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 You’ll be the go-to expert for EDI and claims data—helping 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 people’s lives. About Us For over 30 years, we’ve been a mission-driven healthcare organization dedicated to improving the lives of New Yorkers. What’s 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 You’ll 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. Bachelor’s degree in Information Systems, Computer Science, or related field. Must be legally authorized to work in the U.S. (no sponsorship available). #AC1 #ACP
Job Title
Data Engineer / EDI and Claims / Hybrid