Accountable for accurate translation of network data and reporting requirements of Capital Rx’s Software as a Service (SaaS) customers for migration and ongoing use of JUDI.
Support all network analytics needs of internal team members and customers.
Assist with intake and conversion of files necessary for parallel Network Validation data review.
Develop Network testing automation and maintain data reporting repositories related to network setup.
Support Network and Provider Agreement data reporting, claims analysis, or other network pricing related reporting.
Perform QA and claims testing to validate that network data loads yield appropriate adjudication results.
Support testing for new JUDI functionality to ensure enhancements function as expected and accurately process claims transactions.
Reconcile adjudication output variances with network subject matter experts and maintain data lineage for network configuration data.
Provide customer-facing subject matter expertise support on JUDI’s network reporting capabilities.
Contribute to playbooks/templates that scale network configurations for future client onboardings.
Take charge of critical issues, ensuring swift resolution and communication within service level agreements.
Partner with Analytics colleagues to author automated/manual test cases and monitoring processes for drug coverage configurations and data loads.
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