Senior Data Engineer – EDI Claims Processing
Tasks
- Build automated validation frameworks
- Design EDI data pipelines
- Develop ETL/ELT workflows
- Implement CMS encounter regulatory schema updates and compliance changes
- Ingest parse validate transform deliver HIPAA X12 transactions
- Maintain integrations with healthcare clearinghouses and trading partners
- Maintain technical documentation mapping specifications data dictionaries
- Manage Medicaid encounter submissions reconciliation and error remediation
- Monitor alert log and report SLA for production EDI workflows
- Troubleshoot EDI processing issues
Perks/Benefits
Skills/Tech-stack
CI/CD | CMS Encounter Processing | Companion guides | Data Reconciliation | Data Validation | Databricks | Delta Lake | DevOps | EDI loops | EDI mapping | EDI segments | ELT | ETL | Encounter processing | FHIR | HIPAA Suite | HIPAA X12 | HIPAA X12 EDI | HL7 | Medicaid Encounters | PHI security | PySpark | SNIP | SQL Server | T-SQL | X12 EDI
Roles
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