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RemoteUnited States only
Published
Role
Data Engineering
Experience
Senior
Employment
Full-time
Company size
Enterprise
$169.5k–$185k/yr
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Open to US only. Set where you work from to check your eligibility.

No BS summary

Senior data leadership role in healthcare (Healthfirst) to own data definitions, quality, movement and usage across enterprise. Needs 5+ years healthcare insurance experience (CMS / NY enrollment data), strong SQL/data visualization and EDI/HIPAA experience. Remote, supports Enterprise Delivery and leads data stewards/analysts.

Core skills

SQLEDIdata governance

Required skills

ExcelMicrosoft .NetHIPAAdata modelingdata integrationdata visualizationdata quality

Optional skills

Microsoft Certified Professional

What you'll do

  • Align the Customer Experience with the enterprise information architecture and corporate strategy.
  • Collaborate with enterprise and solution architects, business process owners, and subject matter experts to support operational data usage, analytics, and data integration.
  • Develop and oversee a scalable data usage framework by delivering clear business rules to enable consumption and utilization of information.
  • Play a leadership role in the execution of the Enterprise Delivery roadmaps.
  • Lead data stewards and analysts and work with other key consumers of data.
  • Have decision rights and accountability for data collection, data movement, data quality, data definitions, data retention, and data use by internal and external data consumers.
  • Direct consumers of data on utilization best practices.
  • Lead the development and approval of data terms, definitions and artifacts.
  • Define and approve data quality rules and thresholds and prioritise remediation efforts.
  • Define and approve data movement authorization requests.
  • Communicate data standards to ensure accurate and consistent use of data.
  • Ensure data business rules and requirements are reflected in the data design with focus on member experience and operational utilization.
  • Establish cross-functional relationships and provide advice to drive enterprise data architecture and utilization decisions.
  • Collect and understand business requirements, socialize ideas, and document business rules specific to data usage patterns.
  • Provide thought leadership for implementation of complex data integration and management solutions including modeling, access, integration, visualization, discovery, database design and implementation.
  • Provide technical guidance, mentorship and training for team members assisting in data access and utilization.
  • Develop and perform continuous systems and data analysis to ensure high quality data management.
  • Support the build out of the Data Warehouse, Data Marts and other operational data stores.

What they require

  • Bachelor’s degree in Computer Science, Information Systems, Engineering or related field and five (5) years of experience in the health care insurance industry working with Centers for Medicare & Medicaid Services (CMS) or New York State Enrollment data focused on business outcomes, data analytics and reporting, technical design and solutions.
  • Five (5) years of experience performing data visualization on healthcare industry and storytelling using data insights using SQL.
  • Five (5) years of experience performing reporting and data analysis using Excel or other business intelligence reporting tools.
  • Five (5) years of experience developing solutions on healthcare integrated applications and their technical problems.
  • Five (5) years of defining, solutioning and testing healthcare enrollment and billing business requirements for New York Health Insurance Plans.
  • Five (5) years of experience parsing, handling and interpreting Healthcare Electronic Data Integration (EDI) HIPAA transactions.
  • Two (2) years of experience integrating EDI Healthcare inbound and outbound data exchange applications by using EDI B2B tools and Microsoft .Net programming language.
  • Two (2) years of experience using data analytics tools to analyze, manage and maintain membership records on healthcare systems.
  • Experience analyzing and communicating technical changes being implemented by New York State of Health (NYSOH) and their impact on healthcare enrollment and billing systems.
  • Experience using metrics and analytics to identify and define system changes for supporting healthcare enrollment and billing processes.
  • Experience quantifying and qualifying healthcare enrollment and billing issues.
  • Microsoft Certified Professional (listed as credential).

Benefits

  • Medical, dental and vision coverage
  • Incentive and recognition programs
  • Life insurance
  • 401k contributions
  • Reasonable accommodations for applicants with disabilities (contact via careers@Healthfirst.org or 212-519-1798)
HealthcareEnterprise
$169.5k–$185k/yr