AffirmedRx is looking to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management
Requirements
- 5+ years of experience in systems integrations and/or ETL (Extract, Transform, Load), including hands-on work with tools such as Informatica and Microsoft SSIS
- 3+ years of hands-on experience in EDI development, preferably in the healthcare or PBM industry
- Experience with flat file integrations, FTP/SFTP, data cleansing, and transformation
- 5+ years of relational database experience (SQL Server preferred) and 3+ years writing SQL, with emphasis on Master Data Management and data integration methodologies
- Proficiency in mapping tools, scripting languages (e.g., XML, XSLT, SQL), and integration frameworks
- 1–2 years of experience with data warehouse concepts
- Proficiency in ETL standard tools and familiarity with advanced integration topics such as Web APIs, data streams, and cloud integrations (preferred)
- Experience with Power BI
Responsibilities
- Design, develop, and maintain healthcare data exchange solutions with providers, payers, PBMs, and other trading partners
- Partner with source systems, data stewards, and technical teams to ensure effective data governance and resolve data quality or technical issues
- Design, develop, and maintain data exchange transactions, including maps and workflows, with healthcare providers, payers, PBMs, and other trading partners
- Work with ANSI X12 and HIPAA-compliant transaction sets (834, 837, 835, 270/271, 276/277) and NCPDP pharmacy standards
- Collaborate with PBM partners to optimize prescription, formulary, and claims workflows
- Ensure compliance with HIPAA, CMS, and other healthcare regulations
- Monitor and improve data exchange performance, reliability, and error-handling processes
Other
- Bachelor’s degree in Information Technology or equivalent experience
- Ability to work independently or collaboratively within a team environment
- Excellent written and verbal communication skills
- Healthcare experience, particularly with PBMs, is preferred
- Remote employees are expected to maintain a professional work environment free of distractions to ensure optimal performance and collaboration
