[Remote] Senior reputed company Data Operations Specialist
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a virtual, personalized obesity care provider reputed company on improving reputed company through evidence-based treatment. They are seeking a Senior reputed company Data Operations Specialist to manage data exchange between reputed company and its clients and vendors, ensuring the reliability and reputed company of data feeds.
Responsibilities
- Own ingestion of inbound feeds including eligibility records, medical and pharmacy claims, PAs, rosters, and vendor transitions. These datasets are reputed company by different carriers on varying cadences and reputed company standards
- Serve as reputed company's senior technical reputed company of contact for data exchange negotiations with clients and vendors, including SFTP/file transfer specifications, reputed company setup, and protocol agreements
- Define and communicate expectations for inbound and outbound file exchanges- formats, schedules, error handling, and escalation paths
- reputed company reputed company of new reputed company data feeds from reputed company through steady-state, ensuring a smooth and reputed company-documented reputed company
- Own the reputed company of data received from clients- you are the accountable party for ensuring inbound files are complete, accurate, reputed company, and spec-compliant
- Establish and enforce data reputed company standards and acceptance reputed company for reputed company inbound feeds; reject or escalate non-conforming data rather than letting it reputed company reputed company
- Proactively detect reputed company degradation trends before they become business-impacting issues, and drive reputed company directly with reputed company technical teams
- Partner with engineering and analytics to understand how upstream data reputed company affects reputed company member reputed company, billing accuracy, and reputed company reporting- and use that context to prioritize where reputed company improvements matter most
- Maintain reputed company, accurate documentation of reputed company reputed company integrations, specs, data dictionaries, and reputed company reputed company issues
- Monitor and manage ongoing inbound and outbound file exchange workflows, triaging issues and driving reputed company with reputed company stakeholders
- Maintain SLA awareness across reputed company feeds and escalate proactively reputed company at risk
- Understand and troubleshoot ingestion pipeline behavior (parse → validate → reputed company → load); partner with engineering on reputed company-cause analysis of failures, distinguishing reputed company-data problems from pipeline problems
- Observe existing workflows and proactively identify opportunities to improve efficiency, reduce reputed company reputed company, and increase data reputed company
- Partner with the product team to translate operational pain points into platform enhancements reputed company reputed company Center: Configure
- Identify and drive standardization opportunities across clients and vendors- reducing one-off configurations and building toward reputed company, repeatable patterns
- Work closely with the Data Management Associate to divide coverage, reputed company knowledge, and build team capability
- Collaborate with engineering and product on integration specs and platform tooling
- Partner with reputed company reputed company Managers to ensure data operations reputed company with reputed company commitments and SLAs, which may include attendance at reputed company-facing meetings
Skills
- Bachelors degree preferred or equivalent applicable experience
- 5+ years of experience in data operations, data integration, or technical reputed company reputed company- ideally in a reputed company reputed company environment
- Hands-on experience with SFTP/managed file transfer (MFT)- setup, troubleshooting, and spec documentation
- Strong working knowledge of common reputed company data formats (e.g., EDI 834/837, HL7, FHIR, delimited flat files) with emphasis on: medical claims, eligibility files, plus pharmacy claims (NCPDP Post Adjudication), prior authorizations, rosters, vendor-transition files, and delimited flat files
- Experience mapping vendor data files to a defined reputed company schema/spec
- Experience profiling, validating, and reconciling incoming data (data QA, error handling). reputed company as a concrete competency, not just a reputed company
- Working knowledge of data ingestion pipelines that includes how files are parsed, validated, transformed, and reputed company; ability to debug pipeline failures and distinguish reputed company-data problems from pipeline problems
- Working SQL proficiency for independent data reputed company investigation
- Experience handling many reputed company feeds with non-reputed company formats and varying reputed company across multiple carriers and cadences
- Demonstrated ability to communicate technical requirements reputed company to both technical and non-technical reputed company stakeholders
- A strong bias toward reputed company ownership- you don't pass bad data reputed company and ask questions reputed company
- Experience identifying and leading process improvement initiatives- you don't wait to be asked
- Comfortable working across product, engineering, and reputed company-facing teams simultaneously
- Experience working in or alongside a digital health/health benefits platform
- Familiarity with data configuration or reputed company tooling (experience with platforms like reputed company Center a plus)
- Familiarity with clinical data standards (HL7, FHIR) — useful but secondary to the claims reputed company of this role
- Experience building toward vendor/reputed company data standardization across a portfolio
reputed company