Judi Health
Analyst, Data Exchange Claims Ops (TPA)
$81K–$121K
Charlotte, North Carolina, United States +5 · Full-time · Posted May 12, 2026
- Location
- Charlotte, North Carolina, United States
Denver, Colorado, United States
New York, New York, United States
Charlotte, North Carolina, United States
Denver, Colorado, United States
New York, New York, United States - Experience
- 2+ years in data analysis, data integration, or EDI specifically within the healthcare industry.
- Education
- Bachelor's degree in Computer Science, Information Systems, Healthcare Informatics, or a related field; equivalent work experience may be considered.
About the job
Manages healthcare claims data exchanges by mapping and transforming files, validating data, resolving errors, monitoring feeds, and supporting partner integrations.
What you'll do
- Design, maintain, and test data mappings and connections for healthcare transactions with internal teams and external partners.
- Validate exchanged data, investigate errors and rejections, and monitor feed quality and performance.
- Troubleshoot data exchange issues, document processes, and identify opportunities to automate and improve operations.
What they ask for
- 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 for medical, dental, and vision, and healthcare EDI transactions.
- Knowledge of EDI SNIP validations and familiarity with a widely used healthcare tool such as EDIFECS.
- Understanding of HIPAA compliance and other relevant healthcare regulations.
Nice to have
- Proficiency in SQL, Excel, JSON, and other technical data skills.
- Familiarity with FTP, SFTP, and FTPS.
Pay
USD 96,800—USD 121,000 base salary (New York, NY); USD 88,800—USD 111,000 base salary (Denver, CO); USD 80,800—USD 101,000 base salary (Charlotte, NC)
Tools
837/835, 270/271, 278, 276/277, 999/TA1, EDIFECS, FTP, SFTP
Model-written summary · the original posting is authoritative