Job Summary

The Senior Data Systems Analyst leads the integration of various healthcare payer data and internal enterprise systems data into WellBe’s enterprise data platforms. This role is responsible for analyzing, mapping, validating, and standardizing various payer feeds including eligibility, claims, quality, and risk adjustment data, alongside internal systems such as EMR , CRM, HR etc to maintain a reliable single source of truth supporting value based care.

The ideal candidate will combine strong healthcare data knowledge, technical domain expertise with ownership over complex payer and internal systems integration and manage multiple concurrent data initiatives and integration.

Job Description

Lead onboarding and integration of various payer feeds, including eligibility (834 or flat files), medical and institutional claims (837 or flatfiles), HEDIS quality data, HIE, and risk adjustment and RAF related datasets
Analyze and map data from external payer sources and internal systems such as EMR, CRM, and operational platforms into the enterprise data model
Own and maintain source to target mappings, transformation logic, and standardized data definitions across payer and internal feeds
Identify payer specific variations, data quality issues, and structural differences, and drive normalization within the data warehouse
Validate data ingestion and transformations through profiling, reconciliation, and exception analysis
Partner closely with data engineering to ensure scalable, accurate, and well documented ingestion pipelines
Serve as a subject matter expert for integrated payer and internal data, supporting analytics, reporting, and operational use cases
Lead discovery sessions with customers to document technical specifications, data elements, and business requirements
Translate clinical, operational, and business requirements into clear data and system specifications
Define and implement data quality rules and monitoring frameworks for all critical data pipelines
Develop and enforce data governance policies, including metadata management, lineage tracking, and compliance standards.
Ensure integration stories are delivered on time and are fully prepared for engineering implementation

Job Requirements

Bachelor’s degree in Computer Science, Information Systems, or a related field, or equivalent experience
6+ years of experience in data warehousing, data integration, or analytics roles
Strong experience working with Medicare Advantage payer data, including 834, 837, HEDIS, and RAF datasets
Advanced SQL skills and strong understanding of relational database concepts
Deep knowledge of enterprise data warehouse and data mart architectures
Experience with data governance frameworks and tools (e.g., Catalog, Atlan, Collibra, Alation) and data quality frameworks.
Working knowledge of cloud-based data platforms like snowflake/redshift etc.
Familiarity with scrum/agile methodologies and Jira
Proven ability to lead cross-functional teams and drive agile delivery
Excellent communication and stakeholder management skills
Excellent problem-solving, interpersonal, and stakeholder management skills
High level of ownership, initiative, and attention to detail

Physical and Mental Requirements

Ability to stand/sit for extended periods.

Visual acuity and fine motor skills.

Ability to travel as needed.

Work Environment

Travel may be required up to 15% locally or nationally

Remote or Hybrid

Sponsorship Statement

WellBe does not offer employment-based visa sponsorship for this position. Applicants must be legally authorized to work in the United States without the need for employer sponsorship now or in the future.

Pay Transparency Statement

Compensation for this position will be disclosed in accordance with applicable state and local pay transparency laws.

Drug Screening Requirement:As a condition of employment, WellBe Senior Medical requires all candidates to successfully complete a pre-employment drug screening. Ongoing employment may also be contingent upon compliance with the company’s Drug-Free Workplace Policy, which includes random, post-accident, and reasonable suspicion drug testing. The company reserves the right to test for substances that may impair an employee’s ability to safely and effectively perform their job duties.

Background Check Statement

Employment is contingent upon successful completion of a background check, as permitted by law. As a healthcare organization, WellBe conducts monthly FACIS (Fraud and Abuse Control Information System) checks on all employees. Continued employment is contingent upon satisfactory results of these checks, in accordance with applicable laws and regulations.

Equal Employment Opportunity (EEO) Statement

WellBe is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected status.

Americans with Disabilities Act

WellBe Senior Medical is committed to complying with the Americans with Disabilities Act (ADA) and applicable state and local laws. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the job. If you require an accommodation during the application, interview or employment process, please contact Human Resources at .

At-Will Employment Statement

Employment with WellBe is at-will unless otherwise specified by contract. This job description does not constitute an employment contract.

Disclaimer

This job description is intended to describe the general nature and level of work performed. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Management reserves the right to modify, add, or remove duties as necessary.

Originally posted on Himalayas