Remote Eligibility Data Analyst – Healthcare Pharmacy Adjudication & Records Reconciliation Specialist

About arenaflex

arenaflex is a forward-thinking healthcare services organization dedicated to building smarter, more reliable systems that connect patients, providers, and payers. We operate at the intersection of data integrity, pharmacy operations, and member services, helping some of the largest healthcare clients in the country keep their records accurate, their systems synchronized, and their members well cared for. Our remote-first culture is built on trust, accountability, and continuous learning. Every team member, regardless of where they log in from, has a real voice in how we solve problems and improve outcomes for millions of members. At arenaflex, we believe that detail-oriented people are the backbone of healthcare quality, and we invest in the tools, training, and time they need to do their best work.

Position Overview

We are hiring an Entry-Level Remote Eligibility Data Analyst to support our pharmacy adjudication operations. In this role, you will be responsible for researching, resolving, and correcting eligibility records so that our pharmacy adjudication system always reflects the true source of truth held in arenaflex enrollment package data. You will work with shared mailboxes and structured work queues, resolving issues that originate from multiple regions across the company. Your day will include identifying and correcting discrepancies surfaced through routine reports, reconciling eligibility data between systems, maintaining careful record tracking, and partnering with internal and external stakeholders to deliver clean, timely, and well-documented resolutions.

This is an excellent opportunity for someone who enjoys structured problem-solving, takes pride in accuracy, and wants to grow a long-term career in healthcare data operations. Full training, mentorship, and a clear development path are provided.

Key Responsibilities

• Conduct thorough research and analysis on eligibility records to identify discrepancies between the pharmacy adjudication system and the master enrollment package data.
• Perform timely and accurate records correction, ensuring eligibility data aligns with arenaflex enrollment records as the single source of truth.
• Manage and monitor shared mailboxes and work queues, prioritizing incoming issues from multiple regions and resolving them within established service level agreements.
• Review and reconcile eligibility data across multiple systems, identifying patterns, root causes, and opportunities for preventive corrections.
• Identify, investigate, and resolve errors surfaced from operational reports, audits, and downstream complaints.
• Maintain detailed records of all research steps, corrections, and communications in accordance with arenaflex documentation standards.
• Collaborate with internal teams such as Enrollment, Billing, Member Services, and IT, as well as external partners, to develop efficient, sustainable resolutions.
• Escalate complex or systemic issues through proper channels with clear documentation of findings and recommended next steps.
• Contribute to process improvement initiatives by sharing insights, suggesting enhancements, and participating in team projects.
• Uphold strict data privacy, HIPAA, and confidentiality standards in every aspect of the work.

Required Qualifications

• 1–2 years of related experience in records analysis, data reconciliation, administrative support, or a comparable role.
• Solid working knowledge of Microsoft Office products, including Word, Excel, MS Access, PowerPoint, Outlook, and Project.
• Strong verbal, written, and problem-solving communication skills, with the ability to explain findings clearly to a variety of audiences.
• High School Diploma or equivalent.
• Comfort working independently in a remote environment with strong time management and self-direction.
• Demonstrated attention to detail and commitment to producing accurate, high-quality work.

Preferred Qualifications

• Prior experience in the healthcare industry, particularly in pharmacy, eligibility, claims, or member data environments.
• Familiarity with pharmacy adjudication systems, enrollment platforms, or healthcare data workflows.
• Exposure to process improvement methodologies such as Lean, Six Sigma, or root cause analysis.
• Experience working with shared mailboxes, ticketing systems, or case management tools.

Skills and Competencies for Success

• Analytical Thinking: Ability to examine data, spot patterns, and reach logical conclusions.
• Accuracy and Integrity: A personal commitment to getting the details right, every time.
• Collaboration: Comfortable partnering with colleagues across departments, regions, and external organizations.
• Adaptability: Able to shift priorities, learn new systems, and thrive in a fast-evolving remote environment.
• Customer Focus: Understands how eligibility accuracy ultimately impacts the member experience.
• Initiative: Proactive in identifying problems, asking good questions, and suggesting better ways of working.

Career Growth and Learning Opportunities

At arenaflex, we believe entry-level should be the start of something big, not the end of the road. From day one, you will be paired with an experienced mentor and given a structured onboarding plan that covers our systems, healthcare data fundamentals, and the regulatory environment. As you grow, you will have the opportunity to expand into senior analyst, quality auditor, team lead, or specialized roles in pharmacy operations, project management, and process improvement. We actively support continuing education, industry certifications, and cross-functional career moves.

Work Environment and Culture

arenaflex is a remote-first organization built on flexibility, trust, and connection. You will work from your home office with the equipment and tools provided, while staying closely connected to your team through daily check-ins, virtual collaboration, and quarterly in-person or virtual team-building events. Our culture prizes respect, inclusion, and open communication. We are proud to be an equal opportunity employer committed to building a diverse workforce that reflects the communities we serve.

Compensation, Perks, and Benefits

• Competitive base pay with regular performance reviews.
• Comprehensive medical, dental, and vision insurance.
• 401(k) retirement savings plan with company match.
• Employee Stock Purchase Plan eligibility.
• Fully paid term life insurance for eligible employees.
• Short-term and long-term disability coverage.
• Wellness programs, tuition assistance, and free professional development courses.
• Employee discount program and access to partner savings.
• Generous Paid Time Off (PTO), paid holidays, sick leave, and other time-off benefits in line with applicable laws and arenaflex policies.

Compliance and Our Commitment to Doing Right

arenaflex operates in full compliance with U.S. labor laws, including the Fair Labor Standards Act, and adheres to workplace safety, equal employment opportunity, and anti-discrimination requirements. We protect employee and member data in line with HIPAA and applicable privacy laws, pay our people accurately and on time, and maintain a workplace free from harassment and retaliation. Ethical conduct and corporate social responsibility are not slogans at arenaflex, they are operational standards.

How to Apply

If you are a detail-driven, curious, and motivated professional looking to build a meaningful career in healthcare data, we would love to hear from you. Bring your analytical mindset, your commitment to accuracy, and your willingness to learn, and we will provide the rest. Apply today to join the arenaflex team and help us keep the systems that keep people healthy running smoothly.