- Microsoft Excel
- Microsoft Powerpoint
- Microsoft Project
The Claims Data Engineer is responsible for data acquisition strategies and integration scripting and tools, data migrations, conversions, purging and back-ups; fulfills data acquisition strategy requirements. They work with product, financial control, analysts, users and other stakeholders to understand business requirements and supports data architecture to translate into data acquisition strategies. The Claims Data Engineer will author artifacts defining standards and definitions for storing, processing and moving data, including associated processes and business rules. Additionally, the Claims Data Engineer will map the details within these their artifacts to business processes, non-functional characteristics, QA criteria and technical enablement. The role is responsible to be constantly thinking through the needs of the business to support efficient and error free processes.
The Claims Data Engineer will be responsible for finding trends in datasets and developing workflows and algorithms to help make raw data more useful to the enterprise. He or she will also be responsible for creating data acquisition strategy and develops data set processes.
Designs and implements standardized data management procedures around data staging, data ingestion, data preparation, data provisioning and data destruction (scripts, programs, automation, assisted by automation, etc.).
Ensures quality of technical solutions as data moves across Healthfirst environments
Provide insight into the changing data environment, data processing, data storage and utilization requirements for the company and offer suggestions for solutions
Ensures managed analytic assets support Healthfirst’s strategic goals by creating and verifying data acquisition requirements and strategy
Develop, construct, test and maintain architectures
Align architecture with business requirements and use programming language and tools
Identify ways to improve data reliability, efficiency and quality
Conduct research for industry and business questions
Deploy sophisticated analytics programs, machine learning and statistical methods
Prepare data for predictive and prescriptive modeling and find hidden patterns using data
Use data to discover tasks that can be automated
Create data monitoring capabilities for each business process and work with data consumers on updates
Aligns data architecture to Healthfirst solution architecture; contributes to overall solution architecture
Help maintain the integrity and security of the company data
Bachelor’s Degree in Computer Engineering or related field
6 + years of experience in a data engineering
6+ years of experience in data programing languages such as java or python
4+ years of experience working in a Big Data ecosystem processing data; includes file systems, data structures/databases, automation, security, messaging, movement, etc.
3+ years of experience working in a production cloud infrastructure
Proven track record of success directing the efforts of data engineers and business analysts within a deadline-driven and fast-paced environment
Experience working with Alteryx, Tableau, SQL, Python, and/or AWS
Hands on experience in leading healthcare data transformation initiatives from on-premise to cloud deployment
Demonstrated experience working in an Agile environment as a Data Engineer
Hands on work with Amazon Web Services, including creating Redshift data structures, accessing them with Spectrum and storing data in S3
Knowledge of SQL and multiple programming languages in order to optimize data processes and retrieval.
Proven results using an analytical perspective to identify engineering patterns within complex strategies and ideas, and break them down into engineered code components
Knowledge of provider-sponsored health insurance systems/processes and the Healthcare industry
Experience developing, prototyping, and testing engineered processes, products or services
Proven ability to work in distributed systems
Proficiency with relational, graph and NoSQL databases required; expertise in SQL
Must be able to develop creative solutions to problems
Demonstrates critical thinking skills with ability to communicate across functional departments to achieve desired outcomes
Excellent interpersonal skills with proven ability to influence with impact across functions and disciplines
Ability to work independently and as part of a team
Ability to manage multiple projects/deadlines, identifying the necessary steps and moving forward through completion
Skilled in Microsoft Office including Project, PowerPoint, Word, Excel and Visio
Please note: Since we care so greatly about our employees' and members' wellbeing, Healthfirst is moving to an environment where our employees are fully vaccinated against COVID-19. As a prospective new team member, you must be fully vaccinated with a CDC/FDA approved COVID-19 shot(s) to work in our offices. If you are selected to interview for this role, we will explain our vaccination policy in further detail and ensure you are comfortable moving forward with this company policy.
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.
EEO Law Poster and Supplement
All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.