- Own all inbound and outbound file processes across vendors (PBM, networks, medical management, etc.).
- Monitor, validate, and reconcile daily file activity (eligibility, claims, accumulators, EOBs, etc.).
- Troubleshoot and resolve file failures across SFTP connections, vendors, and internal systems.
- Serve as the primary technical contact for vendor file integrations and manage connectivity.
- Build, maintain, and enhance operational and client-facing reports using SQL.
- Perform cross-system data audits between claims system, vendor outputs, and internal reporting.
- Support new client implementations from a file and reporting readiness perspective.
- Develop and maintain SOPs for file management, error handling, and reporting processes.
SQL