Eligibility Operations Solutions Analyst
ProgynyThank you for considering Progyny!
We’re hiring a Solutions Analyst to be the operational lead for our external eligibility and enrollment vendor integration. You’ll be the day‑to‑day point of contact for the vendor, own file/data workflows from intake to resolution, and stand up scalable processes for exception handling, reconciliations, and change requests. You’ll help build and manage new workflows to support peak enrollment and ongoing operations. This is a hands‑on, detail‑oriented role for someone who loves connecting business needs to technical systems, diving into files, finding root causes fast, and getting cross‑functional partners (internal and external) aligned on a clear fix.
What you’ll do...
Systems & Vendor Integration:
Serve as the primary operational POC to our enrollment/eligibility vendor—triage issues, drive SLAs, and maintain clean communication loops.
Lead day‑to‑day file exchange operations: monitor inbound/outbound files, validate formats, track acknowledgements, and ensure data integrity across platforms.
Analysis, Exceptions & Reconciliations
Review and analyze enrollment eligibility data (e.g., JSON/CSV flat files); perform root‑cause analysis on exceptions and data mismatches.
File, track, and resolve issues in vendor and internal ticketing systems; document resolution paths and preventative measures.
Run manual enrollment keying when needed and manage manual term and premium/billing reconciliations between systems.
Process, Documentation & Testing
Author playbooks, SOPs, and other resources for exceptions, reconciliations, and go‑forward maintenance.
Stakeholder & Change Management
Partner with Product, Engineering/IT, Finance/Billing and Client Solutions on group profile updates, new implementations, and change requests.
About you…
Bachelor’s degree in Business Administration, Industrial Engineering, Information Systems, Computer Science, Data Analytics, or a related field.
3-5 years in insurance or benefits operations, systems/business analysis, or vendor integrations with direct experience in eligibility and enrollment to billing data flows.
Hands‑on experience with data files, integrations and error handling.
Demonstrated root‑cause analysis skills and an ability to translate technical findings into clear action plans for non‑technical stakeholders.
Strong Excel (lookups, pivots), comfort with large datasets; familiarity with SQL for ad‑hoc validation is a plus. Salesforce knowledge preferred.
Proven stakeholder management with external vendors and cross‑functional teams; calm under pressure, excellent written and verbal communication.
Process mindset: can document workflows, design controls, and drive continuous improvement.
Self-starter who takes initiative, works independently, and thrives in a fast-paced, constantly changing environment
Able to work a hybrid schedule of 3 days/week in our NYC office
Please note: This is not a digital nomad or remote international position; candidates must be based in the United States. Progyny is unable to provide visa sponsorship for this position. Candidates must be authorized to work in United States without the need for sponsorship, now or in the future.
About Progyny:
Progyny (Nasdaq: PGNY) is a global leader in women’s health and family building solutions, trusted by the nation’s leading employers, health plans and benefit purchasers. We envision a world where everyone can realize dreams of family and ideal health. Our outcomes prove that comprehensive, inclusive and intentionally designed solutions simultaneously benefit employers, patients and physicians.
Our benefits solution empowers patients with concierge support, coaching, education, and digital tools; provides access to a premier network of fertility and women's health specialists who use the latest science and technologies; drives optimal clinical outcomes; and reduces healthcare costs.
Our mission is to empower healthier, supported journeys through transformative fertility, family building and women’s health benefits.
Headquartered in New York City, Progyny has been recognized for its leadership and growth as a TIME100 Most Influential Company, CNBC Disruptor 50, Modern Healthcare's Best Places to Work in Healthcare, Forbes' Best Employers, Financial Times Fastest Growing Companies, Inc. 5000, Inc. Power Partners, and Crain's Fast 50 for NYC. For more information, visit www.progyny.com.
Our perks:
Family friendly benefits: Paid family and parental leave, preconception, fertility and family building benefits (including egg freezing, IVF, and adoption support), family and pet care fund, and Parents’ Employee Affiliation Group
Menopause and midlife care
Health, dental, vision and life insurance options for employees and family
Free in-person, virtual and text-based mental health and wellness support
Paid time off, including vacation, sick leave, personal days and summer flex time
Company equity
Bonus program
401(k) plan with company match
Access to on-demand legal and financial advice
Learning and development programs to help you grow professionally and a mentorship program
Company social events to include annual volunteer day and donation matching
Flex days (3 days a week in the office) and onsite meals and snacks for employees reporting into our NY office
In compliance with New York City's Wage Transparency Law, the annual salary [wage] range for NYC-based applicants is: $80,000 - $95,000. There are a variety of factors that go into determining a salary range, including but not limited to external market benchmark data, geographic location, and years of experience sought/required. Progyny offers a total compensation package comprised of base salary, cash bonus, and equity.
Progyny is proud to be an Equal Opportunity and Affirmative Action employer. We respect and seek to empower each individual and support the diverse cultures, perspectives, skills and experiences within our workforce. All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, sex, sexual orientation, gender identity or expression, national origin, disability, age, genetic information, marital status, pregnancy or related condition, status as a protected veteran, criminal history consistent with legal requirements or any other basis protected by law.
If you are an individual with a disability and need assistance or an accommodation during the recruiting process, please send an e-mail to apply@progyny.com.
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