Note: The job is a remote job and is open to candidates in USA. WellBe Senior Medical is a healthcare organization focused on integrating various healthcare payer data into their enterprise data platforms. The Data Systems Analyst will lead the integration and standardization of payer feeds and internal systems, ensuring a reliable source of truth for value-based care.
Responsibilities
- Onboarding and integration of various payer feeds, including eligibility (834 or flat files), medical and institutional claims (837 or flatfiles), HEDIS quality data, HIE, and risk adjustment and RAF related datasets
- Analyze and map data from external payer sources and internal systems such as EMR, CRM, and operational platforms into the enterprise data model
- Maintain source to target mappings, transformation logic, and standardized data definitions across payer and internal feeds
- Identify payer specific variations, data quality issues, and structural differences, and support normalization within the data warehouse
- Validate data ingestion and transformations through profiling, reconciliation, and exception analysis
- Partner closely with data engineering and senior analysts to ensure scalable, accurate, and well documented scenario documents and ingestion pipelines
- Serve as a subject matter expert for integrated payer and internal data, supporting analytics, reporting, and operational use cases
- Lead discovery sessions with customers to document technical specifications, data elements, and business requirements
- Support translation of clinical, operational, and business requirements into clear data and system specifications
- Define and implement data quality rules and monitoring frameworks for all critical data pipelines
- Develop and enforce data governance policies, including metadata management, lineage tracking, and compliance standards
- Ensure assigned integration stories are delivered on time and are fully prepared for engineering implementation
Skills
- Bachelor's degree in Computer Science, Information Systems, or a related field, or equivalent experience
- 4-5 years of experience in data warehousing, data integration, or business intelligence roles
- Experience working with healthcare payer data, including experience working with 834, 837, HEDIS, pharmacy, census and RAF datasets
- Advanced SQL skills and strong understanding of relational database concepts
- Deep working knowledge of enterprise data warehouse and data mart architecture
- 1+ years of working experience with data governance frameworks and tools (e.g., Catalog, Atlan, Collibra, Alation) and data quality frameworks
- 2+ years of experience of cloud-based data platforms like snowflake
- Solid SQL skills and understanding of relational database concepts
- Familiarity with scrum/agile methodologies and tools such as Jira
- Proven ability to support integration projects and drive agile delivery
- Strong communication skills with the ability to collaborate across technical and non-technical teams
- Strong problem-solving skills, attention to detail, and a proactive approach to ownership
- High level of ownership, initiative, and attention to detail
Benefits
- Remote
- Travel may be required up to 15% locally or nationally
- WellBe does not offer employment-based visa sponsorship for this position
- As a condition of employment, WellBe Senior Medical requires all candidates to successfully complete a pre-employment drug screening
- Ongoing employment may also be contingent upon compliance with the company’s Drug-Free Workplace Policy, which includes random, post-accident, and reasonable suspicion drug testing
- Employment is contingent upon successful completion of a background check, as permitted by law
- WellBe conducts monthly FACIS (Fraud and Abuse Control Information System) checks on all employees
- Continued employment is contingent upon satisfactory results of these checks, in accordance with applicable laws and regulations
- WellBe is an Equal Opportunity Employer
- Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the job
- Employment with WellBe is at-will unless otherwise specified by contract
Company Overview