Overview: ComplexCare Solutions is a leading technology company that combines advanced cloud-based data analytics and data-driven intervention platforms to achieve meaningful insight. Platform require to ingest large amount of variety of data from various clients. Timely and accurately ingestion of business data is utmost critical for the success of the platform. You have the opportunity to create configurable and robust data ingestion platform and work on truly cutting-edge cloud and big data technologies.
Duties and Responsibilities:
- Work with the agile team to participate in agile ceremonies like grooming, planning, standup, retrospective, demos
- Actively contribute to grooming, and standup, create & update tasks estimate and status
- Design and develop modern data ingestion pipeline utilizing tools like ADF (Azure Data Factory), Databricks, MS-SQL
- Extensively work on Azure Cloud Platform
- Write complex queries, stored procedures, functions, for various job execution, manipulating data
- Create highly configurable design to apply various business rules, filters, mapping based on various clients
- Work with data architects and business analysts to create a logical data model and create DDL scripts for physical model creation
- Read data files (flat, excel, csv, json etc) from sftp servers, validate the data utilizing various business rules and configurations
- Design and code various data architecture component like data validation, cleansing, de-duping, Symantec layer
- Work on large data to ensure configurable ingestion of data, dynamic rule & validation of data, cleansing, transforming and loading into the data warehouse
- Design and implement data validation and quality checks to ensure the accuracy and completeness of the data in the data warehouse
- Perform performance of queries and data processing, identify and resolve any issues looking at query plans, create appropriate indexes, resolve dead locks and create table hints
- Understand data partition, performance, multi-threading/processing of high volume data
- Participate in design discussions, data analysis, data model creation etc
- Product quality design diagrams (using MS-Visio, Draw.io etc) and documentations (MS-Work, Excel etc)
- Maintain compliance with ComplexCare Solutions policies, procedures and mission statement;
- Adhere to all confidentiality and HIPAA requirements as outlined within ComplexCare Solutions Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position; and
- Fulfill those responsibilities and/or duties that may be reasonably provided by ComplexCare Solutions for the purpose of achieving operational and financial success of the Company.
Job Requirements:
- Minimum of 10 years industry experience working in data & reporting area, knowledge of healthcare data will be a plus
- 10+ years working on data process/pipeline, ETL, Data Workflow, Query Plans & Optimization
- 10+ experience in MS SQL, T-SQL, ETL Jobs
- 5+ years working on databricks, PySpark/SparkSQL, data frames, unity catalog
- 5+ years’ experience in writing query plans, indexes etc
- 5+ years’ experience working on Azure Cloud is preferred utilizing ADF (Azure Data Factory), Azure Delta Lake, Azure SQL Server, Data Sync, Log Insights and Analytics
- Experience working with Role based security at database, ETL jobs, data exports level
- Experience with HIPPA and PHI will be a plus
- Ability to effectively communicate with internal and external customers
- Excellent verbal and written communication skills
- Excellent computer proficiency (MS Office – Word, Excel and Outlook)
- Must be able to work under pressure and meet deadlines; and
- Ability to work independently and to carry out tasks to completion following standard accepted practices
Education:
- BS degree in Computer Science or Computer Engineering, Business, or equivalent experience.
Physical Demands and Work Environment:
- Sedentary work (i.e., sitting for long periods of time);
- Exerting up to 10 pounds of force occasionally and/or negligible amount of force;
- Frequently or constantly to lift, carry push, pull or otherwise move objects and repetitive motions;
- Subject to inside environmental conditions; and
- Some travel (less than 10%) may be required for this position, primarily for training and collaboration purposes.
Studies have shown that women and people of color are less likely to apply for jobs unless they believe they meet every one of the qualifications listed in a job description. If you don’t meet every qualification listed but are excited about our mission and the work described, we encourage you to apply regardless. ComplexCare Solutions is most interested in finding the best candidate for the job and you may be just the right person for this or other roles.
By embracing diversity, equity and inclusion we enhance our work environment and drive business success. ComplexCare Solutions strives to reflect the diversity of the communities where we operate and of our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth.
ComplexCare Solutions is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirement.
The Company maintains a drug free work environment for all of its associates, which includes employees, contractors and vendors. It is unlawful for associates to manufacture, sell, distribute, dispense, possess or use any controlled substance or marijuana in the workplace and doing so will result in disciplinary action, up to and including termination of employment or the contracted relationship.
To review the legal requirements, including all labor law posters, please visit this link
What We Do
ComplexCare Solutions is a leading provider of Member Engagement and Health Information Management services for health plan networks nationwide. Our goal is to engage members, collect comprehensive patient data, and implement personalized care plans that drive real change and bring patients closer to their desired outcomes.
With decades of experience working with health plans of all sizes, we understand the challenges faced by your business in the ever-evolving healthcare landscape. Our team possesses a profound understanding of your needs and is committed to helping you achieve your goals. Our modular services seamlessly integrate with your health plan's operations throughout the entire care management continuum. By partnering with us, you can ensure compliance, receive appropriate reimbursements, reduce healthcare costs, and enhance member satisfaction and care quality.
We serve a diverse range of members, including Medicare Advantage, Medicaid Managed Long-Term Care, Dual-Eligible, Managed Medicaid, Commercial ACA, and General Commercial Populations. As an ACAP-endorsed organization, we extend our assessment and care management services across the United States.
Key Services:
Member Engagement: We offer in-home health risk assessments, annual wellness visits, health screenings, support for vaccine adherence, continuity of care, and CAHPS surveys. Additionally, we provide over-the-phone outreach coordination for comprehensive member engagement.
Health Information Management: Our experienced medical coders specialize in medical record retrieval for retrospective risk score accuracy and HEDIS® reporting. We offer various collection methods tailored to your organization's preferences, including clinical data extraction, remote EHR access, onsite data collection, and record requests.
Choose ComplexCare Solutions as your trusted partner to enhance member engagement, optimize health information management, and achieve your healthcare objectives
