operations colleagues to validate findings, root causes, and corrections
Serve as day-to-day operational contact for TPA partners
Coordinate file specification changes, layout updates, and testing with TPAs
Intake, categorize, track, and prioritize file-related and data issues
Conduct impact analyses and communicate findings to technical and non-technical audiences
Maintain an issue dashboard or tracking tool as a single source of truth
Provide proactive stakeholder updates through issue resolution
Identify, prototype, test, and deploy AI-assisted data operations tools in compliance with security, privacy, and HIPAA requirements
Lead data operations projects from scoping through delivery
Define project scope, milestones, owners, dependencies, plans, risks, and status reporting
Maintain documentation and identify recurring issues for automation, systemic fixes, or process improvements

Requirements

What you’ll need

Bachelor’s degree in Business, Healthcare Administration, Information Systems, or a related field, or equivalent experience
5+ years of experience as a business analyst, data operations analyst, or similar role, including at least 3 years in PBM, pharmacy benefits, or health plan operations
Hands-on experience with pharmacy claims adjudication platforms, including researching claims, reversals, and adjustments at the member level
Experience troubleshooting accumulator discrepancies by reconciling member claims against TPA or medical carrier accumulator ledgers
Working knowledge of eligibility and accumulator file layouts and exchange processes
Experience managing SFTP environments for healthcare data exchange; Couchdrop experience strongly preferred
Experience building SFTP or file-transfer automations through a managed file transfer platform or scripting
Experience working directly with TPAs or other external partners to resolve file and data issues
Demonstrated project management experience leading cross-functional projects to on-time delivery; PMP or similar certification a plus
Experience using and developing AI tools, such as LLM-based assistants, prompt design, or AI-assisted automation
Understanding of HIPAA and secure handling of protected health information (PHI)
Experience building and maintaining a dashboard or status-tracking tool, such as Excel, Power BI, Smartsheet, or Jira
Excellent written and verbal communication skills
Strong analytical skills and ability to determine issue scope and impact
Highly organized and detail-oriented; able to manage multiple issues, projects, and stakeholders
Proactive communication habits
Alignment with AffirmedRx values of trust, accountability, and innovation
Willingness to travel 10%-20%

Benefits

Comp & perks

Competitive compensation, including health, dental, vision and other benefits
Opportunity to impact industry change in the pharmacy benefits management space
Culture where people thrive
Remote work arrangement
Professional work environment focused on optimal performance and collaboration