Senior Data Engineer - HIPAA X12 EDI for Healthcare Claims

NationsBenefits; Plantation (FL); Vor Ort; USD 120.000 - 180.000; Vollzeit

Zusammenfassung

NationsBenefits is seeking an experienced Senior Data Engineer – EDI Claims Processing to join our Data Engineering team. This role focuses on designing, developing, and maintaining enterprise-scale healthcare data integration solutions centered on HIPAA X12 EDI transactions, Medicaid encounters, and CMS compliance.

The ideal candidate will have extensive hands-on experience with Databricks, PySpark, Delta Lake, and SQL Server, and a deep understanding of HIPAA X12 standards.

Qualifikationen

• Bachelor's degree in Computer Science, Information Technology, Engineering, or a related field.
• 5–8+ years of experience as a Data Engineer, Integration Engineer, or Healthcare Data Engineer.
• Strong expertise with HIPAA X12 EDI transaction standards, including 277CA, 999, 834, 835.
• Hands-on experience with Medicaid encounter processing and state Medicaid submissions.
• Experience with Databricks, PySpark, Delta Lake, and SQL Server.
• Experience with healthcare claims validation platforms such as HIPAA Suite or similar EDI processing tools.

Aufgaben

• Design, develop, and optimize enterprise-grade ingestion, parsing, validation, transformation, and delivery pipelines for HIPAA X12 transactions.
• Build scalable, high-performance ETL/ELT workflows using Databricks, PySpark, Delta Lake, and SQL Server.
• Manage Medicaid encounter submissions, reconciliation, and error remediation with state Medicaid agencies.
• Collaborate with internal teams to ensure accurate and timely claims submissions.
• Develop automated validation frameworks to ensure HIPAA compliance and data quality.
• Maintain secure integrations with healthcare clearinghouses and data dictionaries.

Kenntnisse

Data engineering

Healthcare data

ETL/ELT development

Troubleshooting

Problem-solving

Ausbildung

Bachelor's degree in Computer Science or related field

Tools

Databricks

PySpark

Delta Lake

SQL Server

HIPAA Suite

Jobbeschreibung

NationsBenefits is seeking an experienced Senior Data Engineer – EDI Claims Processing to join our Data Engineering team. This role focuses on designing, developing, and maintaining enterprise-scale healthcare data integration solutions centered on HIPAA X12 EDI transactions, Medicaid encounters, and CMS compliance.

The ideal candidate will have extensive hands-on experience with Databricks, PySpark, Delta Lake, and SQL Server, and a deep understanding of HIPAA X12 standards.