Data Engineer

🔥 6 minutes ago

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Zelis

1001 - 5000 employees

⚕️ Healthcare Insurance

💸 Finance

💰 $20.1M Venture Round on 2020-01

Healthcare Insurance • Finance

Zelis is a company committed to transforming the healthcare financial experience by providing comprehensive solutions across the healthcare system. They work with payers, providers, and members to optimize healthcare networks, manage claims, and facilitate seamless payments. Zelis focuses on harmonizing the healthcare financial landscape with purpose-built solutions that address issues like payment integrity, compliance, and member engagement. The company leverages technology and industry expertise to help their clients save costs, improve administrative efficiency, and enhance the overall healthcare experience. Known for its flexibility and strong partnerships, Zelis supports a wide range of healthcare stakeholders, including health plans, hospitals, dental practices, and insurance carriers.

📋 Description

• Support and maintain the mission-critical Cost Roll process by ensuring accurate aggregation of healthcare claims data and precise matching of claims to provider demographic data. • Maintain and monitor data workflows that aggregate healthcare claims data for the Cost Roll process. • Validate and reconcile claims and provider demographic data to ensure accurate provider matching and data quality. • Investigate, troubleshoot, and resolve data issues that could impact financial, clinical, and provider management systems. • Perform data validation, quality checks, and operational support activities to ensure clean and reliable datasets. • Collaborate with stakeholders to support ongoing data processing, reporting, and operational reliability initiatives.

🎯 Requirements

• 2-5 years of experience • SQL Server Management Studio (SSMS) • PostgreSQL • Snowflake • Microsoft Excel, including macros, filters, and functions • Data import/export operations and data validation activities • Experience working with healthcare claims processing and provider data matching • Ability to maintain data accuracy, integrity, and operational reliability across dependent systems

🏖️ Benefits

• 401k plan with employer match • Flexible paid time off • Holidays • Parental leaves • Life and disability insurance • Health benefits including medical, dental, vision, and prescription drug coverage

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