Eligibility Operations Solutions Analyst

Thank 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.

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.

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.

Author playbooks, SOPs, and other resources for exceptions, reconciliations, and go‑forward maintenance.

Partner with Product, Engineering/IT, Finance/Billing and Client Solutions on group profile updates, new implementations, and change requests.

• Bachelor’s degree in Business Administration, Industrial Engineering, Information Systems, Computer Science, Data Analytics, or a related field.
• 3‑5years 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. This is not a remote international position; candidates must be based in the United States and authorized to work without sponsorship.

Annual salary range for NYC‑based applicants is: $80,000 - $95,000.

Progyny is proud to be an Equal Opportunity and affirmative action employer. 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.