Data Integration Specialist I

Overview

The Data Integration Specialist will analyze, develop and enhance all new and existing interfaces for claim batch file and real-time data integration. The person in this role will serve as a subject matter expert for healthcare claims analysis utilizing both technical expertise and business insight. This role provides analytical support to internal and external customers on various projects, conducts detailed claims analysis and ad-hoc reporting as prioritized by management. This person in this role will spend time working independently, as part of a broader team, and will focus on specific deadlines while providing exceptional client support.

Responsibilities

• Identify data requirements to integrate new data sources and perform technical analytics to confirm data integration results meet or exceed defined expectations
• Contribute to the creation and development of new user interfaces and layouts
• Recommend data efficiencies and usage across data platforms, including relational databases
• Review current processes for opportunities to improve effectiveness and reduce risks/costs
• Assist in the development of processes/architecture to combine healthcare claims data into integrated data platforms and promote data integration standards and best practices
• Evaluate data and provide insights and recommendations to stakeholders
• Partner with internal leaders – understand corporate and client objectives and contribute to the identification and prioritization of upcoming initiatives
• Effectively communicate technical / analytic information to business partners
• Provide qualitative and quantitative analysis of medical claims data sets
• Produce accurate and meaningful ad hoc reports from verbal and written requests

Other Related Responsibilities

• Actively promote and participate in process improvement
• Participate in the design and development of dynamic data quality monitoring tools to preemptively identify defective data
• Conduct detailed claims analysis and ad-hoc reporting as prioritized by management
• Produce work that reflects a focus on quality in consideration of the client's (internal and external) needs
• Produce, validate and deliver regularly scheduled reports on a timely basis
• Identify all data issues and coordinate a resolution with the respective client team
• Set appropriate expectations with internal and external clients while cultivating an image of professionalism and excellence

Qualifications

• Bachelor's degree or higher in a technical, computer science, or math discipline and 3+ years of relevant experience
• 2+ years working with large volume medical claim files, including data design and transformation
• 2+ years working with …