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MetroPlusHealth · 2 days ago

Data Engineer

New York, NY

Full-time

Onsite

Senior Level

$125K/yr - $130K/yr

5+ years exp

MetroPlusHealth is seeking a Data Engineer for their Analytics and Reporting Department. The role involves managing encounter data submissions, troubleshooting EDI issues, and ensuring data quality while collaborating with cross-functional teams and regulatory entities.

Financial ServicesHealth CareHealth InsuranceInsuranceLife Insurance

Responsibilities

Monitor and submit Encounter Data files to NYSDOH OSDS and CMS

Collaborate with vendors/end users on correcting EDI error transactions and resubmissions to NYSDOH and CMS

Automate manual processes for Encounter Data submissions

Support the Compliance and Regulatory department for any inquiry on Encounter Data processes

Support MMCOR reporting

Create KPI reports on Encounter Data reporting

Create SQL stored procedures and flow diagrams and document the process for Encounter Data Reporting

Troubleshoot EDI Errors and keep track of all the resubmissions

Qualification

SQL programmingEDI mappingHealthcare data experienceBI reporting toolsEDI X12 StandardsAnalytical skillsCollaboration skillsTime management skillsWritten communicationOral communicationProblem-solving skills

Required

Bachelor's degree in Information Systems, Computer Science, Database Management, or related field

Minimum 5 years of programming experience in SQL Server database object development including but not limited to stored procedures, functions, views, SSIS and SSRS, X12 EDI mapping and development, and troubleshooting EDI errors

Minimum 3 years' experience in complex healthcare data like Claims and Enrollment

Working knowledge of EDI X12 Standards

Previous experience in BI reporting tools, such as BusinessObjects, Tableau, or Power BI

Knowledge of Visual Studio, .Net Development, XML, BizTalk

Strong SQL programming skills

EDI Analytical skills

Communication skills

Healthcare experience with knowledge in membership, provider, and claims data

Integrity and Trust

Collaboration and Time management skills

Functional/Technical skills

Written/Oral Communication