Overview: The Senior Data Engineer is responsible for contributing to data analytics, data operations, and software product development across the organization. They will support existing data operations such as data refresh ETL, data structure development, and troubleshooting of data issues. Additionally, they will contribute to development of new products through data analysis to inform requirements and creation of APIs to support software development. They will work across a variety of products and projects as needed and engage with a variety of data types. This position may require independent work, sharing information and assisting others with work requests.
Duties and Responsibilities:
- Research customer data related questions and provide mapping between requirements and data points. This person will be responsible for customer data releases which includes working with customers, data packaging, validation, and documentation.
- Proven analytical skills – Able to compare, contrast, and validate work with keen attention to detail.
- Develop predictive and other classification methods thorough understanding of healthcare specific data sets such as CMS LDS files, 837 and 835 EDI specifications.
- Develop APIs to allow for interaction with data sets from customer facing tools.
- Perform data updates on a routine basis to keep product data sets current.
- Work and communicate in a cross-functional geographically dispersed team environment comprised of software engineers and product managers.
- Maintain compliance with ComplexCare Solutions (CCS)’s policies, procedures and mission statement.
- Adhere to all confidentiality and HIPAA requirements as outlined within CCS’s 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.
- Fulfill those responsibilities and/or duties that may be reasonably provided by CCS for the purpose of achieving operational and financial success of the Company.
Job Requirements:
- Minimum of 5 years healthcare industry experience with and strong knowledge of healthcare data formats such as CMS LDS files and/or X12/EDI claims processing (specifically 837I/837P).
- Strong working knowledge of Centers for Medicare & Medicaid Services (CMS) data.
- Comfortable writing SQL queries for data analysis.
- Comfortable working with Python to create APIs.
- Experience with AWS database tools.
- Ability to learn quickly and independently.
- Experience with HIPPA and PHI.
- 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.
- 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.
- Some travel (less than 10%) may be required for this position, primarily for training and collaboration purposes.
Inovalon Offers a Competitive Salary and Benefits Package
In addition to the base compensation, this position may be eligible for performance-based incentives.
The actual base pay offered may vary depending on multiple factors including, but not limited to, job-related knowledge/skills, experience, business needs, geographical location, and internal equity. At Inovalon, it is not typical for an individual to be hired at or near the top end of the range for their role, and compensation decisions are dependent upon the facts and circumstances of each position and candidate.
Inovalon invests in associates to help them stay healthy, save for long-term financial goals, and manage the demands of work and personal commitments. That’s why Inovalon offers a valuable benefits package with a wide range of choices to meet associate needs, which may include health insurance, life insurance, company-paid disability, 401k, 18+ days of paid time off, and more.
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.
Top Skills
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
