Data Analyst, Data Operations TPA

Overview Who We Are Because health is personal. That's why Personify Health created the first and only personalized health platform—bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. We serve employers, health plans, and health systems with data-driven solutions that reduce costs while actually improving health outcomes. Together, our team is on a mission to empower people to lead healthier lives. Learn even more about the work that drives us at personifyhealth.com. Responsibilities What You'll Actually Do As a Data Analyst on our TPA Data Operations team, you help monitor and manage data file exchanges with our clients, vendors and internal systems. You understand task workflows and data workflows and communicate effectively with teammates and other departments to quickly resolve issues. You will be part of a team that works to create and maintain data pipelines that are high quality & timely. You have an operationally driven internal cadence with a focus on client satisfaction. Your technical attention is precise, and you also understand how it fits in the bigger picture. You constantly strive to improve your work as well as your team.  Essential Functions/Responsibilities/Duties  Maintain an understanding of the workflows between operational departments  Communicate status of ongoing tasks on a regular basis to end users and the Team Lead or DataOps Manager  Analyze the mapping of insurance claims, import/export files, and eligibility files for troubleshooting any operational inquiry  Identify technical issues that may arise from improper enrollment or enrollment changes on electronic data interchange (EDI) files and coordinate with engineering partners to resolve issues  Coordinates ongoing EDI testing, implementations, and upgrades  Troubleshoot and report any operational error messages  Troubleshoot and report file movement errors including SFTP connections  Analyze and compare reports or data files against documented business requirements to ensure quality and identify any gaps  Other Duties as assigned the Team Lead or DataOps Manager  Qualifications What You Bring to Our Team Education and Experience  4+ years of experience with system analysis, data analysis, and/or process improvement  2+ years of experience in the Healthcare Industry  An associate or bachelor’s degree is preferred, but not required    Required Knowledge, Skills, and Abilities  Knowledge of the Healthcare & TPA Industry preferred  Excellent critical thinking skills  Strong analytical and problem-solving skills  Intermediate to Advanced knowledge of Microsoft Office Suite, i.e Excel, Outlook, Word, etc  Familiarity with flat file data structures like CSV or pipe-delimited.  Experience in using various data analysis tools, such as Excel, SQL, Tableau, Power BI, or other relevant software   Demonstrated track record of successfully analyzing data, reviewing requirements, and providing valuable insights and solutions to support business decision-making.  Ability to work collaboratively, facilitate discussions, and negotiate requirements among various teams  Knowledge/Experience with ANSI 5010 transactions like 837, 835, 834, 270/271 preferred  Physical Requirements   Must be able to remain in a stationary position 50% of the time.  The person in this job needs to occasionally move inside the office to access office machinery, filing cabinets, and meeting facilities.  Constantly operates a computer and other office productivity machinery, such as copy machine, computer printer, calculator, etc.  Frequently positions self to maintain files in file cabinets.  Frequently move boxes or equipment weighing up to 25 pounds.  Must communicate information and ideas so others understand. Must be able to exchange accurate information in these situations.  Must be able to observe details at close range.  Disclaimer  This job description is not intended to contain a comprehensive list of activities, duties, or responsibilities, but constitutes a general description of the scope and function of the role within the company. Activities, duties, and responsibilities are subject to change at any time with or without notice.  Benefits The Highlights: Competitive base salary and benefits effective day one Comprehensive medical and dental through our own health solutions (yes, we use what we build) Unlimited PTO—rest and recharge time is non-negotiable Mental health support, retirement planning, and financial protection Professional development with clear career progression and learning budgets Mission-driven culture where diverse perspectives drive real impact on people's health Want the full picture?  Visit personifyhealthbenefits.com to explore our complete benefits package, wellness programs, and other employee perks. Compensation: This position offers a base salary range of $60,000-$70,000, depending on location, skills, and experience. You're eligible for our full benefits package starting day one. Our Commitment:  Personify Health is an equal opportunity employer committed to diversity, equity, inclusion, and belonging. We cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive—because diversity is core to who we are and critical to our work in health and wellbeing. Stay Safe:  Personify Health will never ask for payment or sensitive personal information like social security numbers during hiring. All official communication comes from verified company email addresses and or our secure applicant tracking system. Suspicious requests? Report them to [email protected]. View all legitimate openings at personifyhealth.com/careers.