Business Processing Systems Analyst
General Description | ||
We seek a Business System Processing – Data Analyst to design, build, and maintain robust data pipelines supporting our pharmacy claims TPA operations in the 340B space. This role focuses on AWS Glue, S3, RDS SQL Server, and Python-driven ETL processes, with responsibility for production support of our CPE claims processing platform. The candidate will collaborate with cross-functional teams to ensure seamless data ingestion, claims processing, and client implementations while driving process improvements in file and data management. This role involves ensuring seamless core processing across various domains, including EHR data ingestion and normalization, prescription claims management, drug pricing, and reference data loading, and Purchase Order EDI file operations. The ideal candidate will contribute to process improvement initiatives by gathering and documenting data management requirements for the business system processing team, reviewing and auditing complex processing workflows, and collaborating with cross-functional teams to optimize data processing for covered entities and pharmacies. Additionally, this position requires developing expertise over time to support new CE client implementations, file, and data management quality improvement, and CPE claims processing, alongside troubleshooting data issues, ad hoc data manipulation, data or results forecasting, and report design. Partnering closely with the product team, the candidate will also contribute insights for enhancing IT operational requirements for CPE, ensuring efficiency and excellence in every aspect of TPA operations. This candidate would also work together with developer teams, product managers, and business stakeholders/owners, collaborating with the pharmacy and client operations, sales and marketing, finance, human resources, and other internal support teams, as well as contributing to the overall vision for our annual product roadmap. This individual will need the ability to thrive in a small company where many responsibilities and demands may be called upon in the position, where flexibility, problem-solving skills, a positive attitude, and openness to career feedback to support rapid company growth. | ||
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