Data Integration Specialist

SmartLight Analytics; Plano (TX); Hybrid; USD 60,000 - 100,000; Full time

Job summary

An innovative company is seeking a detail-oriented Data Integration Specialist to facilitate data exchanges between healthcare partners. This role is crucial for ensuring accurate claims and eligibility data, requiring strong technical skills and project management abilities. The ideal candidate will thrive in a collaborative environment, effectively managing relationships with external stakeholders. With a focus on healthcare data management, this position offers a unique opportunity to contribute to meaningful projects that impact self-insured employers. Join a forward-thinking team dedicated to optimizing healthcare costs without disrupting employee benefits.

Qualifications

• 3+ years of experience in healthcare data management or integration.
• Strong understanding of healthcare claims and eligibility data structures.
• Excellent written and verbal communication skills.

Responsibilities

• Monitor file transmissions from TPAs and carriers for data accuracy.
• Troubleshoot data transmission issues and coordinate with technical teams.
• Develop and maintain project plans for data integration activities.

Skills

Healthcare Data Management

Project Management

Communication Skills

Technical Troubleshooting

Data Reconciliation

Problem Solving

Education

Bachelor's Degree in Information Systems

Bachelor's Degree in Healthcare Administration

Tools

Microsoft Office Suite

Project Management Tools

SQL

Job description

Job Title: Data Integration Specialist
Location: Remote/Hybrid
Department: Information Technology and Product Development
Reports To: Sr. Director of Engineering

Job Summary:
The Data Integration Specialist plays a vital role in facilitating and managing data exchanges between our platform and external healthcare partners including TPAs and carriers. This position focuses on ensuring the accurate and timely receipt of claims and eligibility data necessary for our health data services. The ideal candidate brings strong technical aptitude combined with exceptional project management and communication skills to effectively coordinate with third-party data providers who may have varying levels of engagement. This role is critical for successful customer implementation and ongoing service delivery to our self-insured employer clients.

We are seeking a detail-oriented Data Integration Specialist to join our team. The ideal candidate will have experience working with healthcare claims data, file transmission monitoring, and cross-organizational coordination. They should demonstrate strong technical troubleshooting abilities alongside excellent communication and follow-up skills. Proficiency in reviewing and reconciling data formats, building relationships with external stakeholders, and managing complex implementation timelines is essential. In this role, you will serve as the crucial link between our organization and the various TPAs/carriers that provide the data necessary for our services.

Applicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States.

Key Responsibilities:

• Monitor file transmissions from TPAs and carriers to ensure accurate and complete receipt of data
• Troubleshoot data transmission issues and escalate appropriately to internal technical teams or external providers
• Review and reconcile proposed file formats from TPAs/carriers against our system requirements
• Coordinate with third-party data providers during customer onboarding to establish data feeds
• Maintain detailed documentation of file specifications and integration requirements for each provider
• Develop and maintain project plans for data integration activities with clear milestones and deadlines
• Build and manage relationships with external stakeholders who may be reluctant partners
• Communicate effectively through email, phone calls, and video meetings to resolve data exchange issues
• Track and follow up on outstanding items with persistence and diplomacy
• Ensure compliance with data privacy and security requirements for PHI/PII

Qualifications:

• Bachelor's degree in Information Systems, Healthcare Administration, or related field
• 3+ years of experience in healthcare data management, integration, or related roles
• Strong understanding of healthcare claims and eligibility data structures
• Experience with file transmission protocols and data validation techniques
• Proficiency in Microsoft Office suite, particularly Excel for data review
• Excellent written and verbal communication skills
• Strong project management abilities with attention to detail
• Demonstrated experience in relationship management with external partners
• Problem-solving mindset with the ability to navigate technical and interpersonal challenges
• Experience filing and tracking support tickets in technical environments

Preferred Qualifications:

• Experience working with self-insured employers, TPAs, or health insurance carriers
• Familiarity with healthcare claims data formats
• Background in healthcare analytics or benefits administration
• Knowledge of HIPAA compliance requirements
• Experience with data mapping and transformation concepts
• Proficiency with project management tools
• SQL or database query experience

Who is SmartLight Analytics

SmartLight Analytics was formed by a group of industry insiders who wanted to make a meaningful impact on the rising cost of healthcare. With this end in mind, SmartLight works for self-funded employers to reduce the wasteful spend in their healthcare plan through our proprietary data analysis. Our process works behind the scenes to save money without interrupting employee benefits or requiring employee behavior changes.