Senior Data Systems Analyst
About the role
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, and HR to maintain a reliable single source of truth supporting value-based care. The ideal candidate will combine strong healthcare data knowledge, technical domain expertise, and ownership over complex payer and internal systems integration while managing multiple concurrent data initiatives.
Responsibilities
- Lead onboarding and integration of various payer feeds, including eligibility (834 or flat files), medical and institutional claims (837 or flat files), 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.
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.
- 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.
Work Environment
Travel may be required up to 15% locally or nationally. This role may be remote or hybrid.
Pay
Compensation for this position will be disclosed in accordance with applicable state and local pay transparency laws.
Additional Requirements
- As a condition of employment, candidates must successfully complete a pre-employment drug screening. Ongoing employment may also be contingent upon compliance with the company’s Drug-Free Workplace Policy, including random, post-accident, and reasonable suspicion drug testing.
- Employment is contingent upon successful completion of a background check, including monthly FACIS (Fraud and Abuse Control Information System) checks as required by law.
- 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.