System/Data Analysis and Conversion

Job Title: System/Data Analysis and Conversion

Job Location: Richmond, VA

Job Type: Contract

Job Overview:

Requirement/Must Have:

• Strong experience in healthcare claims processing and MMIS or similar large-scale claims processing systems.
• Proven experience in end-to-end data conversion strategy, including data mapping, transformation logic, reconciliation, and migration readiness.
• Strong experience in data validation, data integrity checks, and resolving complex data anomalies.
• Experience analyzing large datasets to identify discrepancies, trends, and anomalies during data conversion and testing.
• Strong SQL and Teradata query development experience for validation, reconciliation, and reporting.
• Proven Agile testing experience, including functional, integration, and regression testing within sprint cycles.
• Experience developing and executing System Integration Testing (SIT), User Acceptance Testing (UAT), and End-to-End (E2E) test strategies.
• Experience with test management tools such as Azure DevOps or similar platforms.
• Strong experience leading UAT and defect triage across multiple systems and vendors.
• Excellent problem-solving, debugging, organizational, and communication skills.

Experience:

• Experience leading end-to-end FAS data conversion strategy, including mapping, transformation, reconciliation, and migration planning.
• Experience directing data validation cycles and resolving data anomalies for member, claims, and finance data.
• Experience managing mock conversion cycles and coordinating with technical and business teams for migration readiness.
• Experience performing data quality assessments to ensure business, audit, and regulatory compliance.
• Experience developing conversion crosswalks and migration procedures for legacy-to-target system transitions.
• Experience working with ETL developers and business teams to ensure data quality and consistency across systems.
• Experience testing Commercial Off-the-Shelf (COTS) applications and supporting integration across MES modules and COTS products.
• Experience supporting releases, system enhancements, and production defect resolution.
• Experience maintaining historical testing documentation and reporting UAT progress and results.
• Prior experience with MMIS or Conduent is highly preferred.

Responsibilities:

• Lead end-to-end FAS data conversion strategy, including mapping, transformation logic, reconciliation, and migration planning.
• Direct data validation cycles and resolve complex data anomalies to ensure accuracy and completeness of converted member, claims, and finance data.
• Manage mock conversion cycles and coordinate with technical and business teams to ensure readiness for migration.
• Oversee data quality assessments and ensure converted data meets business, audit, and regulatory standards.
• Develop and document conversion crosswalks and migration procedures for transitioning legacy data into FAS.
• Partner with technical architects to optimize conversion performance, minimize downtime, and support smooth cutover activities.
• Provide governance oversight on system design decisions to ensure alignment with architectural standards and operational readiness.
• Perform data analysis related to conversion from legacy systems to new platforms, including mapping validation, integrity checks, and reconciliation.
• Assist in defining and executing data validation strategies to ensure accuracy and completeness during migration efforts.
• Analyze large datasets to identify discrepancies, trends, and anomalies during conversion and testing phases.
• Develop SQL and Teradata queries for data validation, reconciliation, and reporting.
• Document data conversion rules, transformation logic, and validation results to support audit and compliance requirements.
• Collaborate with ETL developers and business teams to ensure data quality and consistency across systems.
• Develop and execute overall test strategy, including SIT, UAT, and End-to-End testing for MMIS and MES modules.
• Test COTS applications and support data conversion and integration across MES modules and COTS products.
• Create and support business test scenarios, test cases, and test data, and assist with test execution activities.
• Support ongoing releases, system enhancements, and production defect resolution.
• Manage defect triage calls with multiple vendors and ensure accurate tracking and timely closure of defects.
• Communicate UAT status, progress metrics, and testing results to stakeholders.
• Maintain comprehensive historical testing documentation.
• Collaborate effectively with technical teams, business users, and cross-functional groups with minimal supervision.

Should Have:

• Prior experience working on MMIS implementations.
• Previous experience with Conduent.
• Experience with Mainframe and DB2 testing.
• Experience working with MES modules and COTS applications in healthcare environments.
• Experience supporting audit, compliance, and regulatory reporting requirements.

Skills:

• Systems Analysis.
• Data Analysis.
• Data Conversion.
• Data Mapping.
• Data Migration.
• Data Validation.
• Data Reconciliation.
• Data Quality.
• ETL.
• SQL.
• Teradata.
• Healthcare Claims Processing.
• MMIS.
• MES.
• FAS.
• COTS Testing.
• Agile Testing.
• Functional Testing.
• Integration Testing.
• Regression Testing.
• System Integration Testing (SIT).
• User Acceptance Testing (UAT).
• End-to-End Testing (E2E).
• Azure DevOps.
• Defect Management.
• Defect Triage.
• Mainframe Testing.
• DB2.
• Crosswalk Documentation.
• Audit Compliance.
• Requirements Validation.
• Production Support.

Qualification and Education:

• Bachelor s degree in Information Systems, Computer Science, Healthcare Informatics, Business, or a related field is preferred, or equivalent professional experience.