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Tech Stack
Tools & technologiesETLSQL
About the role
Key responsibilities & impact- Analyze client claim processing systems to ensure accurate data mapping, integration, and processing.
- Own end-to-end analysis, testing, and documentation of business requirements, particularly for fields and logic requiring custom programming.
- Interpret and document complex claim scenarios, including adjustments, readmissions, and replacement claims.
- Maintain functional expertise in one or more claims platforms such as QNXT, Health Rules (HRP), TOPS, COSMOS, Facets, Amisys Advance, NASCO, or WGS.
- Design, build, and optimize ETL/ELT pipelines to support large-scale healthcare data processing (e.g., EMR, claims, lab data).
- Perform data cleansing, transformation, and validation to ensure accuracy, consistency, and usability.
- Monitor and troubleshoot ETL workflows to identify and resolve data quality and processing issues.
- Ensure timely and accurate execution of data loads based on predefined schedules for each client.
- Develop, maintain, and document ETL processes, including data lineage, transformation rules, and technical specifications.
- Participate in the design and implementation of data warehouse solutions.
- Collaborate with business stakeholders to gather requirements and translate them into technical solutions.
- Enforce data security, governance, and compliance standards, including adherence to HIPAA and healthcare regulations.
- Ensure strict alignment with documented procedures and guidelines for data loading, layout changes, and system updates.
- Perform layout modifications and mapping adjustments based on client or system requirements.
- Conduct thorough quality checks to validate loaded data and resolve inconsistencies.
- Stay updated on evolving technologies and best practices in ETL, data warehousing, and healthcare data management.
Requirements
What you’ll need- Master’s or bachelor’s degree in computer or related field
- 12 to 14 plus years of experience in data management
- Experience in onboarding new client’s data feeds into standard ETL implementation
- Strong problem solving and analytical skills and the ability to “roll up your sleeves” and work to create timely solutions and resolutions, to validate, verify, communicate, and resolve application issues
- Performing SQL data analysis and mapping to build healthcare data warehouses after reviewing client data feeds
- Ensure monthly/daily and weekly data loads are performed as per schedule
- Experience with working on claim systems such as Facets
- Ability to work on multiple client implementations simultaneously
- Proven experience in data management, data governance, or related roles
- Proficiency in database management systems (e.g., SQL, Data bricks)
- Familiarity with data integration tools and ETL processes
- Strong understanding of data privacy and security regulations
Benefits
Comp & perks- For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ETLELTSQLdata cleansingdata transformationdata validationdata warehousingdata mappingdata analysisdata governance
Soft Skills
problem solvinganalytical skillscommunicationcollaborationattention to detailtime managementadaptabilitycritical thinkingorganizational skillsability to work under pressure
