Note: The job is a remote job and is open to candidates in USA. WellBe Senior Medical is a healthcare organization focused on senior medical care. The Senior Data Systems Analyst leads the integration, analysis, mapping, validation, and standardization of healthcare payer and internal enterprise systems data to support a reliable enterprise data platform and value-based care. The role also drives data quality, governance, technical specifications, and cross-functional delivery of integration initiatives.
Responsibilities
- Lead 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
- Own and 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 drive normalization within the data warehouse
- Validate data ingestion and transformations through profiling, reconciliation, and exception analysis
- Partner closely with data engineering to ensure scalable, accurate, and well documented 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
- Translate 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 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
- 6+ years of experience in data warehousing, data integration, or analytics roles
- Strong experience working with Medicare Advantage payer data, including 834, 837, HEDIS, and RAF datasets
- Advanced SQL skills and strong understanding of relational database concepts
- Deep knowledge of enterprise data warehouse and data mart architectures
- Experience with data governance frameworks and tools (e.g., Catalog, Atlan, Collibra, Alation) and data quality frameworks
- Working knowledge of cloud-based data platforms like snowflake/redshift etc
- Familiarity with scrum/agile methodologies and Jira
- Proven ability to lead cross-functional teams and drive agile delivery
- Excellent communication and stakeholder management skills
- Excellent problem-solving, interpersonal, and stakeholder management skills
- High level of ownership, initiative, and attention to detail
- Ability to stand/sit for extended periods
- Visual acuity and fine motor skills
- Ability to travel as needed
- Travel may be required up to 15% locally or nationally
- Applicants must be legally authorized to work in the United States without the need for employer sponsorship now or in the future
Benefits
- Remote or Hybrid
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