Capital Rx is a public benefit corporation delivering full-service pharmacy benefit management solutions. The Analyst, Data Exchange will play a critical role in supporting the Enterprise Solutions team by managing data configurations and ensuring successful client migrations to the adjudication platform.

Responsibilities

• 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

Skills

• 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%
• Bachelor's Degree preferred, or equivalent combination of education, training, and experience
• Experience working with AWS Redshift

Company Overview

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