Senior Data Systems Analyst
职位简介高级数据系统分析师领导了 WellBe 的企业数据平台中各种医疗保健支付人数据和内部企业系统数据的集成。该角色负责分析,绘制,验证和标准化包括资格,索赔,质量和风险调整数据在内的各个支付人传输数据,以及 EMR ,CRM,HR 等内部系统来维持一个可靠的单一来源支持基于价值的护理。理想候选人将结合强大的医疗保健数据知识,技术领域专业知识与对复杂支付人和内部系统集成的所有权,并管理多项同时的数据倡议和集成。工作描述 · 领先的集成和整合各种付款人数据,包括资格 (834或平档),医疗及机构索赔 (837或平档)分析和绘制来自外部支付人来源以及内部系统的数据,如 EMR,CRM 和操作等。企业数据模型中的化平台 · 拥有和维护目标地图,转型逻辑以及标准化的数据定义的源头 标识付款人特定的变化,数据质量问题和结构性差异,并推动数据仓库内的正常化 ·通过配置文件,调整和例外分析验证数据摄入和转型 ·密切合作与数据工程确保可扩展,准确且记录良好的摄入管道 ·作为集成付款人和内部数据的主题专家,支持分析,报告和运营使用案例 ·与客户进行发现会议以记录技术规格,数据元素和业务要求 ·将临床,运营和业务需求转化为清晰的数据和系统规范 ·定义并实施所有关键数据管道的数据质量规则和监测框架 · 制定和执行数据治理政策,包括元数据管理,谱系跟踪和合规标准。·确保集成故事及时交付并充分准备工程实施工作要求 ·计算机科学,信息系统或相关领域的学士学位或相等专业经验 · 6年以上在数据仓库,数据集成或分析职位方面的经验 ·强大的工作经验
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Job Summary
The Senior Data Systems Analyst leads the integration of various healthcare payer data and internal enterprise systems data into WellBe’s enterprise data platforms. This role is responsible for analyzing, mapping, validating, and standardizing various payer feeds including eligibility, claims, quality, and risk adjustment data, alongside internal systems such as EMR , CRM, HR etc to maintain a reliable single source of truth supporting value based care.
The ideal candidate will combine strong healthcare data knowledge, technical domain expertise with ownership over complex payer and internal systems integration and manage multiple concurrent data initiatives and integration.
Job Description
- Lead onboarding and integration of various payer feeds, including eligibility (834 or flat files), medical and institutional claims (837 or flatfiles), HEDIS quality data, HIE, and risk adjustment and RAF related datasets
- Analyze and map data from external payer sources and internal systems such as EMR, CRM, and operational platforms into the enterprise data model
- Own and maintain source to target mappings, transformation logic, and standardized data definitions across payer and internal feeds
- Identify payer specific variations, data quality issues, and structural differences, and drive normalization within the data warehouse
- Validate data ingestion and transformations through profiling, reconciliation, and exception analysis
- Partner closely with data engineering to ensure scalable, accurate, and well documented ingestion pipelines
- Serve as a subject matter expert for integrated payer and internal data, supporting analytics, reporting, and operational use cases
- Lead discovery sessions with customers to document technical specifications, data elements, and business requirements
- Translate clinical, operational, and business requirements into clear data and system specifications
- Define and implement data quality rules and monitoring frameworks for all critical data pipelines
- Develop and enforce data governance policies, including metadata management, lineage tracking, and compliance standards.
- Ensure integration stories are delivered on time and are fully prepared for engineering implementation
Job Requirements
- Bachelor’s degree in Computer Science, Information Systems, or a related field, or equivalent experience
- 6+ years of experience in data warehousing, data integration, or analytics roles
- Strong experience working with Medicare Advantage payer data, including 834, 837, HEDIS, and RAF datasets
- Advanced SQL skills and strong understanding of relational database concepts
- Deep knowledge of enterprise data warehouse and data mart architectures
- Experience with data governance frameworks and tools (e.g., Catalog, Atlan, Collibra, Alation) and data quality frameworks.
- Working knowledge of cloud-based data platforms like snowflake/redshift etc.
- Familiarity with scrum/agile methodologies and Jira
- Proven ability to lead cross-functional teams and drive agile delivery
- Excellent communication and stakeholder management skills
- Excellent problem-solving, interpersonal, and stakeholder management skills
- High level of ownership, initiative, and attention to detail
Physical and Mental Requirements
Ability to stand/sit for extended periods.
Visual acuity and fine motor skills.
Ability to travel as needed.
Work Environment
Travel may be required up to 15% locally or nationally
Remote or Hybrid
Sponsorship Statement
WellBe does not offer employment-based visa sponsorship for this position. Applicants must be legally authorized to work in the United States without the need for employer sponsorship now or in the future.
Pay Transparency Statement
Compensation for this position will be disclosed in accordance with applicable state and local pay transparency laws.
Drug Screening Requirement:As a condition of employment, WellBe Senior Medical requires all candidates to successfully complete a pre-employment drug screening. Ongoing employment may also be contingent upon compliance with the company’s Drug-Free Workplace Policy, which includes random, post-accident, and reasonable suspicion drug testing. The company reserves the right to test for substances that may impair an employee’s ability to safely and effectively perform their job duties.
Background Check Statement
Employment is contingent upon successful completion of a background check, as permitted by law. As a healthcare organization, WellBe conducts monthly FACIS (Fraud and Abuse Control Information System) checks on all employees. Continued employment is contingent upon satisfactory results of these checks, in accordance with applicable laws and regulations.
Equal Employment Opportunity (EEO) Statement
WellBe is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected status.
Americans with Disabilities Act
WellBe Senior Medical is committed to complying with the Americans with Disabilities Act (ADA) and applicable state and local laws. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the job. If you require an accommodation during the application, interview or employment process, please contact Human Resources at .
At-Will Employment Statement
Employment with WellBe is at-will unless otherwise specified by contract. This job description does not constitute an employment contract.
Disclaimer
This job description is intended to describe the general nature and level of work performed. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Management reserves the right to modify, add, or remove duties as necessary.
Originally posted on Himalayas