Claims Mapping & Data Flow Specialist - Remote

Overview

The Claims Mapping & Data Flow Specialist is responsible for leading complex healthcare claims data workflows, managing the lifecycle of incoming claims files, and ensuring data quality and integration across various systems.

In Short

• Remote position for US-based applicants.
• Lead claims data workflows and integration processes.
• Assess and troubleshoot inbound claims files.
• Utilize SQL for data quality and mapping.
• Collaborate with engineering and product teams.
• Establish validation routines and QA workflows.
• Maintain documentation on data processes.
• Support onboarding of new claim sources.
• Investigate data discrepancies with analytical approaches.
• Contribute to data integrity and process automation.

Requirements

• Strong SQL proficiency and experience with large datasets.
• Deep understanding of healthcare claims data structures.
• Experience in data modeling and integration.
• Ability to communicate technical concepts clearly.
• 3+ years working with healthcare claims data.
• Bachelors or Masters in relevant fields preferred.
• Collaborative skills across various teams and partners.
• Familiarity with EDI, HL7, FHIR standards is a plus.
• Experience in analytics-driven organizations.
• Solid problem-solving and documentation skills.

Benefits

• Fully remote work environment.
• Opportunity to work with cross-functional teams.
• Engagement in meaningful healthcare data projects.
• Structured hiring process ensuring candidate attention.
• Potential for career growth in a technology-driven field.