Analytics Engineer

• The ETL Developer is responsible for designing, developing, and maintaining healthcare data exchange solutions with providers, payers, PBMs, and other trading partners
• Work extensively with ANSI X12 and HIPAA-compliant transaction sets to support claims, eligibility, pharmacy, billing, and enrollment processes
• Partner with source systems, data stewards, and technical teams to ensure effective data governance and resolve data quality or technical issues
• Work closely with business teams (claims, eligibility, pharmacy, billing, enrollment, etc.) to gather requirements and implement data exchange solutions that meet operational needs
• Provide mentorship and technical guidance to junior analysts and engineers
• Design, develop, and maintain data exchange transactions, including maps and workflows, with healthcare providers, payers, PBMs, and other trading partners
• Collaborate with PBM partners to optimize prescription, formulary, and claims workflows
• Ensure compliance with HIPAA, CMS, and other healthcare regulations
• Monitor and improve data exchange performance, reliability, and error-handling processes
• Troubleshoot and resolve issues related to data exchange transactions, connectivity, and partner communications
• Support the development of Master Data Management (MDM) plans, including defining processes, policies, requirements, monitoring, and tool selection
• Monitor MDM services to ensure performance, correct errors, and identify areas for improvement
• Collaborate with data remediators, database administrators, network administrators, and software engineers to resolve issues and document data integration processes and system configurations

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