Conversion Lead

Job Description

Conversion Lead

Data Architect I

Who We Are

UST HealthProof is a dynamic company with a mission to lower the cost of care and deliver the future of healthcare. Our consumer-centric approach gives our health plan customers a modern infrastructure and reduced administrative costs, helping to drive better business results for our customers — and better outcomes for our communities.

We achieve this mission together through teamwork, communication, collaboration, and focus. Our employees are our greatest assets, and we invite you to apply to be a part of our journey toward making a difference in healthcare in the United States. **

You Are**

The Conversion Lead will help in identifying the data requirement needed to continue to run the Core Business as usual while implementing the UST HealthProof’s core-admin ecosystem for our Health plan customers. The conversion lead will work with the Health Plan Customers, internal teams, and SMEs to define the scope of business data conversion needs and identify the conversion rules for the gaps between the Legacy and New CAPS platform, and support technical system implementations. You should be an excellent problem solver who’s able to grasp customer needs and brainstorm ways to fulfill them. **

The Opportunity**

• Participate in and/or Lead data conversion design and accuracy review.
• Develop data conversion routines for multiple projects supporting several divisional/project initiatives
• Directs in writing and maintaining data conversion code from documented logic and instructions of limited to moderate complexity
• Performs code and unit testing for moderate to complex-scope data conversion routines
• Responsible for post-installation testing correction of any conversion problems.
• Assists in the planning and conducting of client/user review of conversion results (reports and implementation of corrections
• Responsible for supporting the implementation of moderate scope to major data conversions
• Develops comprehensive documentation for all data conversions
• Assists in writing and maintaining data conversion code from documented logic and instructions of limited to moderate complexity
• Design and execute a conversion plan that sets realistic expectations.
• Establish and maintain consistent communication with the client regarding the progress of the conversion
• Lead Workflow / Gap process and analysis as we go through the process.
• Handle and lead Mock and Parallel conversion activity.
• Lead static data setup and testing process.
• Analyzing data using SQL (MySQL experience a plus but not required)

This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required. **

What You Need**

• Lead/Manage data conversion of Healthcare payer data between 2 healthcare platforms
• Experience with Healthcare Payor data domains – Provider/provider entities, enrollment entities, claims, accumulator, and authorization data entities
• Experience with ETL tool and/or dB Visualizer a plus
• Experience with a BI tool such as MicroStrategy is also a plus Outstanding planning and time management skills
• Strong ETL experience/expertise is highly preferred
• Solid experience in the healthcare industry is preferred
• Experience with Medicare and Medicaid is preferred
• Communication skills with peers, customers, and partners including the ability to convey technical information effectively
• Experience working in an onshore/offshore model is a must
• Experience working with HealthEdge applications like HealthRules Payor or GuidingCare is a plus
• Subject matter expert in the Healthcare payer domain especially Medical Claims adjudication systems
• Deep knowledge of Healthcare payer entities like Claims; Enrollment and Provider and their data structures and relationships
• Ability to analyze Healthcare payer data and define transformation and mapping rules required to migrate data from one platform to another
• Ability to analyze data patterns; perform data profiling and data validations
• Bachelor’s degree or higher in business or technical field, 12+ years of relevant work experience in technology integrations, 7+ years of work experience in technical leadership roles
• Demonstrate ability to flow and interact with company’s senior management Analytical and problem-solving skills
• Experience in architecting software solutions and understanding of architecture governance
• Experience in Healthcare around Provider; Claims; Enrolment and Auth is a must.

Compensation can differ depending on factors including but not limited to the specific office location, role, skill set, education, and level of experience. As required by local law, UST Healthproof provides a reasonable range of compensation for roles that may be hired in California, Colorado, New York or Washington as set forth below. **

Role Location: Remote

Compensation Range:** $112,000-$168,000

Our full-time, regular associates are eligible for 401K matching, and vacation accrual and are covered from day 1 for paid sick time, healthcare, dental, vision, life, and disability insurance benefits. **

What We Believe**

We’re proud to embrace the same values that have shaped UST HealthProof since the beginning. Since day one, we’ve been building enduring relationships and a culture of integrity. And today, it's those same values that are inspiring us to encourage innovation from everyone, to champion diversity and inclusion, and to place people at the center of everything we do. **

Humility**

We will listen, learn, be empathetic and help selflessly in our interactions with everyone. **

Humanity**

Through business, we will better the lives of those less fortunate than ourselves. **

Integrity**

We honor our commitments and act with responsibility in all our relationships. **

Equal Employment Opportunity Statement**

UST HealthProof 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, or status as a protected veteran.

UST HealthProof reserves the right to periodically redefine your roles and responsibilities based on the requirements of the organization and/or your performance.

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