Data Conversion Lead (Fully Remote)

HealtheDge; United States; Remote; USD 90,000 - 130,000; Full time

Job summary

HealtheDge is seeking a senior data conversion lead to orchestrate end-to-end migration of payer data between legacy systems and HealthRules Payer or GuidingCare. You will act as the SME for Claims, Enrollment, Provider, and Authorizations, ensuring data integrity and meeting client expectations.

You will design phased conversion plans, mentor junior team members, and collaborate with onshore and offshore teams to deliver reusable assets and accelerators.

Qualifications

• Experience leading end-to-end data conversion projects.
• Strong knowledge of payer data domains (Claims, Enrollment, Provider, Authorizations).
• Ability to design phased conversion plans and set realistic timelines.
• Proficient in Python and SQL for data transformation and testing.
• Familiarity with data dictionaries and metadata documentation.

Responsibilities

• Lead end-to-end data conversion between platforms ensuring data integrity.
• Serve as SME for payer data domains including data structures and business rules.
• Design phased conversion plans with mock, parallel, and full-volume loads.

Skills

Data conversion

ETL design

Python

SQL

Data governance

Stakeholder comms

Tools

HealthRules Payer

GuidingCare

SQL Server

Job description

• Lead and manage end-to-end data conversion of healthcare payer data between platforms, including legacy systems to HealthRules Payer or GuidingCare, ensuring data integrity.
• Serve as subject matter expert for payer data domains—Claims, Enrollment, Provider, and Authorizations—including data structures, relationships, and business rules.
• Design and execute a phased conversion plan covering mock runs, parallel runs, and full-volume loads, setting realistic timelines and client expectations.

Technical Execution:

• Write, maintain, and unit-test data conversion code (Python, SQL) based on documented transformation logic of limited to moderate complexity.
• Design ETL processes including data extracts, load logic, stored procedures, workflows, and data mappings.
• Enforce naming standards and maintain data dictionaries and documentation for all conversion data models.

Collaboration and Communication:

• Lead workflow and gap analysis sessions; identify data discrepancies and define resolution strategies.
• Maintain consistent communication with the client on conversion progress, risks, and issue resolution.
• Plan and conduct client and user review sessions on conversion results; implement corrections based on feedback.

Team Leadership and Development:

• Mentor and guide junior team members on conversion processes, best practices, and technical standards.
• Collaborate with project managers, business teams, and cross-functional stakeholders across onshore and offshore teams.
• Develop and contribute to reusable conversion assets, accelerators, and knowledge repositories.

HealtheDge

HealthEdge provides healthcare technology solutions, including HealthRules Payer and GuidingCare, to modernize healthcare administration. They operate as an established company with a focus on innovation and teamwork, employing a diverse workforce committed to excellence.