Sr Software Engineer, Data Management
Evolent Health
5d ago

Your Future Evolves Here

New Century Health (NCH) has been transforming the delivery of specialty care and driving radical cost and quality improvement across the member journey for patients with cancer and cardiovascular disease.

As part of Evolent Health, we are on a bold mission to change the health of the nation by changing the way health care is delivered.

Evolenteers make a difference wherever they are, whether it is at a medical center, in the office, or while working from home across 48 states.

We empower you to work from where you work best, which makes juggling careers, families, and social lives so much easier.

Through our recognition programs, we also highlight employees who live our values, give back to our communities each year, and are champions for bringing their whole selves to work each day.

If you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a mission.

Join a mission with a company behind it.

Why We’re Worth the Application :

  • We continue to grow year over year.
  • Recognized as a leader in driving important diversity, equity, and inclusion (DE&I) efforts.
  • Achieved a 100% score two years in a row on the Human Rights Campaign's Corporate Equality Index making us a best place to work for LGBTQ+ equality.
  • Named to’s 2020 list of the best companies for women to advance.
  • Continued to prioritize the employee experience and achieved an 87% overall engagement score on our last employee survey.
  • Published an annual DE&I report to share our progress on how we’re building an equitable workplace.
  • What You’ll Be Doing :

    What You'll Be Doing

    The Data Management Senior Software Engineer will perform data processing of all information pertaining to Provider, Fee schedules, Member (Eligibility) and Claims data.

    This position will be responsible for maintaining multiple databases through the NCH custom software. This position is responsible for the accuracy, efficiency, and retrieval and processing of data into the systems and will assist in gathering and maintaining data for production and non-production environments.

  • Designing, implementing, and maintaining custom database management software and related components including schemas, stored procedures, SQL processes, and SSIS / SSRS technologies to manage multiple healthcare databases;
  • Performing periodic, quarterly, and scheduled data loads to support new client implementation processes and Claims system;
  • Developing and deploying custom ETL processes for accurate and efficient data acquisition, processing, and validation;
  • Designing and implementing solutions for metadata, data quality, and data security management;
  • Developing and executing User Acceptance Testing (UAT) and manual and automated Quality Assurance testing for data-related project requirements; and
  • Developing and maintaining SSRS reporting processes for all Provider, Fee Schedules, Member / Member Eligibility, and Claims datasets;
  • Developing and maintaining tools for automation of adhoc member and provider loads which are currently manual;
  • Develop Web portals to maintain configuration data and healthcare entity data used for new implementations.
  • Develop processes to consume, validate and manipulate HIPAA EDI X12 transactions such as 834, 999, TA1, 837, 270 and 271.
  • The Experience You'll Need (Required) :

  • Strong technical knowledge in SQL processes (including SSIS and Stored Procedures)
  • Strong technical knowledge in ASP.Net, C# , Webservices API, website development techniques, LINQ Programming and Entity Framework.
  • Strong technical and domain knowledge of Healthcare Member, Eligibility, Provider, Claim and Authorization datasets
  • Strong knowledge on HIPAA X12 transactions such as 834, 999,TA1, 837, 270 and 271.
  • Strong Knowledge on software’s such as Visual Studio 2015 or higher, SSMS 2014 or higher, TFS for source control and Microsoft Office 365 software’s.
  • Ensure the timely and professional response to requests for support to troubleshoot and / or maintain production systems
  • Manages the internal ticketing system for the Data Management team (related to Member eligibility, Provider, Authorization and Claim transactions) and have strong problem-solving skills
  • Performs periodic, quarterly or scheduled data loads to support the Claim system.
  • Supports the new client implementation process by completing any data load tasks, according to the implementation schedule.
  • Interacts with various departments to resolve any data issues or discrepancies.
  • Performs Quality Assurance and User Acceptance Testing on data related requirements for projects.
  • Minimum 8 years of IT Healthcare experience in Claims, Members, Providers and Authorization domain (required)
  • Bachelor’s degree (required).
  • Minimum of 5 years of experience in SSIS / SSRS / Power BI technologies (required).
  • Minimum of 5 years experience in C#, ASP.NET and Webservices(required).
  • Minimum of 5 years of experience in understanding and working with HIPAA X12 transactions (required).
  • Specific vision abilities, including close vision, operate computer screen for extending periods of time
  • May be required to sit or stand for extended periods of time
  • Ability to read, write and speak the English language fluently
  • Evolent Health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.

    Technical Requirements :

    Currently, Evolent employees work remotely temporarily due to COVID-19. As such, we require that all employees have the following technical capability at their home : High speed internet over 10 Mbps, the ability to plug in directly to the home internet router.

    These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.

    Evolent Health is committed to the safety and wellbeing of all its employees, partners and patients and complies with all applicable local, state, and national law regarding COVID health and vaccination requirements.

    Evolent expects all employees to also comply. We currently require all employees who may voluntarily return to our Evolent offices to be vaccinated and invite all employees regardless of vaccination status to remain working from home.

    Evolent Health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.

    Compensation Range : The minimum salary for this position is $105,000, plus benefits. Salaries are determined by the skill set required for the position and commensurate with experience and may vary above and below the stated amounts.

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