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Key Responsibilities:
- Lead and manage end-to-end data conversion of healthcare payer data between platforms, including legacy systems to HealthRules Payer or GuidingCare, ensuring data integrity.
- Serve as subject matter expert for payer data domains—Claims, Enrollment, Provider, and Authorizations—including data structures, relationships, and business rules.
- Design and execute a phased conversion plan covering mock runs, parallel runs, and full-volume loads, setting realistic timelines and client expectations.
Technical Execution:
- Write, maintain, and unit-test data conversion code (Python, SQL) based on documented transformation logic of limited to moderate complexity.
- Design ETL processes including data extracts, load logic, stored procedures, workflows, and data mappings.
- Enforce naming standards and maintain data dictionaries and documentation for all conversion data models.
Collaboration and Communication:
- Lead workflow and gap analysis sessions; identify data discrepancies and define resolution strategies.
- Maintain consistent communication with the client on conversion progress, risks, and issue resolution.
- Plan and conduct client and user review sessions on conversion results; implement corrections based on feedback.
Team Leadership and Development:
- Mentor and guide junior team members on conversion processes, best practices, and technical standards.
- Collaborate with project managers, business teams, and cross-functional stakeholders across onshore and offshore teams.
- Develop and contribute to reusable conversion assets, accelerators, and knowledge repositories.
HealtheDge
HealthEdge provides healthcare technology solutions, including HealthRules Payer and GuidingCare, to modernize healthcare administration. They operate as an established company with a focus on innovation and teamwork, employing a diverse workforce committed to excellence.