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About the role
Key responsibilities & impact- Support execution of eligibility and accumulator file feeds and interfaces from implementation through ongoing operations and maintenance
- Support claims extract file feeds, ensuring data is accurate, complete, and delivered to external stakeholders on schedule
- Serve as a day-to-day resource for eligibility, accumulator, and claims extract data needs
- Collaborate with engineering, client success, implementations, benefit administration, and other internal stakeholders
- Monitor downstream vendor feeds and third-party integrations; escalate and assist in troubleshooting issues
- Research and troubleshoot inquiries or issues related to eligibility, accumulators, and claims extract/data feeds
- Maintain accurate, up-to-date documentation of processes and internal controls
- Take on additional responsibilities as business needs evolve
Requirements
What you’ll need- Bachelor's degree preferred; relevant experience considered for exceptional candidates
- 2–4 years of experience in healthcare operations, PBM, health plan, or data/eligibility operations; entry-level candidates with strong analytical skills are encouraged to apply
- Detail-oriented and organized
- Strong sense of ownership
- Ability to work in a fast-paced environment with shifting priorities
- Comfortable learning new systems and platforms
- Consultative approach with internal and external stakeholders
- Working knowledge of Excel
- Ability to research and troubleshoot data discrepancies
- Experience with eligibility, accumulator, or claims file feeds
Benefits
Comp & perks- Bonus
- Equity
- Additional hours may be available/required during peak seasons to meet critical deadlines