Director, Data Exchanges
Greater NYC Area
2 months ago
Owner of all client data exchanges for inbound and outbound file transfers including eligibility, prior authorizations, claim history, accumulation balances and reconciliation, claim extracts and billing reconciliation.
Responsible for driving data exchange implementation across internal and technical teams; document and train team members on troubleshooting basic to medium complexity challenges prior to escalating.
Serve as point of escalation for all files issues and defining requirements for solution with IT by identifying the root cause, triage and supporting resolution of all errors of transferring and loading of files.
Request, validate and confirm full file data feeds from clients to ensure system integrity through regular audits and reconciliation; communicate directly with third party vendors for data exchange set ups and troubleshooting.
Lead the design of all new file management systems including all vendors, client migrations, and existing client add-on projects.