Healthcare Claims, Data Engineer

The Data Engineer is responsible for data acquisition strategies and integration, scripting and tools, data migrations, conversions, purging, and back-ups. The incumbent works with product, financial control, analysts, users, and other stakeholders to understand business requirements and support data architecture to build data acquisition strategies. The Data Engineer authors artifacts defining standards and definitions for storing, processing, and moving data including associated processes and business rules. Additionally, the Data Engineer maps the details within these their artifacts to business processes, non-functional characteristics, QA criteria and technical enablement. He/she constantly thinks through the needs of the business to support efficient and error-free processes.

Duties and Responsibilities:

• Finds trends in datasets and develops workflows and algorithms to make raw data useful to the enterprise
• Designs and implements standardized data management procedures around data staging, data ingestion, data preparation, data provisioning, and data destruction (scripts, programs, automation, assisted by automation, etc.)
• Ensures quality of technical solutions as data moves across Healthfirst environments
• Provides insight into the changing data environment, data processing, data storage and utilization requirements for the company and offer suggestions for solutions
• Ensures managed analytic assets support Healthfirst’s strategic goals by creating and verifying data acquisition requirements and strategy
• Develops, constructs, tests and maintains architectures
• Aligns architecture with business requirements and uses programming language and tools
• Identifies ways to improve data reliability, efficiency, and quality
• Conducts research for industry and business questions
• Deploys sophisticated analytics programs, machine learning and statistical methods
• Prepares data for predictive and prescriptive modeling and finds hidden patterns using data
• Uses data to discover tasks that can be automated
• Creates data monitoring capabilities for each business process and works with data consumers on updates
• Aligns data architecture to Healthfirst solution architecture; contributes to overall solution architecture
• Helps maintain the integrity and security of the company data
• Additional duties as assigned or required

Minimum Qualification:

• Work experience in a data engineering
• Work experience in data programing languages such as Java or Python
• Work experience in a Big Data ecosystem processing data including file systems, data structures/databases, automation, security, messaging, movement, etc.
• Work experience in a production cloud infrastructure
• High School Diploma or GED from an accredited institution

Preferred Qualifications:

• Bachelor’s Degree in computer engineering or related field
• Hands on experience in leading healthcare data transformation initiatives from on-premise to cloud deployment
• Demonstrated experience working in an Agile environment as a Data Engineer
• Hands on work with Amazon Web Services, including creating Redshift data structures, accessing them with Spectrum and storing data in S3
• Proven results using an analytical perspective to identify engineering patterns within complex strategies and ideas, and break them down into engineered code components
• Knowledge of provider-sponsored health insurance systems/processes and the Healthcare industry
• Experience developing, prototyping, and testing engineered processes, products, or services
• Proficiency with relational, graph and noSQL databases; expertise in SQL
• Demonstrates critical thinking skills with ability to problem solve
• Excellent interpersonal skills with proven ability to influence with impact across functions and disciplines
• Skilled in Microsoft Office including Project, PowerPoint, Word, Excel and Visio
• Strong knowledge and experience in Healthcare claims/providers/members data ETL, engineering, and reporting
• Proficiency in Alteryx and Tableau with hands on experience

Compliance and Regulatory Responsibilities: N/A

License/Certification: N/A

WE ARE AN EQUAL OPPORTUNITY EMPLOYER.  HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.

If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services,  LLC.

Know Your Rights

All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst.  Healthfirst will never ask you for money during the recruitment or onboarding process.

Hiring Range*:

• Greater New York City Area (NY, NJ, CT residents): $108,300 - $156,485

• All Other Locations (within approved locations): $99,100 - $147,390

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.