Data Conversion Lead

🔥 5 minutes ago

🇺🇸 United States – Remote

💵 $150k - $170k / year

⏰ Full Time

🟠 Senior

📊 Conversion Rate Optimizer (CRO)

Where this job comes from

Posted on HealthEdge's careers page, not through a job board

First seen by Remote Rocketship 5 minutes ago

Logo of HealthEdge

HealthEdge

1001 - 5000 employees

Founded 2005

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Healthcare • Consulting • Healthcare Insurance

HealthEdge is a company that specializes in providing advanced solutions for healthcare payers through its HealthRules Solutions Suite. This suite includes a comprehensive digital claims administration processing system, care management workflow solutions, and payment integrity solutions, which aim to enhance operational efficiency and improve quality of care for health plans. By leveraging integrated technology and automation, HealthEdge helps health plans eliminate data silos, increase payment accuracy, and elevate member experience, thereby transforming the healthcare landscape for better collaboration and accessibility.

📋 Description

• Lead and manage end-to-end conversion of healthcare payer data between platforms such as legacy systems and HealthRules Payer / GuidingCare • Serve as subject matter expert for Claims, Enrollment, Provider, and Authorizations data domains • Analyze payer data patterns, perform data profiling, and define transformation and mapping rules • Design and execute phased conversion plans covering mock runs, parallel runs, and full-volume loads • Lead workflow and gap analysis sessions; identify data discrepancies and define resolution strategies • Write, maintain, and unit-test Python and SQL data conversion code • Design ETL processes including data extracts, load logic, stored procedures, workflows, and data mappings • Enforce naming standards and maintain data dictionaries and conversion model documentation • Handle post-installation testing and correct conversion defects before go-live • Plan and conduct client and user review sessions; implement corrections based on feedback • Communicate conversion progress, risks, and issue resolution to clients • Develop documentation covering transformation rules, mapping specifications, profiling findings, and validation reports • Collaborate with project managers, business teams, and onshore/offshore stakeholders • Mentor junior team members on conversion processes, best practices, and technical standards • Develop reusable conversion assets, accelerators, and knowledge repositories

🎯 Requirements

• US Citizens or Green Card holders only • 4+ years of working experience with Healthcare Payer data domains: Claims, Enrollment or Provider • Bachelor's degree or higher in a Business or Technical field • 12+ years of working experience in technology integrations, with 7+ years in technical leadership roles • Hands-on experience leading data conversion or data migration projects, including mock, parallel, and full-volume execution phases • Working experience with ETL design and implementation across extract, transform, and load phases • Experience with SQL for data extraction, validation, transformation, and profiling (SQL Server or equivalent) • Experience working in an onshore/offshore delivery model • Working experience with Python to extract data and automate conversion routines • Bulk data loading experience • Excellent communication skills to present conversion status, risks, and results clearly to clients and senior management • Experience working in a team environment with onshore/offshore technical resources • Preferred: experience architecting software or data solutions and applying architecture governance principles • Preferred: experience with HealthRules Payer (HRP) or similar platforms • Preferred: Medicare and/or Medicaid program experience, including CMS data structures and compliance requirements • Preferred: experience with EDI transaction processing — 837P, 837I, and 834 • Preferred: experience with ETL tools such as Informatica, Talend, or equivalent platforms • Preferred: experience with BI or reporting tools such as MicroStrategy, Power BI, or equivalent • Preferred: cloud platform exposure — AWS, Azure, or GCP; Architect or Big Data certification • Preferred: knowledge of data visualization tools and dashboard design • Preferred: familiarity with backup, archival, and data recovery specifications • Ability to work across multiple time zones • Candidates may be required to complete a pre-employment criminal background check

🏖️ Benefits

• Remote work environment • Hybrid or remote work environment • May require travel dependent on company needs • Reasonable accommodations for individuals with disabilities • Equal opportunity employer committed to workforce diversity

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