Senior Data Engineer — HIPAA X12 & EDI (On-site)

NationsBenefits

Plantation (FL)

On-site

USD 120,000 - 180,000

Full time

5 days ago

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Job summary

NationsBenefits is seeking a Senior Data Engineer to design and maintain enterprise-scale healthcare data integration solutions focusing on HIPAA X12 EDI transactions, Medicaid encounters, and CMS compliance.

The role emphasizes building high-volume data pipelines with Databricks and SQL Server, supporting healthcare claims processing, and ensuring regulatory compliance. Join a fast-growing healthcare fintech provider delivering value-based data solutions.

Qualifications

Bachelor's degree in CS/IT/Engineering or equivalent experience.
5-8+ years of experience as a Data Engineer, Integration Engineer, or Healthcare Data Engineer.
Strong expertise with HIPAA X12 EDI standards including 277CA, 999, 834, 835.
Hands-on experience with Medicaid encounter processing and state Medicaid submissions.
Experience implementing CMS encounter regulations, schema updates, and compliance changes.
Proficiency with Databricks, PySpark, Delta Lake, and SQL Server.
Experience with HIPAA Suite or similar EDI processing tools.

Responsibilities

Design, develop, and optimize ingestion, parsing, validation, transformation, and delivery pipelines for HIPAA X12 transactions.
Manage Medicaid encounter submissions, reconciliation, and error remediation with state Medicaid agencies.
Develop automated validation frameworks to ensure HIPAA compliance and data quality.
Build monitoring, logging, and SLA reporting for production EDI workflows.
Collaborate with Claims Operations, Compliance, Product, IT Security, and partners on data integration initiatives.