Data Engineer / EDI and Claims / Hybrid
RCM Healthcare Services
Rochelle Park, New Jersey
Internship
On-site
Job Description
Data Engineer EDI Claims Hybrid: 2 days in NYC office, 3 days remote Salary: Up to 135,000 generous benefits (including pension plan) Key Requirement: EDI X12 Experience About This Role and Why It Matters Youll be the go-to expert for EDI and claims datahelping ensure compliance, accuracy, and efficiency across health plan operations. Your contributions will shape how we deliver care and meet regulatory standards, making a real difference in peoples lives. About Us For over 30 years, weve been a mission-driven healthcare organization dedicated to improving the lives of New Yorkers. Whats In It For You? Make an Impact: Your work will directly improve healthcare for thousands of New Yorkers. Flexibility: Enjoy a hybrid schedule that balances collaboration and remote work. Growth Stability: Join a mission-driven organization with over 30 years of success and a strong commitment to employee development. Competitive Package: Up to 135,000 salary, comprehensive benefits, and a pension plan. What Youll Do Own and optimize encounter data submissions to state and federal agencies. Troubleshoot and resolve EDI mapping issues to keep data flowing smoothly. Build and maintain SQL queries, stored procedures, and SSIS jobs for automation. Collaborate with internal teams and vendors to solve complex data challenges. Support compliance teams with timely, accurate data insights. Document workflows and implement data quality checks for continuous improvement. Contribute to MMCOR reporting and create KPI dashboards to track performance. What You Bring 5 years of SQL Server experience (stored procedures, SSIS, SSRS). 3 years working with healthcare data (claims, enrollment, provider). Strong knowledge of EDI X12 standards and file mapping. Experience with BI tools (Tableau, Power BI, BusinessObjects). Bonus: Familiarity with Visual Studio, .NET, XML, BizTalk. Bachelors degree in Information Systems, Computer Science, or related field. Must be legally authorized to work in the U.S. (no sponsorship available). AC1 ACP
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