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About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health™ , which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi® , the industry’s leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we’re rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit www.judi.health . Location: Hybrid 3 days (offices in NYC, Denver, CO and Charlotte, NC area) Position Summary: The Data Exchange Analyst is a crucial member of our Data Operations team, responsible for ensuring the accurate, efficient, and secure exchange of healthcare data between Capital Rx – JUDI Health and its various partners, including employers, providers, and other TPAs. This role focuses on the technical aspects of data integration, file transformation, error resolution, and ongoing monitoring of data feeds for medical, dental, and vision claims. The ideal candidate will possess a strong understanding of healthcare data formats, excellent analytical skills, and a commitment to data integrity and compliance. Key Responsibilities: Data Integration & Mapping: Design, develop, and maintain data mappings and transformations for incoming and outgoing healthcare data files: 837/835 - claims & remittance, 270/271 – eligibility and responses, 278 – Prior Auth, 276/277 – claim status, 999/TA1 – file level acknowledgement as well as proprietary formats Collaborate with internal teams (e.g., Client Services, Claims, IT Development) and external partners (e.g., clearing houses or third-party administrators) to define data requirements and specifications Work with business teams and trading partners to onboard, test and certify new connections and transaction sets Data Quality & Validation: Develop and implement data validation rules and processes to ensure the accuracy, completeness, and consistency of exchanged data Proactively identify and resolve data discrepancies, errors, and rejections in a timely manner Perform root cause analysis for data issues and implement preventative measures Monitoring & Support: Proactively monitoring system status and Data Exchange management data to quickly identify potential abnormalities that might impact quality and accuracy Provide technical support and troubleshooting for data exchange issues, working with internal and external stakeholders to resolve problems Document data exchange processes, configurations, and troubleshooting steps Process Improvement & Automation: Identify opportunities to optimize and automate data exchange processes, improving efficiency and reducing manual effort Stay current with industry best practices, new technologies, and regulatory requirements related to healthcare data exchange Reporting & Analysis: Generate reports on data exchange performance, error rates, and key metrics Analyze data trends to identify potential issues or areas for improvement Analyze data trends to identify potential issues or areas for improvement Participate in projects with Data Exchange impacts including vendor changes, client migrations, and client add-on requests Required Qualifications: Bachelor's degree in Computer Science, Information Systems, Healthcare Informatics, or a related field. Equivalent work experience may be considered Knowledge of healthcare claim adjudication processes for medical, dental, and vision Strong knowledge and familiarity with EDI SNIP validations and one