Hybrid Data Integrity Lead - Health Benefit Exchange

Virginia State Corporation Commission; Richmond (VA); Hybrid; USD 90,000 - 115,000; Full time

Benefits offered by this job

Hybrid work schedule

Career growth

Professional development opportunities

Job summary

The State Corporation Commission seeks a Senior Data Integrity Analyst to join the Health Benefit Exchange (HBE) division in Virginia. The role leads data integrity and reconciliation across Exchange systems and with partners such as carriers, DMAS, CMS, and vendor environments.

The position offers a hybrid work schedule, opportunities for professional development, and growth within a mission to ensure accurate, compliant health coverage data for Virginians.

Qualifications

• Four or more years of professional experience in reconciliation, operational data integrity, health insurance operations, or multi-system data environments.
• Bachelor's degree desirable but not required with eight or more years of relevant professional experience
• Strong analytical, processing, and problem-solving skills with an ability to make appropriate and sound decisions
• Experience using MS Office (Word, Excel, PowerPoint) and knowledge of relational databases and SQL
• Ability to independently use dashboards and conduct trend analysis and reporting
• Ability to implement established policy consistently
• Strong documentation and audit support capability
• Ability to ensure end-to-end discrepancy resolution through coordination, monitoring, escalation, and documentation
• Understanding of data privacy regulations and best practices
• Strong interpersonal skills and ability to work with others in a courteous and professional manner through cross-functional collaboration and coordination
• Ability to communicate clearly, concisely, and professionally, both verbally and in writing
• Ability to review and analyze information in a detailed, thoughtful, and inquisitive manner
• Ability to establish and maintain professional working relationships with industry personnel, auditors, and SCC staff

Responsibilities

• Execute recurring reconciliation cycles across Health Benefit Exchange systems, data sources, and external partners, ensuring full end-to-end discrepancy resolution
• Analyze data to identify multi-system discrepancies and integrity issues utilizing dashboards and analytical tools
• Conduct root-cause analysis to determine the source and impact of discrepancies
• Lead identification and resolution efforts with internal teams (IT Operations, Quality Assurance, Policy, Finance, Consumer & Stakeholder Experience, and Data Analytics) and external partners (insurance carriers, CMS, other state agencies, call center and vendor partners)
• Track, manage, and submit official responses to federal data integrity and reconciliation requests and programs
• Create and document processes and procedures for data integrity and reconciliation activities
• Maintain clear and thorough documentation of data integrity and reconciliation activities
• Produce and present reports on resolution progress and trends to division leadership
• Support audit readiness and internal controls
• Perform other related work as required

Skills

Data reconciliation

SQL

Dashboards

Data analysis

MS Office

Documentation

Cross-functional collaboration

Audit readiness

Education

Bachelor's degree (optional)

Eight or more years of relevant experience

Tools

Relational databases

SQL

MS Office

Job description

The State Corporation Commission seeks a Senior Data Integrity Analyst to join the Health Benefit Exchange (HBE) division in Virginia. The role leads data integrity and reconciliation across Exchange systems and with partners such as carriers, DMAS, CMS, and vendor environments.

The position offers a hybrid work schedule, opportunities for professional development, and growth within a mission to ensure accurate, compliant health coverage data for Virginians.